rs398122803

Variant summary

Our verdict is Pathogenic. The variant received 11 ACMG points: 11P and 0B. PVS1PM2PP5

The NM_003106.4(SOX2):​c.59delG​(p.Gly20AlafsTer26) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

SOX2
NM_003106.4 frameshift

Scores

Not classified

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 1.31

Publications

4 publications found
Variant links:
Genes affected
SOX2 (HGNC:11195): (SRY-box transcription factor 2) This intronless gene encodes a member of the SRY-related HMG-box (SOX) family of transcription factors involved in the regulation of embryonic development and in the determination of cell fate. The product of this gene is required for stem-cell maintenance in the central nervous system, and also regulates gene expression in the stomach. Mutations in this gene have been associated with optic nerve hypoplasia and with syndromic microphthalmia, a severe form of structural eye malformation. This gene lies within an intron of another gene called SOX2 overlapping transcript (SOX2OT). [provided by RefSeq, Jul 2008]
SOX2-OT (HGNC:20209): (SOX2 overlapping transcript) This gene produces alternatively spliced long non-coding RNAs. These RNAs were observed to be upregulated in tumor cells and positively correlated to expression of the SRY-box 2 gene. Overexpression of these transcripts may promote cell proliferation. [provided by RefSeq, Dec 2017]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 11 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 94 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 3-181712413-CG-C is Pathogenic according to our data. Variant chr3-181712413-CG-C is described in ClinVar as Pathogenic. ClinVar VariationId is 986777.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SOX2NM_003106.4 linkc.59delG p.Gly20AlafsTer26 frameshift_variant Exon 1 of 1 ENST00000325404.3 NP_003097.1 P48431A0A0U3FYV6

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SOX2ENST00000325404.3 linkc.59delG p.Gly20AlafsTer26 frameshift_variant Exon 1 of 1 6 NM_003106.4 ENSP00000323588.1 P48431

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
6.94e-7
AC:
1
AN:
1441354
Hom.:
0
Cov.:
33
AF XY:
0.00000140
AC XY:
1
AN XY:
715260
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32894
American (AMR)
AF:
0.00
AC:
0
AN:
41626
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25754
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38676
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84776
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50990
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5180
European-Non Finnish (NFE)
AF:
9.07e-7
AC:
1
AN:
1102008
Other (OTH)
AF:
0.00
AC:
0
AN:
59450
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Anophthalmia/microphthalmia-esophageal atresia syndrome Pathogenic:1
-
Anophthalmia/Microphthalmia Research Registry, Einstein Medical Center Philadelphia
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:research

Patient has symptoms similar to SOX2 related disease and is suspected to be pathogenic -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
1.3
Mutation Taster
=1/199
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs398122803; hg19: chr3-181430201; COSMIC: COSV57621642; API