ClinVar Miner

Submissions for variant NM_000199.5(SGSH):c.448C>T (p.Arg150Trp)

gnomAD frequency: 0.00001  dbSNP: rs1479831530
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Laboratory of Diagnosis and Therapy of Lysosomal Disorders, University of Padova RCV000790554 SCV000929895 uncertain significance Mucopolysaccharidosis, MPS-III-A 2019-01-01 criteria provided, single submitter literature only PM2: Very low frequency in ExAc. PP3:multiple lines of computational evidence supporting a deleterious effect (DANN, MutationTaster, GERP, SIFT)
Invitae RCV000790554 SCV001578965 pathogenic Mucopolysaccharidosis, MPS-III-A 2023-10-14 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 150 of the SGSH protein (p.Arg150Trp). This variant is present in population databases (no rsID available, gnomAD 0.003%). This missense change has been observed in individual(s) with mucopolysaccharidosis type III (PMID: 11182930, 30809705). ClinVar contains an entry for this variant (Variation ID: 638088). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt SGSH protein function. This variant disrupts the p.Arg150 amino acid residue in SGSH. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 9401012, 9554748, 9744479, 10727844, 11343308, 21061399, 21204211). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic.
Genome-Nilou Lab RCV000790554 SCV002045103 likely pathogenic Mucopolysaccharidosis, MPS-III-A 2021-11-07 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000790554 SCV002598580 likely pathogenic Mucopolysaccharidosis, MPS-III-A 2022-09-29 criteria provided, single submitter clinical testing Variant summary: SGSH c.448C>T (p.Arg150Trp) results in a non-conservative amino acid change located in the sulfatase, N-terminal domain (IPR000917) of the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4e-06 in 250536 control chromosomes (gnomAD). c.448C>T has been reported in the literature as a biallelic genotype and in the heterozygous state in individuals affected with Mucopolysaccharidosis Type IIIA (Sanfilippo Syndrome A) (e.g. Beesley_2000, Chabas_2001, Zanetti_2019, Kong_2020, Wijburg_2022). These data indicate that the variant is likely to be associated with disease. Other variants affecting the same amino acid residue (p.Arg150Gln, p.Arg150Gly) have been cited in ClinVar and/or HGDM as pathogenic/likely pathogenic and disease-associated. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Three submitters have provided assessments for this variant to ClinVar after 2014 without evidence for independent evaluation. Based on the evidence outlined above, the variant was classified as likely pathogenic.
Baylor Genetics RCV000790554 SCV004201069 likely pathogenic Mucopolysaccharidosis, MPS-III-A 2023-10-23 criteria provided, single submitter clinical testing

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