rs9894254

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_000199.5(SGSH):​c.1081G>A​(p.Val361Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0511 in 1,612,936 control chromosomes in the GnomAD database, including 2,637 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. V361V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.075 ( 621 hom., cov: 33)
Exomes 𝑓: 0.049 ( 2016 hom. )

Consequence

SGSH
NM_000199.5 missense

Scores

1
1
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 3.23
Variant links:
Genes affected
SGSH (HGNC:10818): (N-sulfoglucosamine sulfohydrolase) This gene encodes the enzyme sulfamidase; one of several enzymes involved in the lysosomal degradation of heparan sulfate. Mutations in this gene are associated with the lysosomal storage disease mucopolysaccaridosis IIIA, also known as Sanfilippo syndrome A, which results from impaired degradation of heparan sulfate. Transcripts of varying sizes have been reported but their biological validity has not been determined. [provided by RefSeq, Jun 2017]
CARD14 (HGNC:16446): (caspase recruitment domain family member 14) This gene encodes a caspase recruitment domain-containing protein that is a member of the membrane-associated guanylate kinase (MAGUK) family of proteins. Members of this protein family are scaffold proteins that are involved in a diverse array of cellular processes including cellular adhesion, signal transduction and cell polarity control. This protein has been shown to specifically interact with BCL10, a protein known to function as a positive regulator of cell apoptosis and NF-kappaB activation. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Apr 2012]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 8 uncertain in NM_000199.5
BP4
Computational evidence support a benign effect (MetaRNN=0.0019078851).
BP6
Variant 17-80210880-C-T is Benign according to our data. Variant chr17-80210880-C-T is described in ClinVar as [Benign]. Clinvar id is 92607.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr17-80210880-C-T is described in Lovd as [Benign]. Variant chr17-80210880-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.148 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SGSHNM_000199.5 linkc.1081G>A p.Val361Ile missense_variant Exon 8 of 8 ENST00000326317.11 NP_000190.1 P51688

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SGSHENST00000326317.11 linkc.1081G>A p.Val361Ile missense_variant Exon 8 of 8 1 NM_000199.5 ENSP00000314606.6 P51688

Frequencies

GnomAD3 genomes
AF:
0.0754
AC:
11470
AN:
152152
Hom.:
620
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.151
Gnomad AMI
AF:
0.0197
Gnomad AMR
AF:
0.0441
Gnomad ASJ
AF:
0.0499
Gnomad EAS
AF:
0.000578
Gnomad SAS
AF:
0.0261
Gnomad FIN
AF:
0.0756
Gnomad MID
AF:
0.0949
Gnomad NFE
AF:
0.0478
Gnomad OTH
AF:
0.0645
GnomAD2 exomes
AF:
0.0501
AC:
12507
AN:
249790
AF XY:
0.0488
show subpopulations
Gnomad AFR exome
AF:
0.149
Gnomad AMR exome
AF:
0.0311
Gnomad ASJ exome
AF:
0.0471
Gnomad EAS exome
AF:
0.000163
Gnomad FIN exome
AF:
0.0729
Gnomad NFE exome
AF:
0.0507
Gnomad OTH exome
AF:
0.0530
GnomAD4 exome
AF:
0.0486
AC:
70977
AN:
1460668
Hom.:
2016
Cov.:
35
AF XY:
0.0477
AC XY:
34693
AN XY:
726580
show subpopulations
Gnomad4 AFR exome
AF:
0.153
AC:
5121
AN:
33478
Gnomad4 AMR exome
AF:
0.0328
AC:
1466
AN:
44722
Gnomad4 ASJ exome
AF:
0.0480
AC:
1255
AN:
26134
Gnomad4 EAS exome
AF:
0.000151
AC:
6
AN:
39700
Gnomad4 SAS exome
AF:
0.0328
AC:
2827
AN:
86254
Gnomad4 FIN exome
AF:
0.0731
AC:
3822
AN:
52276
Gnomad4 NFE exome
AF:
0.0475
AC:
52852
AN:
1111964
Gnomad4 Remaining exome
AF:
0.0528
AC:
3187
AN:
60372
Heterozygous variant carriers
0
4470
8940
13409
17879
22349
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
2014
4028
6042
8056
10070
<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:
0.0754
AC:
11487
AN:
152268
Hom.:
621
Cov.:
33
AF XY:
0.0736
AC XY:
5483
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.151
AC:
0.151013
AN:
0.151013
Gnomad4 AMR
AF:
0.0440
AC:
0.0439582
AN:
0.0439582
Gnomad4 ASJ
AF:
0.0499
AC:
0.0498559
AN:
0.0498559
Gnomad4 EAS
AF:
0.000579
AC:
0.000579151
AN:
0.000579151
Gnomad4 SAS
AF:
0.0263
AC:
0.0262831
AN:
0.0262831
Gnomad4 FIN
AF:
0.0756
AC:
0.0755518
AN:
0.0755518
Gnomad4 NFE
AF:
0.0478
AC:
0.0478473
AN:
0.0478473
Gnomad4 OTH
AF:
0.0639
AC:
0.06386
AN:
0.06386
Heterozygous variant carriers
0
549
1098
1648
2197
2746
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
130
260
390
520
650
<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:
0.0565
Hom.:
1108
Bravo
AF:
0.0771
TwinsUK
AF:
0.0499
AC:
185
ALSPAC
AF:
0.0493
AC:
190
ESP6500AA
AF:
0.143
AC:
629
ESP6500EA
AF:
0.0508
AC:
437
ExAC
AF:
0.0533
AC:
6473
Asia WGS
AF:
0.0200
AC:
69
AN:
3478
EpiCase
AF:
0.0463
EpiControl
AF:
0.0491

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Mucopolysaccharidosis, MPS-III-A Benign:6
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

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

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 21, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:5
Jun 05, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Nov 15, 2017
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

not provided Benign:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Aug 22, 2016
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The SGSH c.1081G>A (p.Val361Ile) variant causes a missense change involving a conserved nucleotide with 3/3 in silico tools (SNPs&GO and MutationTaster not captured here due to low reliability index and p-value, respectively) predict a benign outcome for this variant. The variant of interest was observed in the large, broad control population, ExAC, with an allele frequency of 6457/120406 (1/18, 258 homozygoes), which significantly exceeds the estimated maximal expected allele frequency for a pathogenic SGSH variant of 1/309 (0.0032275), suggesting this variant is likely a benign polymorphism. A reputable clinical laboratory cites the variant as "benign." Therefore, the variant of interest has been classified as Benign. -

Mar 16, 2017
Mayo Clinic Laboratories, Mayo Clinic
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.10
T
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.050
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.80
T
MetaRNN
Benign
0.0019
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
L
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-0.66
N
REVEL
Benign
0.20
Sift
Benign
0.24
T
Sift4G
Benign
0.19
T
Polyphen
0.065
B
Vest4
0.11
MPC
0.20
ClinPred
0.0091
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.14
gMVP
0.65
Mutation Taster
=86/14
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

LitVar

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

Other links and lift over

dbSNP: rs9894254; hg19: chr17-78184679; API