ClinVar Genomic variation as it relates to human health
NM_000202.8(IDS):c.998C>T (p.Ser333Leu)
The aggregate germline classification for this variant, typically for a monogenic or Mendelian disorder as in the ACMG/AMP guidelines, or for response to a drug. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the aggregate classification.
Stars represent the aggregate review status, or the level of review supporting the aggregate germline classification for this VCV record. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. The number of submissions which contribute to this review status is shown in parentheses.
No data submitted for somatic clinical impact
No data submitted for oncogenicity
Variant Details
- Identifiers
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NM_000202.8(IDS):c.998C>T (p.Ser333Leu)
Variation ID: 10487 Accession: VCV000010487.42
- Type and length
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single nucleotide variant, 1 bp
- Location
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Cytogenetic: Xq28 X: 149490322 (GRCh38) [ NCBI UCSC ] X: 148571853 (GRCh37) [ NCBI UCSC ]
- Timeline in ClinVar
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First in ClinVar Help The date this variant first appeared in ClinVar with each type of classification.
Last submission Help The date of the most recent submission for each type of classification for this variant.
Last evaluated Help The most recent date that a submitter evaluated this variant for each type of classification.
Germline Feb 20, 2014 Aug 4, 2024 Jun 7, 2024 - HGVS
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Nucleotide Protein Molecular
consequenceNM_000202.8:c.998C>T MANE Select Help Transcripts from the Matched Annotation from the NCBI and EMBL-EBI (MANE) collaboration.
NP_000193.1:p.Ser333Leu missense NM_000202.4:c.998C>T NM_001166550.4:c.728C>T NP_001160022.1:p.Ser243Leu missense NM_006123.5:c.998C>T NP_006114.1:p.Ser333Leu missense NR_104128.2:n.1297C>T non-coding transcript variant NC_000023.11:g.149490322G>A NC_000023.10:g.148571853G>A NG_011900.3:g.20013C>T NG_042264.1:g.3677G>A P22304:p.Ser333Leu - Protein change
- S333L, S243L
- Other names
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- Canonical SPDI
- NC_000023.11:149490321:G:A
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Functional
consequence HelpThe effect of the variant on RNA or protein function, based on experimental evidence from submitters.
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variation affecting protein; Variation Ontology [ VariO:0002]
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Global minor allele
frequency (GMAF) HelpThe global minor allele frequency calculated by the 1000 Genomes Project. The minor allele at this location is indicated in parentheses and may be different from the allele represented by this VCV record.
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Allele frequency
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The frequency of the allele represented by this VCV record.
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- Links
Genes
Gene | OMIM | ClinGen Gene Dosage Sensitivity Curation |
Variation Viewer
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Links to Variation Viewer, a genome browser to view variation data from NCBI databases. |
Related variants | ||
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HI score
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The haploinsufficiency score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
TS score
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The triplosensitivity score for the gene, curated by ClinGen’s Dosage Sensitivity Curation task team. |
Within gene
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The number of variants in ClinVar that are contained within this gene, with a link to view the list of variants. |
All
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The number of variants in ClinVar for this gene, including smaller variants within the gene and larger CNVs that overlap or fully contain the gene. |
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IDS | Sufficient evidence for dosage pathogenicity | No evidence available |
GRCh38 GRCh37 |
664 | 1581 | |
LOC106050102 | - | - | - | GRCh38 | - | 749 |
Conditions - Germline
Condition
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The condition for this variant-condition (RCV) record in ClinVar. |
Classification
Help
The aggregate germline classification for this variant-condition (RCV) record in ClinVar. The number of submissions that contribute to this aggregate classification is shown in parentheses. (# of submissions) |
Review status
Help
The aggregate review status for this variant-condition (RCV) record in ClinVar. This value is calculated by NCBI based on data from submitters. Read our rules for calculating the review status. |
Last evaluated
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The most recent date that a submitter evaluated this variant for the condition. |
Variation/condition record
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The RCV accession number, with most recent version number, for the variant-condition record, with a link to the RCV web page. |
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Pathogenic (10) |
criteria provided, multiple submitters, no conflicts
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Jun 7, 2024 | RCV000011233.32 | |
Pathogenic (2) |
criteria provided, multiple submitters, no conflicts
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Oct 5, 2022 | RCV000790725.14 |
Submissions - Germline
Classification
Help
The submitted germline classification for each SCV record. (Last evaluated) |
Review status
Help
Stars represent the review status, or the level of review supporting the submitted (SCV) record. This value is calculated by NCBI based on data from the submitter. Read our rules for calculating the review status. This column also includes a link to the submitter’s assertion criteria if provided, and the collection method. (Assertion criteria) |
Condition
Help
The condition for the classification, provided by the submitter for this submitted (SCV) record. This column also includes the affected status and allele origin of individuals observed with this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting the classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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Pathogenic
(-)
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criteria provided, single submitter
Method: clinical testing
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Mucopolysaccharidosis, MPS-II
(X-linked recessive inheritance)
Affected status: yes
Allele origin:
germline
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Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences
Accession: SCV001480194.1
First in ClinVar: Feb 20, 2021 Last updated: Feb 20, 2021 |
Number of individuals with the variant: 4
Clinical Features:
Motor delay (present) , Coarse facial features (present) , Depressed nasal bridge (present) , Short stature (present) , Macrocephaly (present) , Sleep apnea (present) , … (more)
Motor delay (present) , Coarse facial features (present) , Depressed nasal bridge (present) , Short stature (present) , Macrocephaly (present) , Sleep apnea (present) , Abnormal heart valve morphology (present) , Cardiomyopathy (present) , Umbilical hernia (present) , Hepatosplenomegaly (present) , Dysostosis multiplex (present) , Flexion contracture (present) , Hearing impairment (present) (less)
Age: 3-11 years
Sex: male
Ethnicity/Population group: Indian
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Pathogenic
(Oct 05, 2022)
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criteria provided, single submitter
Method: clinical testing
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Not Provided
Affected status: yes
Allele origin:
germline
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GeneDx
Accession: SCV002578620.2
First in ClinVar: Oct 15, 2022 Last updated: Mar 04, 2023 |
Comment:
Published functional studies with S333L transfected into CHO, HEK293T, and COS-7 cells indicate a severe impairment of protein function (Sukegawa-Hayasaka et al., 2006; Vollebregt et … (more)
Published functional studies with S333L transfected into CHO, HEK293T, and COS-7 cells indicate a severe impairment of protein function (Sukegawa-Hayasaka et al., 2006; Vollebregt et al., 2017; Lin et al., 2019); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; Not observed in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 16495038, 9921913, 9660053, 27246110, 1639384, 27695081, 30548430, 30639582, 9950361, 27896113, 27883178, 8830188, 28543354, 9875019, 21291454, 21829674, 33676511, 31877959, 34258227, 35144014, 17091340, 24125893) (less)
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Pathogenic
(Dec 29, 2023)
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criteria provided, single submitter
Method: clinical testing
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Mucopolysaccharidosis, MPS-II
Affected status: unknown
Allele origin:
germline
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Labcorp Genetics (formerly Invitae), Labcorp
Accession: SCV001207067.5
First in ClinVar: Apr 15, 2020 Last updated: Feb 14, 2024 |
Comment:
This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 333 of the IDS protein (p.Ser333Leu). … (more)
This sequence change replaces serine, which is neutral and polar, with leucine, which is neutral and non-polar, at codon 333 of the IDS protein (p.Ser333Leu). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with mucopolysaccharidosis type II (MPS II) (PMID: 1639384, 28543354, 30639582; Invitae). ClinVar contains an entry for this variant (Variation ID: 10487). 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 IDS protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects IDS function (PMID: 17091340, 28543354). For these reasons, this variant has been classified as Pathogenic. (less)
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Pathogenic
(-)
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criteria provided, single submitter
Method: clinical testing
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Mucopolysaccharidosis, MPS-II
(Autosomal recessive inheritance)
Affected status: yes
Allele origin:
germline
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Neuberg Centre For Genomic Medicine, NCGM
Accession: SCV005042552.1
First in ClinVar: May 12, 2024 Last updated: May 12, 2024 |
Comment:
The missense variant c.998C>Tp.Ser333Leu in IDS gene has been reported previously in hemizygous state in most of the individuals with mucopolysaccharidosis type II. Experimental studies … (more)
The missense variant c.998C>Tp.Ser333Leu in IDS gene has been reported previously in hemizygous state in most of the individuals with mucopolysaccharidosis type II. Experimental studies have shown that this missense change affects IDS function Sukegawa-Hayasaka K, et al., 2006, Vollebregt AAM, et al., 2017. The variant is novel not in any individuals in gnomAD Exomes and 1000 Genomes. This variant has been reported to the ClinVar database as Pathogenic multiple submissions.The amino acid Serine at position 333 is changed to a Leucine changing protein sequence and it might alter its composition and physico-chemical properties. The variant is predicted to be damaging by SIFT. The amino acid change p.Ser333Leu in IDS is predicted as conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic. (less)
Clinical Features:
Abnormal metabolism (present)
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Pathogenic
(Apr 16, 2010)
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criteria provided, single submitter
Method: research
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Mucopolysaccharidosis, MPS-II
(X-linked inheritance)
Affected status: yes
Allele origin:
maternal
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IIFP, CONICET-UNLP
Accession: SCV000262529.1
First in ClinVar: Oct 11, 2015 Last updated: Oct 11, 2015 |
Number of individuals with the variant: 2
Sex: male
Geographic origin: Argentina
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Pathogenic
(Aug 29, 2013)
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criteria provided, single submitter
Method: clinical testing
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not provided
Affected status: unknown
Allele origin:
germline
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Eurofins Ntd Llc (ga)
Accession: SCV000232028.5
First in ClinVar: Jun 28, 2015 Last updated: Jul 30, 2019 |
Number of individuals with the variant: 4
Sex: mixed
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Pathogenic
(Sep 05, 2021)
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criteria provided, single submitter
Method: clinical testing
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Mucopolysaccharidosis, MPS-II
Affected status: no
Allele origin:
germline
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Genome-Nilou Lab
Accession: SCV002014474.1
First in ClinVar: Nov 13, 2021 Last updated: Nov 13, 2021 |
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Pathogenic
(Jun 07, 2024)
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criteria provided, single submitter
Method: literature only
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Mucopolysaccharidosis, MPS-II
Affected status: yes
Allele origin:
germline
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Laboratory of Diagnosis and Therapy of Lysosomal Disorders, University of Padova
Accession: SCV005089333.1
First in ClinVar: Aug 04, 2024 Last updated: Aug 04, 2024
Comment:
Classification method: ACMG Guidelines [PMID:25741868] with modifications
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Comment:
In vitro or in vivo functional studies supportive of a damaging effect (PS3_Strong), Prevalence of the variant significantly increased in affected individuals compared with controls … (more)
In vitro or in vivo functional studies supportive of a damaging effect (PS3_Strong), Prevalence of the variant significantly increased in affected individuals compared with controls (PS4_Strong), Absent from controls (or at low frequency) in gnomAD database (PM2_Moderate), Missense variant in a gene with a low rate of benign missense variation (PP2_Supporting), Multiple lines of computational evidence support a deleterious effect (PP3_Supporting), Patient’s phenotype or family history highly specific for the disease (PP4_Moderate) (less)
Number of individuals with the variant: 64
Sex: male
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Pathogenic
(Jul 01, 1992)
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no assertion criteria provided
Method: literature only
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MUCOPOLYSACCHARIDOSIS, TYPE II
Affected status: not provided
Allele origin:
germline
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OMIM
Accession: SCV000031460.2
First in ClinVar: Apr 04, 2013 Last updated: Feb 20, 2014 |
Comment on evidence:
In their patient 4 with Hunter syndrome (309900), Flomen et al. (1992) identified a C-to-T transition at nucleotide 1122 in the IDS gene, resulting in … (more)
In their patient 4 with Hunter syndrome (309900), Flomen et al. (1992) identified a C-to-T transition at nucleotide 1122 in the IDS gene, resulting in substitution of leucine for serine-333, which is a conserved residue within a region of homology among sulfatases. This mutation creates a novel splice site that is preferentially used and results in partial loss of 1 exon in the RNA. (less)
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Pathogenic
(-)
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no assertion criteria provided
Method: provider interpretation
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Mucopolysaccharidosis, MPS-II
(X-linked inheritance)
Affected status: yes
Allele origin:
maternal
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Developmental and Behavioral Pediatrics, First Affiliated Hospital of Jilin University
Accession: SCV002575080.1
First in ClinVar: Apr 01, 2023 Last updated: Apr 01, 2023 |
Sex: male
Testing laboratory: Beijing Chigene Translational Medicine Research Center (Beijing, China)
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Affects
(Apr 07, 2014)
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no assertion criteria provided
Method: research
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Mucopolysaccharidosis, MPS-II
(X-linked recessive inheritance)
Affected status: yes
Allele origin:
germline
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Pediatrics, All India Institute of Medical Sciences, New Delhi
Accession: SCV001573787.1
First in ClinVar: May 10, 2021 Last updated: May 10, 2021 |
Comment:
The change c.998C>T (p.S333L) was found to be a missense variant, where the hydroxyl-containing polar neutral amino acid Serine at 333 position was substituted by … (more)
The change c.998C>T (p.S333L) was found to be a missense variant, where the hydroxyl-containing polar neutral amino acid Serine at 333 position was substituted by aliphatic nonpolar neutral amino acid Leucine. It was detected in a hemizygous state in one case with severe phenotype from Haryana, India. (less)
Clinical Features:
Coarse facial features (present) , Arthropathy (present) , Macrocephaly (present) , Hepatosplenomegaly (present) , Delayed gross motor development (present) , Developmental regression (present)
Age: 0-9 years
Sex: male
Ethnicity/Population group: INDIAN
Geographic origin: Haryana, India
Comment on evidence:
The change c.998C>T (p.S333L) was found to be a missense variant, where the hydroxyl-containing polar neutral amino acid Serine at 333 position was substituted by … (more)
The change c.998C>T (p.S333L) was found to be a missense variant, where the hydroxyl-containing polar neutral amino acid Serine at 333 position was substituted by aliphatic nonpolar neutral amino acid Leucine. It was detected in a hemizygous state in one case with severe phenotype from Haryana, India. (less)
Method: Sanger sequencing was performed on ABI 3130 genetic analyser (Applied Biosystem, USA) capillary electrophoresis. Data was analysed by ABI sequence analysis (SeqScape version 2.5) software as well as manually by using software: Chromaspro (Version-1.7.5, Technilysium Pvt. Ltd, Australia) and FinchTV (Version 1.4.0, Geospiza, Perkinelmer, USA).
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not provided
(-)
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no classification provided
Method: literature only
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Mucopolysaccharidosis, MPS-II
Affected status: unknown
Allele origin:
germline
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GeneReviews
Accession: SCV000999926.2
First in ClinVar: Dec 17, 2019 Last updated: Oct 01, 2022 |
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Germline Functional Evidence
Functional
Help
The functional consequence of the variant, based on experimental evidence and provided by the submitter. consequence |
Method
Help
A brief description of the method used to determine the functional consequence of the variant. A citation for the method is included, when provided by the submitter. |
Result
Help
A brief description of the result of this method for this variant. |
Submitter
Help
The submitting organization for this submitted (SCV) record. This column also includes the SCV accession and version number, the date this SCV first appeared in ClinVar, and the date that this SCV was last updated in ClinVar. |
More information
Help
This column includes more information supporting functional evidence for the germline classification, including citations, the comment on classification, and detailed evidence provided as observations of the variant by the submitter. |
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variation affecting protein
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Pediatrics, All India Institute of Medical Sciences, New Delhi
Accession: SCV001573787.1
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Citations for germline classification of this variant
HelpTitle | Author | Journal | Year | Link |
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Mucopolysaccharidosis Type II. | Adam MP | - | 2024 | PMID: 20301451 |
Clinical characteristics and genotypes of 201 patients with mucopolysaccharidosis type II in China: A retrospective, observational study. | Zhong L | Clinical genetics | 2023 | PMID: 36945845 |
Phenotypic and genetic characteristics of 130 patients with mucopolysaccharidosis type II: A single-center retrospective study in China. | Zhang Z | Frontiers in genetics | 2023 | PMID: 36713083 |
Genotype-phenotype spectrum of 130 unrelated Indian families with Mucopolysaccharidosis type II. | Agrawal N | European journal of medical genetics | 2022 | PMID: 35144014 |
Molecular characterization of a large cohort of mucopolysaccharidosis patients: Iran Mucopolysaccharidosis RE-diagnosis study (IMPRESsion). | Ghaffari SR | Human mutation | 2022 | PMID: 35005816 |
Therapy-type related long-term outcomes in mucopolysaccaridosis type II (Hunter syndrome) - Case series. | Zerjav Tansek M | Molecular genetics and metabolism reports | 2021 | PMID: 34258227 |
Genotype-phenotype studies in a large cohort of Brazilian patients with Hunter syndrome. | Josahkian JA | American journal of medical genetics. Part C, Seminars in medical genetics | 2021 | PMID: 33960103 |
Analysis of long-term observations of the large group of Russian patients with Hunter syndrome (mucopolysaccharidosis type II). | Semyachkina AN | BMC medical genomics | 2021 | PMID: 33676511 |
Identification and Functional Characterization of IDS Gene Mutations Underlying Taiwanese Hunter Syndrome (Mucopolysaccharidosis Type II). | Lin HY | International journal of molecular sciences | 2019 | PMID: 31877959 |
Genetic analysis of 63 Chinese patients with mucopolysaccharidosis type II: Functional characterization of seven novel IDS variants. | Zhang W | Clinica chimica acta; international journal of clinical chemistry | 2019 | PMID: 30639582 |
Genotype-phenotype relationship in mucopolysaccharidosis II: predictive power of IDS variants for the neuronopathic phenotype. | Vollebregt AAM | Developmental medicine and child neurology | 2017 | PMID: 28543354 |
Genotype-phenotype correlation in 44 Czech, Slovak, Croatian and Serbian patients with mucopolysaccharidosis type II. | Dvorakova L | Clinical genetics | 2017 | PMID: 27883178 |
Clinical and Genetic Characteristics of Romanian Patients with Mucopolysaccharidosis Type II. | Alkhzouz C | JIMD reports | 2017 | PMID: 27351199 |
Molecular diagnosis of 65 families with mucopolysaccharidosis type II (Hunter syndrome) characterized by 16 novel mutations in the IDS gene: Genetic, pathological, and structural studies on iduronate-2-sulfatase. | Kosuga M | Molecular genetics and metabolism | 2016 | PMID: 27246110 |
Identification of 17 novel mutations in 40 Argentinean unrelated families with mucopolysaccharidosis type II (Hunter syndrome). | Amartino H | Molecular genetics and metabolism reports | 2014 | DOI: 10.1016/j.ymgmr.2014.08.006 |
Identification of 17 novel mutations in 40 Argentinean unrelated families with mucopolysaccharidosis type II (Hunter syndrome). | Amartino H | Molecular genetics and metabolism reports | 2014 | PMID: 27896113 |
Mucopolysaccharidosis type II: identification of 30 novel mutations among Latin American patients. | Brusius-Facchin AC | Molecular genetics and metabolism | 2014 | PMID: 24125893 |
Identification of 11 novel mutations in 49 Korean patients with mucopolysaccharidosis type II. | Sohn YB | Clinical genetics | 2012 | PMID: 21291454 |
Analysis of the IDS gene in 38 patients with Hunter syndrome: the c.879G>A (p.Gln293Gln) synonymous variation in a female create exonic splicing. | Zhang H | PloS one | 2011 | PMID: 21829674 |
Effect of Hunter disease (mucopolysaccharidosis type II) mutations on molecular phenotypes of iduronate-2-sulfatase: enzymatic activity, protein processing and structural analysis. | Sukegawa-Hayasaka K | Journal of inherited metabolic disease | 2006 | PMID: 17091340 |
Identification of nine new IDS alleles in mucopolysaccharidosis II. Quantitative evaluation by real-time RT-PCR of mRNAs sensitive to nonsense-mediated and nonstop decay mechanisms. | Lualdi S | Biochimica et biophysica acta | 2006 | PMID: 16495038 |
Analysis of normal and mutant iduronate-2-sulphatase conformation. | Parkinson-Lawrence E | The Biochemical journal | 2005 | PMID: 15500445 |
Iduronate-2-sulphatase protein detection in plasma from mucopolysaccharidosis type II patients. | Parkinson EJ | Molecular genetics and metabolism | 2004 | PMID: 14728992 |
Molecular basis of iduronate-2-sulphatase gene mutations in patients with mucopolysaccharidosis type II (Hunter syndrome). | Li P | Journal of medical genetics | 1999 | PMID: 9950361 |
Mutational spectrum of the iduronate-2-sulfatase (IDS) gene in 36 unrelated Russian MPS II patients. | Karsten S | Human genetics | 1998 | PMID: 9921913 |
Mutation analysis in 57 unrelated patients with MPS II (Hunter's disease). | Vafiadaki E | Archives of disease in childhood | 1998 | PMID: 9875019 |
Identification of iduronate sulfatase gene alterations in 70 unrelated Hunter patients. | Froissart R | Clinical genetics | 1998 | PMID: 9660053 |
Mutation analysis in the iduronate-2-sulphatase gene in 43 Japanese patients with mucopolysaccharidosis type II (Hunter disease). | Isogai K | Journal of inherited metabolic disease | 1998 | PMID: 9501270 |
Mucopolysaccharidosis type II (Hunter syndrome): mutation "hot spots" in the iduronate-2-sulfatase gene. | Rathmann M | American journal of human genetics | 1996 | PMID: 8940265 |
Detection of four novel mutations in the iduronate-2-sulphatase gene by single-strand conformation polymorphism analysis of genomic amplicons. | Li P | Journal of inherited metabolic disease | 1996 | PMID: 8830188 |
Mutations in the iduronate-2-sulfatase gene in five Norwegians with Hunter syndrome. | Olsen TC | Human genetics | 1996 | PMID: 8566953 |
Molecular diagnosis of mucopolysaccharidosis type II (Hunter syndrome) by automated sequencing and computer-assisted interpretation: toward mutation mapping of the iduronate-2-sulfatase gene. | Jonsson JJ | American journal of human genetics | 1995 | PMID: 7887413 |
Mucopolysaccharidosis type II (Hunter disease): identification and characterization of eight point mutations in the iduronate-2-sulfatase gene in Japanese patients. | Sukegawa K | Human mutation | 1995 | PMID: 7581397 |
Molecular basis of mucopolysaccharidosis type II: mutations in the iduronate-2-sulphatase gene. | Hopwood JJ | Human mutation | 1993 | PMID: 8111411 |
Detection of point mutations and a gross deletion in six Hunter syndrome patients. | Flomen RH | Genomics | 1992 | PMID: 1639384 |
http://www.egl-eurofins.com/emvclass/emvclass.php?approved_symbol=IDS | - | - | - | - |
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Text-mined citations for rs104894853 ...
HelpRecord last updated Nov 25, 2024
This date represents the last time this VCV record was updated. The update may be due to an update to one of the included submitted records (SCVs), or due to an update that ClinVar made to the variant such as adding HGVS expressions or a rs number. So this date may be different from the date of the “most recent submission” reported at the top of this page.