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Severe microcephaly v9.37 COPB2 Ida Ertmanska Publications for gene: COPB2 were set to 29036432
Severe microcephaly v9.36 COPB2 Ida Ertmanska Phenotypes for gene: COPB2 were changed from Microcephaly, HP:0000252 to ?Microcephaly 19, primary, autosomal recessive, OMIM:617800; microcephaly 19, primary, autosomal recessive, MONDO:0054716
Severe microcephaly v9.35 COPB2 Ida Ertmanska changed review comment from: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19). Osteogenesis imperfecta has been linked to chromosome 3p22-24.1 (PMID: 12110407).

COPB2 is associated with AD Osteoporosis, childhood- or juvenile-onset, with developmental delay, OMIM:619884 and AR ?Microcephaly 19, primary, autosomal recessive, OMIM:617800 (OMIM accessed 9th Oct 2026).; to: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19).

COPB2 is associated with AD Osteoporosis, childhood- or juvenile-onset, with developmental delay, OMIM:619884 and AR ?Microcephaly 19, primary, autosomal recessive, OMIM:617800 (OMIM accessed 9th Oct 2026).
Severe microcephaly v9.35 COPB2 Ida Ertmanska changed review comment from: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19).

COPB2 is associated with AD Osteoporosis, childhood- or juvenile-onset, with developmental delay, OMIM:619884 and AR ?Microcephaly 19, primary, autosomal recessive, OMIM:617800 (OMIM accessed 9th Oct 2026).; to: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19). Osteogenesis imperfecta has been linked to chromosome 3p22-24.1 (PMID: 12110407).

COPB2 is associated with AD Osteoporosis, childhood- or juvenile-onset, with developmental delay, OMIM:619884 and AR ?Microcephaly 19, primary, autosomal recessive, OMIM:617800 (OMIM accessed 9th Oct 2026).
Severe microcephaly v9.35 COPB2 Ida Ertmanska changed review comment from: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19).; to: PMID: 37734708 Shiri et al., 2023
Report of a 8.5 yo female proband, born to consanguineous parents. Patient had global developmental delay, intellectual disability, microcephaly (head circumference 42cm, -8.1 SD), seizures, spasticity, strabismus, and failure to thrive symptoms. The proband did not manifest any skeletal problems. She harboured a homozygous NM_004766.3:c.760 C>T, p.Arg254Cys variant - same as in the first Native American family reported in PMID: 29036432. Seq method: WES + Sanger. Parents were heterozygous and unaffected.

Of note, sibs in PMID: 29036432 (DiStasio et al., 2017) also had a CNV reported: 16.8 Mb region of absence of heterozygosity (AOH) on chromosome 3q22.1–3q24 (131,374,802–148,170,986; hg19).

COPB2 is associated with AD Osteoporosis, childhood- or juvenile-onset, with developmental delay, OMIM:619884 and AR ?Microcephaly 19, primary, autosomal recessive, OMIM:617800 (OMIM accessed 9th Oct 2026).
Severe microcephaly v9.35 COPB2 Ida Ertmanska changed review comment from: Comment on list classification: There are now two unrelated probands reported with biallelic COPB2 variants and severe microcephaly. Hence, the gene can be rated Amber.; to: Comment on list classification: There are now two unrelated probands reported with the same homozygous missense COPB2 variant and severe microcephaly. Hence, the gene can be rated Amber.
Severe microcephaly v9.35 COPB2 Ida Ertmanska changed review comment from: Comment on list classification: There are now two unrelated probands reported with biallelic COPB2 variants and severe microcephaly. Hence, the gene can now be rated Amber.; to: Comment on list classification: There are now two unrelated probands reported with biallelic COPB2 variants and severe microcephaly. Hence, the gene can be rated Amber.
Severe microcephaly v9.35 COPB2 Ida Ertmanska Classified gene: COPB2 as Amber List (moderate evidence)
Severe microcephaly v9.35 COPB2 Ida Ertmanska Added comment: Comment on list classification: There are now two unrelated probands reported with biallelic COPB2 variants and severe microcephaly. Hence, the gene can now be rated Amber.
Severe microcephaly v9.35 COPB2 Ida Ertmanska Gene: copb2 has been classified as Amber List (Moderate Evidence).
Severe microcephaly v9.34 COPB2 Ida Ertmanska reviewed gene: COPB2: Rating: AMBER; Mode of pathogenicity: None; Publications: 29036432, 37734708; Phenotypes: ?Microcephaly 19, primary, autosomal recessive, OMIM:617800, microcephaly 19, primary, autosomal recessive, MONDO:0054716; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Severe microcephaly v2.229 COPB2 Eleanor Williams gene: COPB2 was added
gene: COPB2 was added to Severe microcephaly. Sources: Literature
Mode of inheritance for gene: COPB2 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: COPB2 were set to 29036432
Phenotypes for gene: COPB2 were set to Microcephaly, HP:0000252
Review for gene: COPB2 was set to RED
Added comment: PMID: 29036432 - DiStasio et al 2017 - report of severe microcephaly (developing to be below -4.0 SD) and severe intellectual disability in the two siblings with a COPB2 homozygous variant.

The siblings were later investigated for low bone mass in PMID: 34450031 - Marom et al 2021 (in which heterozygous variants in COPB2 in 4 other families with probands with osteoporosis and developmental delay were identified, but no microcephaly reported).
Sources: Literature