Primary immunodeficiency or monogenic inflammatory bowel disease
Gene: STXBP3
The rating of this gene has been updated following NHS Genomic Medicine Service approval. It was agreed that there is enough evidence to rate as green - sufficient number of cases presenting a relevant phenotype with some functional data. However, note that several families carried potentially contributory variants in other genes.Created: 8 Mar 2022, 3:09 p.m. | Last Modified: 8 Mar 2022, 3:09 p.m.
Panel Version: 2.536
Comment on list classification: Sufficient number of cases presenting a relevant phenotype with some functional data. However, given that several families carried potentially contributory variants in other genes, going to maintain an Amber rating at this time in anticipation of further cases/clinical evidence to validate the pathogenicity of this gene.Created: 9 Jun 2021, 11:31 a.m. | Last Modified: 9 Jun 2021, 11:31 a.m.
Panel Version: 2.425
Ouahed et al. 2021 (PMID: 33891011) report 5 unrelated families with 10 patients who presented with a similar phenotype including medically refractory infantile-onset IBD (10/10), severe bilateral sensorineural hearing loss (8/10), and, in the majority, recurrent infections (6/10). Heterozygous variants in STXBP3 were identified in 3 families (2 de novo, 1 paternally transmitted); while 5 sibs from 2 unrelated families harboured different compound het variants. Variants interfered with either intron splicing or protein stability and all were shown to reduce STXBP3 protein expression. Knock-down of STXBP3 in CaCo2 cells resulted in defects in cell polarity.
Additional variants not thought to be independently deleterious by the authors, but in pathways of interest or in known VEOIBD genes, were identified in 4/5 families.
* Note the previous review submitted by Kelsey Jones (GOSH) references an abstract briefly reporting on 4 of the families from PMID:33891011Created: 9 Jun 2021, 11:23 a.m. | Last Modified: 9 Jun 2021, 11:23 a.m.
Panel Version: 2.424
Mode of inheritance
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Publications
10 individuals from 5 families reported.Created: 10 May 2021, 10:31 a.m. | Last Modified: 10 May 2021, 10:31 a.m.
Panel Version: 2.421
Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal
Phenotypes
Very Early Onset Inflammatory Bowel Disease; Bilateral Sensorineural Hearing Loss; Immune Dysregulation
Publications
Variants in this GENE are reported as part of current diagnostic practice
Comment on list classification: New gene added by Kelsey Jones (Great Ormond Street Hospital). This gene is not associated with a phenotype in OMIM or Gene2Phenotype. Based on the available evidence this gene has been given an Amber rating.Created: 1 Feb 2021, 1:56 p.m. | Last Modified: 1 Feb 2021, 1:56 p.m.
Panel Version: 2.401
Described as a monogenic cause of VEOIBD (recognised criteria for the R15 panel) in a report published in abstract form (DOI: https://doi.org/10.1053/j.gastro.2017.11.120). 8 patients from 4 unrelated families with defects in STXBP3 reportedly associated with VEO-IBD, bilateral sensorineural hearing loss, and impaired cytotoxic T-lymphocyte function (granule release, stimulated CD107a upregulation). Included on a monogenic IBD gene panel proposed by The Paediatric IBD Porto Group of ESPGHAN (PMID: 33346580).
Sources: Expert ReviewCreated: 29 Jan 2021, 4:47 p.m.
Mode of inheritance
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Phenotypes
Very Early Onset Inflammatory Bowel Disease; Sensorineural hearing loss
Publications
Tag gene-checked tag was added to gene: STXBP3.
Source Expert Review Green was added to STXBP3. Added phenotypes Syntaxin binding protein 3 defect for gene: STXBP3 Publications for gene: STXBP3 were updated from 33346580; https://doi.org/10.1053/j.gastro.2017.11.120; 33891011 to 33891011; 33346580; https://doi.org/10.1053/j.gastro.2017.11.120 Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Gene: stxbp3 has been classified as Amber List (Moderate Evidence).
Publications for gene: STXBP3 were set to 33346580; https://doi.org/10.1053/j.gastro.2017.11.120
Gene: stxbp3 has been classified as Amber List (Moderate Evidence).
Publications for gene: STXBP3 were set to PMID: 33346580
gene: STXBP3 was added gene: STXBP3 was added to Primary immunodeficiency. Sources: Expert Review Mode of inheritance for gene: STXBP3 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal Publications for gene: STXBP3 were set to PMID: 33346580 Phenotypes for gene: STXBP3 were set to Very Early Onset Inflammatory Bowel Disease; Sensorineural hearing loss Penetrance for gene: STXBP3 were set to unknown Review for gene: STXBP3 was set to AMBER