Human Gene Module / Chromosome 1 / GALNT2

GALNT2polypeptide N-acetylgalactosaminyltransferase 2

SFARI Gene Score
S
Syndromic Syndromic
Autism Reports / Total Reports
3 / 6
Rare Variants / Common Variants
10 / 0
Aliases
GALNT2, GalNAc-T2
Associated Syndromes
-
Chromosome Band
1q42.13
Associated Disorders
DD/NDD, ID, ASD, EPS
Relevance to Autism

Homozygous loss-of-function variants in the GALNT2 gene were identified in seven individuals from four families presenting with a novel congenital disorder of O-linked glycosylation characterized by global developmental delay, intellectual disability with language deficit, autistic features, behavioral abnormalities, epilepsy, chronic insomnia, white matter changes on brain MRI, and dysmorphic features (Zilmer et al., 2020).

Molecular Function

This gene encodes a member of the glycosyltransferase 2 protein family that catalyzes the initial reaction in O-linked oligosaccharide biosynthesis, the transfer of an N-acetyl-D-galactosamine residue to a serine or threonine residue on the protein receptor. Loss of function in GALNT2 has been shown to result in lower high-density lipoproteins in humans, nonhuman primates, and rodents (Khetarpal et al., 2016).

SFARI Genomic Platforms
Reports related to GALNT2 (6 Reports)
# Type Title Author, Year Autism Report Associated Disorders
1 Support Loss of Function of GALNT2 Lowers High-Density Lipoproteins in Humans, Nonhuman Primates, and Rodents Khetarpal SA et al. (2016) No -
2 Primary Novel congenital disorder of O-linked glycosylation caused by GALNT2 loss of function Zilmer M et al. (2020) No DD, ID, autistic features, epilepsy/seizures
3 Support - Woodbury-Smith M et al. (2022) Yes -
4 Support - Zhou X et al. (2022) Yes -
5 Support - Cirnigliaro M et al. (2023) Yes -
6 Support - Purvi Majethia et al. (2024) No DD
Rare Variants   (10)
Status Allele Change Residue Change Variant Type Inheritance Pattern Parental Transmission Family Type PubMed ID Author, Year
c.1135C>T p.Arg379Ter stop_gained De novo - - 35982159 Zhou X et al. (2022)
c.569T>C p.Ile190Thr missense_variant De novo - - 35982159 Zhou X et al. (2022)
c.1521T>C p.Leu507%3D synonymous_variant De novo - - 35982159 Zhou X et al. (2022)
c.285G>A p.Gly95%3D synonymous_variant Unknown - - 35205252 Woodbury-Smith M et al. (2022)
c.598C>T p.Arg200Ter stop_gained Familial Both parents Simplex 32293671 Zilmer M et al. (2020)
c.296dup p.Tyr99Ter stop_gained Familial Both parents Multiplex 32293671 Zilmer M et al. (2020)
c.865C>T p.Gln289Ter stop_gained Familial Both parents Multiplex 32293671 Zilmer M et al. (2020)
c.703+1G>T - splice_site_variant Familial Maternal Multiplex 37506195 Cirnigliaro M et al. (2023)
c.629G>C p.Arg210Pro missense_variant Familial Both parents Multiplex 32293671 Zilmer M et al. (2020)
c.623G>A p.Arg208Gln missense_variant Familial Both parents Multiplex 38374498 Purvi Majethia et al. (2024)
Common Variants  

No common variants reported.

SFARI Gene score
S

Syndromic

Score Delta: Score remained at S

The syndromic category includes mutations that are associated with a substantial degree of increased risk and consistently linked to additional characteristics not required for an ASD diagnosis. If there is independent evidence implicating a gene in idiopathic ASD, it will be listed as "#S" (e.g., 2S, 3S, etc.). If there is no such independent evidence, the gene will be listed simply as "S."

Krishnan Probability Score

Score 0.44726311311537

Ranking 13441/25841 scored genes


[Show Scoring Methodology]
Krishnan and colleagues generated probability scores genome-wide by using a machine learning approach on a human brain-specific gene network. The method was first presented in Nat Neurosci 19, 1454-1462 (2016), and scores for more than 25,000 RefSeq genes can be accessed in column G of supplementary table 3 (see: http://www.nature.com/neuro/journal/v19/n11/extref/nn.4353-S5.xlsx). A searchable browser, with the ability to view networks of associated ASD risk genes, can be found at asd.princeton.edu.
ExAC Score

Score 0.88198561283807

Ranking 3364/18225 scored genes


[Show Scoring Methodology]
The Exome Aggregation Consortium (ExAC) is a summary database of 60,706 exomes that has been widely used to estimate 'constraint' on mutation for individual genes. It was introduced by Lek et al. Nature 536, 285-291 (2016), and the ExAC browser can be found at exac.broadinstitute.org. The pLI score was developed as measure of intolerance to loss-of- function mutation. A pLI > 0.9 is generally viewed as highly constrained, and thus any loss-of- function mutations in autism in such a gene would be more likely to confer risk. For a full list of pLI scores see: ftp://ftp.broadinstitute.org/pub/ExAC_release/release0.3.1/functional_gene_constraint/fordist_cle aned_exac_nonTCGA_z_pli_rec_null_data.txt
Sanders TADA Score

Score 0.82197458982195

Ranking 2652/18665 scored genes


[Show Scoring Methodology]
The TADA score ('Transmission and De novo Association') was introduced by He et al. PLoS Genet 9(8):e1003671 (2013), and is a statistic that integrates evidence from both de novo and transmitted mutations. It forms the basis for the claim of 65 individual genes being strongly associated with autism risk at a false discovery rate of 0.1 (Sanders et al. Neuron 87, 1215-1233 (2015)). The calculated TADA score for 18,665 RefSeq genes can be found in column P of Supplementary Table 6 in the Sanders et al. paper (the column headed 'tadaFdrAscSscExomeSscAgpSmallDel'), which represents a combined analysis of exome data and small de novo deletions (see www.cell.com/cms/attachment/2038545319/2052606711/mmc7.xlsx).
Zhang D Score

Score 0.16719438788664

Ranking 4853/20870 scored genes


[Show Scoring Methodology]
The DAMAGES score (disease-associated mutation analysis using gene expression signatures), or D score, was developed to combine evidence from de novo loss-of- function mutation with evidence from cell-type- specific gene expression in the mouse brain (specifically translational profiles of 24 specific mouse CNS cell types isolated from 6 different brain regions). Genes with positive D scores are more likely to be associated with autism risk, with higher-confidence genes having higher D scores. This statistic was first presented by Zhang & Shen (Hum Mutat 38, 204- 215 (2017), and D scores for more than 20,000 RefSeq genes can be found in column M in supplementary table 2 from that paper.
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