ClinVar Miner

Submissions for variant NM_000263.4(NAGLU):c.1445G>A (p.Arg482Gln)

dbSNP: rs200909691
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Counsyl RCV000669494 SCV000794251 uncertain significance Mucopolysaccharidosis, MPS-III-B 2017-09-20 criteria provided, single submitter clinical testing
Invitae RCV001855520 SCV002275145 likely pathogenic Mucopolysaccharidosis, MPS-III-B; Charcot-Marie-Tooth disease axonal type 2V 2023-09-01 criteria provided, single submitter clinical testing 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) has been performed at Invitae for this missense variant, however the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on NAGLU protein function. ClinVar contains an entry for this variant (Variation ID: 553948). This missense change has been observed in individual(s) with mucopolysaccharidosis type III (PMID: 14984474). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 482 of the NAGLU protein (p.Arg482Gln). Experimental studies have shown that this missense change affects NAGLU function (PMID: 14984474, 29979746). In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. This variant disrupts the p.Arg482 amino acid residue in NAGLU. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 9950362, 12202988, 16151907, 16447797, 23667853, 28018442). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing.
GeneDx RCV003227824 SCV003924967 likely pathogenic not provided 2022-11-15 criteria provided, single submitter clinical testing Published functional studies demonstrate reduced enzyme activity (Beesley et al., 2004; Clark et al., 2018); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 26659599, 29979746, 14984474)

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