rs820878

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000521.4(HEXB):​c.185T>C​(p.Leu62Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.961 in 1,610,796 control chromosomes in the GnomAD database, including 744,515 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.97 ( 71637 hom., cov: 27)
Exomes 𝑓: 0.96 ( 672878 hom. )

Consequence

HEXB
NM_000521.4 missense

Scores

1
14

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.769

Publications

44 publications found
Variant links:
Genes affected
HEXB (HGNC:4879): (hexosaminidase subunit beta) Hexosaminidase B is the beta subunit of the lysosomal enzyme beta-hexosaminidase that, together with the cofactor GM2 activator protein, catalyzes the degradation of the ganglioside GM2, and other molecules containing terminal N-acetyl hexosamines. Beta-hexosaminidase is composed of two subunits, alpha and beta, which are encoded by separate genes. Both beta-hexosaminidase alpha and beta subunits are members of family 20 of glycosyl hydrolases. Mutations in the alpha or beta subunit genes lead to an accumulation of GM2 ganglioside in neurons and neurodegenerative disorders termed the GM2 gangliosidoses. Beta subunit gene mutations lead to Sandhoff disease (GM2-gangliosidosis type II). Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2014]
HEXB Gene-Disease associations (from GenCC):
  • Sandhoff disease
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, ClinGen, Genomics England PanelApp, Myriad Women’s Health

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=7.7268027E-7).
BP6
Variant 5-74685445-T-C is Benign according to our data. Variant chr5-74685445-T-C is described in ClinVar as Benign. ClinVar VariationId is 167173.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.984 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HEXBNM_000521.4 linkc.185T>C p.Leu62Ser missense_variant Exon 1 of 14 ENST00000261416.12 NP_000512.2 P07686A0A024RAJ6
HEXBNM_001292004.2 linkc.-376-3883T>C intron_variant Intron 1 of 13 NP_001278933.1 P07686Q5URX0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HEXBENST00000261416.12 linkc.185T>C p.Leu62Ser missense_variant Exon 1 of 14 1 NM_000521.4 ENSP00000261416.7 P07686
HEXBENST00000511181.5 linkc.-376-3883T>C intron_variant Intron 1 of 13 1 ENSP00000426285.1 Q5URX0
HEXBENST00000513079.5 linkn.250T>C non_coding_transcript_exon_variant Exon 1 of 6 2
HEXBENST00000515528.1 linkn.240T>C non_coding_transcript_exon_variant Exon 1 of 2 2

Frequencies

GnomAD3 genomes
AF:
0.972
AC:
147224
AN:
151436
Hom.:
71575
Cov.:
27
show subpopulations
Gnomad AFR
AF:
0.993
Gnomad AMI
AF:
0.977
Gnomad AMR
AF:
0.973
Gnomad ASJ
AF:
0.971
Gnomad EAS
AF:
0.999
Gnomad SAS
AF:
0.967
Gnomad FIN
AF:
0.978
Gnomad MID
AF:
0.968
Gnomad NFE
AF:
0.957
Gnomad OTH
AF:
0.971
GnomAD2 exomes
AF:
0.971
AC:
233065
AN:
239918
AF XY:
0.970
show subpopulations
Gnomad AFR exome
AF:
0.993
Gnomad AMR exome
AF:
0.983
Gnomad ASJ exome
AF:
0.972
Gnomad EAS exome
AF:
1.00
Gnomad FIN exome
AF:
0.980
Gnomad NFE exome
AF:
0.960
Gnomad OTH exome
AF:
0.969
GnomAD4 exome
AF:
0.960
AC:
1401122
AN:
1459242
Hom.:
672878
Cov.:
63
AF XY:
0.960
AC XY:
697092
AN XY:
725866
show subpopulations
African (AFR)
AF:
0.994
AC:
33185
AN:
33380
American (AMR)
AF:
0.981
AC:
43763
AN:
44608
Ashkenazi Jewish (ASJ)
AF:
0.972
AC:
25317
AN:
26058
East Asian (EAS)
AF:
1.00
AC:
39610
AN:
39616
South Asian (SAS)
AF:
0.966
AC:
83157
AN:
86054
European-Finnish (FIN)
AF:
0.979
AC:
51121
AN:
52234
Middle Eastern (MID)
AF:
0.974
AC:
5614
AN:
5766
European-Non Finnish (NFE)
AF:
0.955
AC:
1061394
AN:
1111272
Other (OTH)
AF:
0.962
AC:
57961
AN:
60254
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
3253
6506
9760
13013
16266
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21620
43240
64860
86480
108100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.972
AC:
147345
AN:
151554
Hom.:
71637
Cov.:
27
AF XY:
0.973
AC XY:
72043
AN XY:
74014
show subpopulations
African (AFR)
AF:
0.993
AC:
41099
AN:
41408
American (AMR)
AF:
0.973
AC:
14812
AN:
15224
Ashkenazi Jewish (ASJ)
AF:
0.971
AC:
3370
AN:
3470
East Asian (EAS)
AF:
0.999
AC:
5037
AN:
5040
South Asian (SAS)
AF:
0.967
AC:
4530
AN:
4686
European-Finnish (FIN)
AF:
0.978
AC:
10365
AN:
10600
Middle Eastern (MID)
AF:
0.966
AC:
284
AN:
294
European-Non Finnish (NFE)
AF:
0.957
AC:
64922
AN:
67824
Other (OTH)
AF:
0.971
AC:
2037
AN:
2098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
181
362
543
724
905
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
904
1808
2712
3616
4520
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.964
Hom.:
126150
Bravo
AF:
0.973
TwinsUK
AF:
0.956
AC:
3546
ALSPAC
AF:
0.953
AC:
3674
ESP6500AA
AF:
0.990
AC:
4347
ESP6500EA
AF:
0.959
AC:
8237
ExAC
AF:
0.970
AC:
117228
Asia WGS
AF:
0.988
AC:
3435
AN:
3478
EpiCase
AF:
0.960
EpiControl
AF:
0.962

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Sandhoff disease Benign:4
Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:2
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: High allele frequency -

Dec 10, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.048
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
4.1
DANN
Benign
0.70
Eigen
Benign
-0.76
Eigen_PC
Benign
-0.85
FATHMM_MKL
Benign
0.00047
N
MetaRNN
Benign
7.7e-7
T
MetaSVM
Benign
-0.91
T
PhyloP100
0.77
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
2.7
N
REVEL
Benign
0.11
Sift
Benign
1.0
T
Sift4G
Benign
0.83
T
Vest4
0.025
MPC
0.24
ClinPred
0.0033
T
GERP RS
4.0
PromoterAI
0.011
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
gMVP
0.32
Mutation Taster
=94/6
polymorphism (auto)

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: rs820878; hg19: chr5-73981270; COSMIC: COSV54668597; API