Rare anaemia

Gene: NHLRC2

Amber List (moderate evidence)

NHLRC2 (NHL repeat containing 2)
EnsemblGeneIds (GRCh38): ENSG00000196865
EnsemblGeneIds (GRCh37): ENSG00000196865
NHLRC2 is in 4 panels

2 reviews

Arina Puzriakova (Genomics England Curator)

After NHS Genomic Medicine Service consideration, the rating of this gene has not been changed. "Disagree in promoting this to Green - R92 stipulates complex or syndromic presentations that include anaemia be tested separately - this seems to apply to FINCA"
Created: 4 Mar 2022, 10:03 a.m. | Last Modified: 4 Mar 2022, 10:03 a.m.
Panel Version: 1.38

Eleanor Williams (Genomics England Curator)

Green List (high evidence)

Comment on list classification: On recommendation of Genomics England clinical team, changing rating from red to amber with recommendation of review by the GMS with regards to phenotypic fit for this panel. Sufficient cases to make green if appropriate.
Created: 23 Dec 2020, 4:05 p.m. | Last Modified: 23 Dec 2020, 4:08 p.m.
Panel Version: 1.6
PMID: 29423877 Uusimaa et al 2018 - report 3 patients from 2 unrelated non-consanguineous Finnish families in which the children were born asymptomatic but by 2 months of age they had developed a progressive multi-organ disorder. The main clinical features included progressive cerebropulmonary symptoms, malabsorption, progressive growth failure, recurrent infections, chronic haemolytic anaemia and transient liver dysfunction. All three patients were found using WES to be compound heterozygous for NM_198514:c.442G>T, p.Asp148Tyr and c.601_602delAG, p.Arg201GlyfsTer6. Segregation data for both families is provided. The family history of the two families, traced back 7–9 generations, showed that they did not have common ancestors. Both variants are rare in both Finnish (Sequencing Initiative Suomi - 0.003 and 0.0001 respectively) and non-Finnish populations (Exac). Patient fibroblasts expressed only mRNA with the c.442G>T missense variant, and at low levels. Development of Nhlrc2 null mice stalled before the morula stage. Morpholino knockdown of nhlrc2 in zebrafish embryos showed that nhlrc2 has a role in cellular integrity of the central nervous system during development.

PMID: 32435055 - Brodsky et al 2020 - report a 2 year old Ukranian patient with FINCA syndrome who was found by WES to have compound heterozygous variants in NHLRC2 (c.442T>G, p.D148Y and c.428C>A, p.H143P). The c.428C>A variant is not found in the gnomAD database. Each parent was a carrier for one of the variants.
Sources: Literature
Created: 23 Dec 2020, 4:03 p.m.

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

FINCA syndrome OMIM:618278



Mode of Inheritance
BIALLELIC, autosomal or pseudoautosomal
  • Expert Review Amber
  • Literature
  • FINCA syndrome OMIM:618278
Clinvar variants
Variants in NHLRC2
Panels with this gene

History Filter Activity

8 May 2022, Gel status: 2

Added Tag

Eleanor Williams (Genomics England Curator)

Tag gene-checked tag was added to gene: NHLRC2.

4 Mar 2022, Gel status: 2

Removed Tag

Arina Puzriakova (Genomics England Curator)

Tag for-review was removed from gene: NHLRC2.

23 Dec 2020, Gel status: 2

Entity classified by Genomics England curator

Eleanor Williams (Genomics England Curator)

Gene: nhlrc2 has been classified as Amber List (Moderate Evidence).

23 Dec 2020, Gel status: 1

Added Tag

Eleanor Williams (Genomics England Curator)

Tag for-review tag was added to gene: NHLRC2.

23 Dec 2020, Gel status: 1

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

Eleanor Williams (Genomics England Curator)

gene: NHLRC2 was added gene: NHLRC2 was added to Rare anaemia. Sources: Literature Mode of inheritance for gene: NHLRC2 was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: NHLRC2 were set to 29423877; 32435055 Phenotypes for gene: NHLRC2 were set to FINCA syndrome OMIM:618278 Review for gene: NHLRC2 was set to GREEN