Description
The c.197C>G (p.S66W) alteration is located in exon 2 (coding exon 2) of the SGSH gene. This alteration results from a C to G substitution at nucleotide position 197, causing the serine (S) at amino acid position 66 to be replaced by a tryptophan (W). Based on data from the Genome Aggregation Database (gnomAD) database, the SGSH c.197C>G alteration was observed in 0.01% (23/257594) of total alleles studied, with a frequency of 0.02% (23/117902) in the European (non-Finnish) subpopulation. This mutation has been detected as heterozygous, compound heterozygous, and homozygous, in individuals with typical severe presentations of Mucopolysaccaridosis type IIIA (Sanfilippo syndrome type A) (Blanch, 1997; Di Natale, 1998; Valstar, 2010; Ouesleti, 2011; Delgadillo, 2013; Shapiro, 2016; Knottnerus, 2017; Zanetti, 2019). In addition, one functional study showed that this mutation results in a drastically reduced level of functional protein as well as lowered specific activity (Perkins, 1999). This amino acid position is highly conserved in available vertebrate species. The in silico prediction for the p.S66W alteration is inconclusive. Based on the available evidence, this alteration is classified as pathogenic.
# | Sample | Method | Observation |
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Origin | Affected | Number tested | Tissue | Purpose | Method | Individuals | Allele frequency | Families | Co-occurrences |
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1 | germline | unknown | not provided | not provided | not provided | | not provided | not provided | not provided | not provided |