ESCO2

Chr 8AR

establishment of sister chromatid cohesion N-acetyltransferase 2

Also known as: 2410004I17Rik, EFO2, EFO2p, JHS, RBS, hEFO2

This protein is an acetyltransferase required for establishing sister chromatid cohesion during DNA replication by acetylating the cohesin component SMC3. Mutations cause Roberts-SC phocomelia syndrome and Juberg-Hayward syndrome, autosomal recessive conditions characterized by severe limb defects, growth restriction, and craniofacial abnormalities that are typically evident at birth. The gene is not highly constrained against loss-of-function variants.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 0.832 OMIM phenotypes
Clinical SummaryESCO2
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Gene-Disease Validity (ClinGen)
Roberts-SC phocomelia syndrome · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
70 unique Pathogenic / Likely Pathogenic· 158 VUS of 400 total submissions
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GeneReview available — ESCO2
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.83LOEUF
pLI 0.000
Z-score 2.24
OE 0.54 (0.360.83)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.41Z-score
OE missense 0.93 (0.851.03)
281 obs / 300.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.54 (0.360.83)
00.351.4
Missense OE0.93 (0.851.03)
00.61.4
Synonymous OE0.93
01.21.6
LoF obs/exp: 15 / 27.7Missense obs/exp: 281 / 300.9Syn Z: 0.56
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveESCO2-related Roberts syndromeLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.7036th %ile
GOF
0.3193th %ile
LOF
0.4430th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

400 submitted variants in ClinVar

Classification Summary

Pathogenic35
Likely Pathogenic35
VUS158
Likely Benign132
Benign19
Conflicting13
35
Pathogenic
35
Likely Pathogenic
158
VUS
132
Likely Benign
19
Benign
13
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
11
0
24
0
35
Likely Pathogenic
31
2
2
0
35
VUS
0
128
22
8
158
Likely Benign
0
5
44
83
132
Benign
0
3
15
1
19
Conflicting
13
Total4213810792392

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

ESCO2 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →