rs61743822

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002076.4(GNS):​c.1598G>A​(p.Arg533His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00163 in 1,612,248 control chromosomes in the GnomAD database, including 35 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0087 ( 18 hom., cov: 32)
Exomes 𝑓: 0.00090 ( 17 hom. )

Consequence

GNS
NM_002076.4 missense

Scores

4
14

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 2.49
Variant links:
Genes affected
GNS (HGNC:4422): (glucosamine (N-acetyl)-6-sulfatase) The product of this gene is a lysosomal enzyme found in all cells. It is involved in the catabolism of heparin, heparan sulphate, and keratan sulphate. Deficiency of this enzyme results in the accumulation of undegraded substrate and the lysosomal storage disorder mucopolysaccharidosis type IIID (Sanfilippo D syndrome). Mucopolysaccharidosis type IIID is the least common of the four subtypes of Sanfilippo syndrome. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006198585).
BP6
Variant 12-64716802-C-T is Benign according to our data. Variant chr12-64716802-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 258550.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-64716802-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0087 (1324/152220) while in subpopulation AFR AF= 0.0302 (1254/41528). AF 95% confidence interval is 0.0288. There are 18 homozygotes in gnomad4. There are 619 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 18 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GNSNM_002076.4 linkuse as main transcriptc.1598G>A p.Arg533His missense_variant 14/14 ENST00000258145.8 NP_002067.1 P15586-1A0A024RBC5Q7Z3X3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GNSENST00000258145.8 linkuse as main transcriptc.1598G>A p.Arg533His missense_variant 14/141 NM_002076.4 ENSP00000258145.3 P15586-1

Frequencies

GnomAD3 genomes
AF:
0.00870
AC:
1323
AN:
152104
Hom.:
18
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0303
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00321
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00622
GnomAD3 exomes
AF:
0.00239
AC:
596
AN:
249268
Hom.:
12
AF XY:
0.00175
AC XY:
236
AN XY:
134932
show subpopulations
Gnomad AFR exome
AF:
0.0327
Gnomad AMR exome
AF:
0.00127
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000807
Gnomad OTH exome
AF:
0.000816
GnomAD4 exome
AF:
0.000898
AC:
1311
AN:
1460028
Hom.:
17
Cov.:
29
AF XY:
0.000760
AC XY:
552
AN XY:
726504
show subpopulations
Gnomad4 AFR exome
AF:
0.0310
Gnomad4 AMR exome
AF:
0.00154
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000928
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000603
Gnomad4 OTH exome
AF:
0.00196
GnomAD4 genome
AF:
0.00870
AC:
1324
AN:
152220
Hom.:
18
Cov.:
32
AF XY:
0.00832
AC XY:
619
AN XY:
74432
show subpopulations
Gnomad4 AFR
AF:
0.0302
Gnomad4 AMR
AF:
0.00321
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00616
Alfa
AF:
0.00161
Hom.:
7
Bravo
AF:
0.00967
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.0259
AC:
114
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00301
AC:
365
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Mucopolysaccharidosis, MPS-III-D Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 01, 2022- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxFeb 12, 2021- -
Sanfilippo syndrome Benign:1
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.094
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.37
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.23
.;T;T;.
Eigen
Benign
-0.13
Eigen_PC
Benign
0.047
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.94
D;D;D;D
MetaRNN
Benign
0.0062
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.2
.;L;.;.
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.56
N;N;N;N
REVEL
Benign
0.066
Sift
Benign
0.084
T;T;T;T
Sift4G
Benign
0.16
T;T;T;T
Polyphen
0.066, 0.023
.;B;B;.
Vest4
0.29
MVP
0.68
MPC
0.51
ClinPred
0.0094
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.11
gMVP
0.47

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs61743822; hg19: chr12-65110582; COSMIC: COSV50694034; COSMIC: COSV50694034; API