Mendeliome
Gene: ASTN2 Amber List (moderate evidence)I don't know
Biallelic- 1 report of a homozygous missense, RED
PMID: 28940097 Anazi 2017: 1 proband with hypospadias, chordee, global developmental delay, facial dysmorphism, microtia, café au lait spot. homozygous for a missense Asp298His (1 het in gnomad).
Monoallelic - several CNVs reports with a few de novo but most inherited. mostly milder ASD, behavioral phenotypes or psychiatric disorders (papers not reviewed below) but some with developmental delay or ID. ClinGen has reviewed this gene to have little evidence for haploinsufficiency in 2021, they did not review Bauleo or Ranieri. Borderline amber/green for this association
PMID: 34412080 Bauleo 2021: 5 patients from 3 families with neurodevelopmental disorders all with CNVs. Also references other papers reporting CNVs in neurodevelopmental disorders. 3 siblings with ADHD, ASD, language disorders or mood disorders (1 with mild ID) had a maternally inherited deletion- however its entirely intronic affects part of intron 19/22. 1 unrelated individual with ID, ADHD, speech delay and a maternally inherited duplication over exon 1 and intron 1 including the promoter. 1 more unrelated patient with ID, ASD, language delay and EEG anomalies with a paternally inherited deletion of exons 6-11 (out of frame).
PMID: 24381304 Lionel 2014 large cohort study identified 40 CNVs affecting ASTN2 in individuals with neurodevelopmental disorders, however some of these were large and spanned several genes and a lot were inherited. 20 of these were deletions with inheritance information 2 of which were de novo - a deletion of exons 12-19 in an individual with speech delay, ASD, motor delay and a learning disability, and a deletion of exons 4-10 in an individual with developmental delay and ASD.
PMID: 32094338 Husson 2020: one patient from a cohort of ASD subjects with deletion of exons 1-4 which was maternally inherited. The mother has Asperger syndrome as did a sibling who also has the CNV
PMID: 38674362 Ranieri 2024: 1 patient with ASD and a de novo 9q33.1 deletion involving intron 1 exon 2 and part of intron 2.Created: 5 May 2026, 1:39 p.m.
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes
Neurodevelopmental disorder, MONDO:0700092, ASTN2-related
Publications
I don't know
Rare CNVs also reported.Created: 22 Sep 2023, 2:30 a.m.
Candidate gene reported by Anazi et al, but insufficient evidence for Mendelian gene-disease association at present.Created: 18 Nov 2019, 4:18 p.m.
Mode of inheritance
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Phenotypes
Neurodevelopmental disorder, MONDO:0700092, ASTN2-related
Publications
Phenotypes for gene: ASTN2 were changed from Intellectual disability to Neurodevelopmental disorder, MONDO:0700092, ASTN2-related
Publications for gene: ASTN2 were set to 28940097
Mode of inheritance for gene: ASTN2 was changed from BIALLELIC, autosomal or pseudoautosomal to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Phenotypes for gene: ASTN2 were changed from to Intellectual disability
Publications for gene: ASTN2 were set to
Mode of inheritance for gene: ASTN2 was changed from Unknown to BIALLELIC, autosomal or pseudoautosomal
Gene: astn2 has been classified as Amber List (Moderate Evidence).
Gene: astn2 has been classified as Amber List (Moderate Evidence).
Gene: astn2 has been classified as Amber List (Moderate Evidence).
gene: ASTN2 was added gene: ASTN2 was added to Mendeliome_VCGS. Sources: Expert Review Green,Victorian Clinical Genetics Services Mode of inheritance for gene: ASTN2 was set to Unknown
If promoting or demoting a gene, please provide comments to justify a decision to move it.
Genes included in a Genomics England gene panel for a rare disease category (green list) should fit the criteria A-E outlined below.
These guidelines were developed as a combination of the ClinGen DEFINITIVE evidence for a causal role of the gene in the disease(a), and the Developmental Disorder Genotype-Phenotype (DDG2P) CONFIRMED DD Gene evidence level(b) (please see the original references provided below for full details). These help provide a guideline for expert reviewers when assessing whether a gene should be on the green or the red list of a panel.
A. There are plausible disease-causing mutations(i) within, affecting or encompassing an interpretable functional region(ii) of this gene identified in multiple (>3) unrelated cases/families with the phenotype(iii).
OR
B. There are plausible disease-causing mutations(i) within, affecting or encompassing cis-regulatory elements convincingly affecting the expression of a single gene identified in multiple (>3) unrelated cases/families with the phenotype(iii).
OR
C. As definitions A or B but in 2 or 3 unrelated cases/families with the phenotype, with the addition of convincing bioinformatic or functional evidence of causation e.g. known inborn error of metabolism with mutation in orthologous gene which is known to have the relevant deficient enzymatic activity in other species; existence of an animal model which recapitulates the human phenotype.
AND
D. Evidence indicates that disease-causing mutations follow a Mendelian pattern of causation appropriate for reporting in a diagnostic setting(iv).
AND
E. No convincing evidence exists or has emerged that contradicts the role of the gene in the specified phenotype.
(i)Plausible disease-causing mutations: Recurrent de novo mutations convincingly affecting gene function. Rare, fully-penetrant mutations - relevant genotype never, or very rarely, seen in controls. (ii) Interpretable functional region: ORF in protein coding genes miRNA stem or loop. (iii) Phenotype: the rare disease category, as described in the eligibility statement. (iv) Intermediate penetrance genes should not be included.
It’s assumed that loss-of-function variants in this gene can cause the disease/phenotype unless an exception to this rule is known. We would like to collect information regarding exceptions. An example exception is the PCSK9 gene, where loss-of-function variants are not relevant for a hypercholesterolemia phenotype as they are associated with increased LDL-cholesterol uptake via LDLR (PMID: 25911073).
If a curated set of known-pathogenic variants is available for this gene-phenotype, please contact us at panelapp@genomicsengland.co.uk
We classify loss-of-function variants as those with the following Sequence Ontology (SO) terms:
Term descriptions can be found on the PanelApp homepage and Ensembl.
If you are submitting this evaluation on behalf of a clinical laboratory please indicate whether you report variants in this gene as part of your current diagnostic practice by checking the box
Standardised terms were used to represent the gene-disease mode of inheritance, and were mapped to commonly used terms from the different sources. Below each of the terms is described, along with the equivalent commonly-used terms.
A variant on one allele of this gene can cause the disease, and imprinting has not been implicated.
A variant on the paternally-inherited allele of this gene can cause the disease, if the alternate allele is imprinted (function muted).
A variant on the maternally-inherited allele of this gene can cause the disease, if the alternate allele is imprinted (function muted).
A variant on one allele of this gene can cause the disease. This is the default used for autosomal dominant mode of inheritance where no knowledge of the imprinting status of the gene required to cause the disease is known. Mapped to the following commonly used terms from different sources: autosomal dominant, dominant, AD, DOMINANT.
A variant on both alleles of this gene is required to cause the disease. Mapped to the following commonly used terms from different sources: autosomal recessive, recessive, AR, RECESSIVE.
The disease can be caused by a variant on one or both alleles of this gene. Mapped to the following commonly used terms from different sources: autosomal recessive or autosomal dominant, recessive or dominant, AR/AD, AD/AR, DOMINANT/RECESSIVE, RECESSIVE/DOMINANT.
A variant on one allele of this gene can cause the disease, however a variant on both alleles of this gene can result in a more severe form of the disease/phenotype.
A variant in this gene can cause the disease in males as they have one X-chromosome allele, whereas a variant on both X-chromosome alleles is required to cause the disease in females. Mapped to the following commonly used term from different sources: X-linked recessive.
A variant in this gene can cause the disease in males as they have one X-chromosome allele. A variant on one allele of this gene may also cause the disease in females, though the disease/phenotype may be less severe and may have a later-onset than is seen in males. X-linked inactivation and mosaicism in different tissues complicate whether a female presents with the disease, and can change over their lifetime. This term is the default setting used for X-linked genes, where it is not known definitately whether females require a variant on each allele of this gene in order to be affected. Mapped to the following commonly used terms from different sources: X-linked dominant, x-linked, X-LINKED, X-linked.
The gene is in the mitochondrial genome and variants within this can cause this disease, maternally inherited. Mapped to the following commonly used term from different sources: Mitochondrial.
Mapped to the following commonly used terms from different sources: Unknown, NA, information not provided.
For example, if the mode of inheritance is digenic, please indicate this in the comments and which other gene is involved.