Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PM5PP3_Strong
The NM_024570.4(RNASEH2B):āc.554T>Cā(p.Val185Ala) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,498 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V185G) has been classified as Likely pathogenic.
RNASEH2B (HGNC:25671): (ribonuclease H2 subunit B) RNase H2 is composed of a single catalytic subunit (A) and two non-catalytic subunits (B and C) and specifically degrades the RNA of RNA:DNA hybrids. The protein encoded by this gene is the non-catalytic B subunit of RNase H2, which is thought to play a role in DNA replication. Multiple transcript variants encoding different isoforms have been found for this gene. Defects in this gene are a cause of Aicardi-Goutieres syndrome type 2 (AGS2). [provided by RefSeq, Nov 2008]
Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);.;.;.;Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);Gain of catalytic residue at V183 (P = 0.002);.;.;.;.;.;.;.;.;