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Intellectual disability

Gene: EXOSC8

Green List (high evidence)

EXOSC8 (exosome component 8)
EnsemblGeneIds (GRCh38): ENSG00000120699
EnsemblGeneIds (GRCh37): ENSG00000120699
OMIM: 606019, Gene2Phenotype
EXOSC8 is in 8 panels

2 reviews

Arina Puzriakova (Genomics England Curator)

Green List (high evidence)

The rating of this gene has been updated to green following NHS Genomic Medicine Service approval.
Created: 12 Mar 2026, 1:33 p.m. | Last Modified: 12 Mar 2026, 1:33 p.m.
Panel Version: 9.299
Comment on list classification: There is now sufficient evidence to promote this gene to Green at the next GMS panel update - 5 unrelated families with pontocerebellar hypoplasia due to biallelic variants in this gene. Almost all described patients exhibited psychomotor retardation (PMIDs: 24989451; 38017281; 34210538)
Created: 8 Sep 2025, 11:50 a.m. | Last Modified: 8 Sep 2025, 11:50 a.m.
Panel Version: 9.73
PMID: 34210538 (2021) - 16-year-old Spanish boy with cerebellar and spinal muscular atrophy, spasticity, psychomotor retardation, nystagmus, ophthalmoparesis, epilepsy, and mitochondrial respiratory chain (MRC) deficiency. The phenotype was described as milder compared to previous cases. WES revealed three variants in the EXOSC8 gene (c.[390+1delG];[628C>T;815G>C]) which lead to reduced mRNA expression and protein levels.

PMID: 38017281 (2024) - Homozygous missense variant c.238G>A;p.Val80Ile causing exon skipping in a patient with psychomotor retardation, spasticity, spinal muscle atrophy, respiratory problems, diaphragmatic hernia, dilated lateral ventricles, hypoplastic temporal lobes, thinning of the brain stem, dysmorphic facies, nystagmus, congenital esotropia and contractures.
Created: 8 Sep 2025, 11:45 a.m. | Last Modified: 8 Sep 2025, 11:45 a.m.
Panel Version: 9.72
Comment on list classification: Three unrelated cases, but two share the same founder mutation - Rating Amber until further cases are reported (added to watchlist).
Created: 28 Jul 2020, 10:44 a.m. | Last Modified: 28 Jul 2020, 10:44 a.m.
Panel Version: 3.205
Not associated with any phenotype in G2P.

PMID: 24989451 (2014) - 22 infants, belonging to two Roma and one Palestinian families, with a severe complex neuological disorder characterised by severe muscle weakness, spasticity, psychomotor retardation and vision and hearing impairment. A homozygous missense variant (p.Ser272Thr) segregated with disease in the two Roma families from the same region. The change was found at a frequency of 3% in the general Roma population, consistent with a founder effect. In the Palestinian family, a second homozyous missense variant (p.Ala2Val) was determined as the disease-causing change. Supporting functional data, as well as zebrafish model. Both variants affect a highly conserved residue and result in significantly decreased EXOSC8 protein in patient cells.
Created: 28 Jul 2020, 10:39 a.m. | Last Modified: 28 Jul 2020, 10:39 a.m.
Panel Version: 3.204

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Pontocerebellar hypoplasia type 1C, 616081

Publications

Zornitza Stark (Australian Genomics)

Green List (high evidence)

Complex neurological phenotype includes ID.
Sources: Expert list
Created: 2 Feb 2020, 5:01 a.m.

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Pontocerebellar hypoplasia, type 1C, MIM#616081

Publications

Variants in this GENE are reported as part of current diagnostic practice

Details

Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert Review Green
  • NHS GMS
Phenotypes
  • Pontocerebellar hypoplasia, type 1C, OMIM:616081
Tags
founder-effect
OMIM
606019
Clinvar variants
Variants in EXOSC8
Penetrance
None
Publications
Panels with this gene

History Filter Activity

12 Mar 2026, Gel status: 3

Removed Tag

Arina Puzriakova (Genomics England Curator)

Tag Q3_25_promote_green was removed from gene: EXOSC8.

12 Mar 2026, Gel status: 3

Added New Source, Added New Source, Status Update

Arina Puzriakova (Genomics England Curator)

Source NHS GMS was added to EXOSC8. Source Expert Review Green was added to EXOSC8. Rating Changed from Amber List (moderate evidence) to Green List (high evidence)

8 Sep 2025, Gel status: 2

Set publications

Arina Puzriakova (Genomics England Curator)

Publications for gene: EXOSC8 were set to 24989451; 38017281; 34210538

8 Sep 2025, Gel status: 2

Set publications

Arina Puzriakova (Genomics England Curator)

Publications for gene: EXOSC8 were set to 24989451; 29656927

8 Sep 2025, Gel status: 2

Entity classified by Genomics England curator

Arina Puzriakova (Genomics England Curator)

Gene: exosc8 has been classified as Amber List (Moderate Evidence).

8 Sep 2025, Gel status: 2

Added Tag

Arina Puzriakova (Genomics England Curator)

Tag founder-effect tag was added to gene: EXOSC8.

8 Sep 2025, Gel status: 2

Removed Tag, Removed Tag, Added Tag

Arina Puzriakova (Genomics England Curator)

Tag watchlist was removed from gene: EXOSC8. Tag founder-effect was removed from gene: EXOSC8. Tag Q3_25_promote_green tag was added to gene: EXOSC8.

8 Sep 2025, Gel status: 2

Set Phenotypes

Arina Puzriakova (Genomics England Curator)

Phenotypes for gene: EXOSC8 were changed from Pontocerebellar hypoplasia, type 1C, OMIM:616081 to Pontocerebellar hypoplasia, type 1C, OMIM:616081

8 Sep 2025, Gel status: 2

Set Phenotypes

Arina Puzriakova (Genomics England Curator)

Phenotypes for gene: EXOSC8 were changed from Pontocerebellar hypoplasia, type 1C, OMIM:616081 to Pontocerebellar hypoplasia, type 1C, OMIM:616081

8 Sep 2025, Gel status: 2

Set Phenotypes

Arina Puzriakova (Genomics England Curator)

Phenotypes for gene: EXOSC8 were changed from Pontocerebellar hypoplasia, type 1C, MIM#616081 to Pontocerebellar hypoplasia, type 1C, OMIM:616081

28 Jul 2020, Gel status: 2

Entity classified by Genomics England curator

Arina Puzriakova (Genomics England Curator)

Gene: exosc8 has been classified as Amber List (Moderate Evidence).

28 Jul 2020, Gel status: 0

Added Tag, Added Tag

Arina Puzriakova (Genomics England Curator)

Tag watchlist tag was added to gene: EXOSC8. Tag founder-effect tag was added to gene: EXOSC8.

2 Feb 2020, Gel status: 0

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes

Zornitza Stark (Australian Genomics)

gene: EXOSC8 was added gene: EXOSC8 was added to Intellectual disability. Sources: Expert list Mode of inheritance for gene: EXOSC8 was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: EXOSC8 were set to 24989451; 29656927 Phenotypes for gene: EXOSC8 were set to Pontocerebellar hypoplasia, type 1C, MIM#616081 Review for gene: EXOSC8 was set to GREEN gene: EXOSC8 was marked as current diagnostic