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NPHS2 Gene Curation

NPHS2 Gene Curation

Gene-disease assertions not curated here (add link or write note):

Disease

Nephrotic syndrome

Disease

Nephrotic syndrome

Inheritance

Autosomal recessive

Prevalence

 2-7 cases per 100,000 children

Source: https://emedicine.medscape.com/article/982920-overview#:~:text=In the United States%2C the,16 cases per 100%2C000 individuals.

Rapid or full curation?

Rapid
Full

ClinGen / GenCC / BabySeq / HGMD / OMIM

Not in ClinGen. GenCC - Definitive/Strong by Illumina, Myriad, Invitae. Not in BabySeq. Will review HGMD variants below.

Clinical Validity Scoring Notes and points

HInkes 2008 PMID: 18216321 - These are patients with steroid resistant nephrotic syndrome. See supplement the following variants are NMD+ based on their HGMD nomenclature, this paper uses non-HGVS descriptors.

  • Patient 20 - c.264_265delGC p.Pro89Argfs*13 aka E102X with IVS2x1G>A (2x2 points = 4 POINTS)

  • Patient 13 - c.399_400delAG p.Arg133Serfs*33 aka c.397-398delAG with R138Q (2 POINTS)

  • Patient 11 - c.534+1G>T aka IVS4x1G>T with R138Q (2 POINTS)

Bouchireb 2014 PMID: 24227627 - specific patient genotypes not provided, did not review further

Sadowski 2015 PMID: 25349199 - see supplemental table 3. This isa cohort of atients with SRNS

  • patient A3231-22 Met1? homozygotes 2 POINTS

  • Patient A3649-21 Arg15Glufs*84 HOM - 2 POINTS

  • Patient A4382-22 Pro43Alafs*64 cmp het with p.Asn199Lysfs*14 - 4 POINTS

 

16 POINTS GENETIC EVIDENCE, confirmed over time

Functional evidence for good measure:

PMID: 14701729 - podocin KO mice develop proteinuria during antenatal period and died a few days after birth from renal failure. 2 POINTS

 

Clinical Validity Points Total

18

Source:

Clinical Validity Classification

Definitive (12pts)

Strong (12pts)

Moderate (7-11pts)

Limited (0.1-6pts)

No genetic evidence

Refuted

Disputed

DEFINITIVE

Source: 18216321, 25349199, 14701729

Molecular Mechanism

Loss of function

Gain of function

Dominant negative

Unknown

Other

Loss of function

See LOF variants scored under Clinical Validity Scoring Notes and points

PMID: 18216321, 25349199, 14701729

 

Penetrance

Complete (100%)

High (≥80%)

Moderate  (<80% and >20%)

Low (≤20%)

(list source/PMID)

INCOMPLETE OR AGE -DEPENDENT

Source: 34436835

Age of Onset

Congenital

Pediatric

Adolescent

Adulthood

Late adulthood

(list source/PMID)

CONGENITAL TO ADULTHOOD

34436835

Severity

MODERATE

Clinical Features

proteinuria

Hypoalbuminemia

Edema

Focal segmental glomerulosclerosis

Resistant to steroid treatment

Sources: PMID: 34436835

HPO Terms

https://hpo.jax.org/app/

 

Gene SOPs & Notes

 LINK if SOP is a long document. Short notes if it is easy to digest. eg. Last known truncating variant

Curation Summary

The NPHS2 gene is associated with autosomal recessive nephrotic syndrome, which is characterized by proteinuria, hypoalbuminemia, edema, chronic kidney disease and end-stage-renal disease. It is typically steroid-resistant and the most prevalent histological finding is focal segmental glomerulosclerosis. The age of onset ranges from congenital to adulthood, and incomplete and/or age-dependent penetrance has been described (PMID: 34436835).

Case ID, Curator name, Date, Jira ticket link

D-150909748-BH-3976-P-A, Andrea Oza 11.13.2023