{
  "data": [
    {
      "@context": "https://erepo.genome.network/evrepo/api/context",
      "@id": "https://cgerepoapi/evrepo/api/summary/classification/08c0af15-2212-42d9-841c-0a5e84d6838d/doc/sepio/version/1.0.0",
      "assertionMethod": {
        "type": "VariantPathogenicityInterpretationGuideline"
      },
      "condition": {
        "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0009861",
        "id": "MONDO:0009861",
        "label": "phenylketonuria",
        "type": "GeneticCondition"
      },
      "evidenceLine": [
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1747",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1748",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
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                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/5",
                    "description": "Date on which this evidence was provided"
                  },
                  "contributionRole": {
                    "@id": "https://obofoundry.org/sepio/0000156",
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                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0062",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000329",
                  "id": "SEPIO:0000329",
                  "label": "Pathogenic Supporting"
                },
                "id": "0062",
                "label": "PP3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1747/1749",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/CA286506/MONDO:0009861/006.002",
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                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Conflicting interpretations of pathogenicity (tolerated in SIFT, benign in PolyPhen2, Damaging in MutationTaster",
                          "contributionDate": {
                            "date": "2019/4/5",
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                      ],
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                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1747/1749",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1748",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Not Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1747",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1669",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1670",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
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                  "contributionDate": {
                    "date": "2019/4/5",
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                    "@id": "https://obofoundry.org/sepio/0000156",
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                    "label": "curator role",
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                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0038",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000220",
                  "id": "SEPIO:0000220",
                  "label": "Pathogenic Very Strong"
                },
                "id": "0038",
                "label": "PM3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1669/1671",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/EV000000076",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "R158Q/V230I present in one patient with classical PKU (seen with V245V/IVS3nt-22ct/IVS5nt-54a>g); G272X/V230I present in one patient showing HPA phenotype (seen with V245V/E280 > Q280)",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
                          "contributionRole": {
                            "@id": "https://obofoundry.org/sepio/0000156",
                            "id": "SEPIO:0000516",
                            "label": "curator role",
                            "type": "ContributoryRole"
                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/EV000000076",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/15943553",
                      "type": "CuratorInference"
                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/EV000000018",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "V230I found in 6 patients with PKU: 2 mHPA patients in trans with IVS10-11G>A (varID 607, Pathogenic); 1 mPKU patient in trans with p.L48S (varID 608, Pathogenic); 1 mHPA patient in trans with p.R408W (varID 577, Pathogenic); 1 mHPA patient in trans with p.E390G (varID 625, Pathogenic/LP); 1 mHPA patient in trans with IVS2+5G>C.",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
                          "contributionRole": {
                            "@id": "https://obofoundry.org/sepio/0000156",
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                            "label": "curator role",
                            "type": "ContributoryRole"
                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/EV000000018",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/21147011",
                      "type": "CuratorInference"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1669/1671",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1670",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1669",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1828",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1829",
              "contribution": [
                {
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                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0052",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000330",
                  "id": "SEPIO:0000330",
                  "label": "Pathogenic Strong"
                },
                "id": "0052",
                "label": "PS3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1828/1830",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/EV000000051",
                      "contribution": [
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                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "We have used two heterologous in vitro expression systems (a mammalian cell-free transcription-translation system and the pET system of Escherichia coli). V230I showed pcDNA3/IVT: 72;53% of wt and 52% in pET/E. coli. Could not detect any tetrameric\nforms of enzymes carrying V230I.",
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                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
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                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/EV000000051",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/11161839",
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                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/EV000000077",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Reference to residual in vitro activity of V230I mutant with 63% of wt activity.",
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                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
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                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/EV000000077",
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                    }
                  ],
                  "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1828/1830",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1829",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Not Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1828",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1798",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1799",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
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                  },
                  "contributionDate": {
                    "date": "2019/4/5",
                    "description": "Date on which this evidence was provided"
                  },
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                    "id": "SEPIO:0000516",
                    "label": "curator role",
                    "type": "ContributoryRole"
                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0011",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "0011",
                "label": "PM2",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1798/1800",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/CA286506/MONDO:0009861/006.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "MAF=0.00266 in gnomAD",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
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                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/CA286506/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1798/1800",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1799",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Not Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1798",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1831",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1832",
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                {
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                    "label": "curator role",
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                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0018",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "0018",
                "label": "PP4",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1831/1833",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/EV000000004",
                      "contribution": [
                        {
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                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Subjects included 53 unrelated patients presenting with blood phenylalanine levels persistently above 150 umol/l. The criteria for inclusion were: normal serum tyrosine, normal urinary excresion of biopterin and neopterin, and no indication of acquired hyperphenylalaninemia. V230I was found on 1 chromosome.",
                          "contributionDate": {
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                          },
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                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/EV000000004",
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                  ],
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                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1832",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1831",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1780",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/ei/1/1781",
              "contribution": [
                {
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                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
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                    "type": "Agent"
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                  "contributionDate": {
                    "date": "2019/4/5",
                    "description": "Date on which this evidence was provided"
                  },
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                    "id": "SEPIO:0000516",
                    "label": "curator role",
                    "type": "ContributoryRole"
                  },
                  "type": "Contribution"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/008",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "008",
                "label": "PM5",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA286506/MONDO:0009861/006/el/0/1780/1782",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA286506/MONDO:0009861/006/ci/CA286506/MONDO:0009861/006.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "V230G, no clinical significance provided",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
                          "contributionRole": {
                            "@id": "https://obofoundry.org/sepio/0000156",
                            "id": "SEPIO:0000516",
                            "label": "curator role",
                            "type": "ContributoryRole"
                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA286506/MONDO:0009861/006/ci/CA286506/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1780/1782",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/1/1781",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Not Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006/0/1780",
          "type": "EvidenceLine"
        }
      ],
      "id": "CG-PCER-VARINT:CA286506/MONDO:0009861/006",
      "metadata": {
        "created": "2024-09-27T19:41:08.903Z",
        "note": "DISCLAIMER: While the data/content in this document is approved by ClinGen expert panel(s), the SEPIO schema presented here is an initial prototype and has not been reviewed nor finalized by the ClinGen Data Exchange Modeling Team. We expect it to differ significantly from the final schema.",
        "producedAtUTC": "Fri, 27 Sep 2024 19:41:08 -0000",
        "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
        "version": "1.0.0"
      },
      "statementOutcome": {
        "@id": "https://loinc.org/LA26332-9",
        "id": "LN:LA26332-9",
        "label": "Likely Pathogenic"
      },
      "type": "VariantPathogenicityInterpretation",
      "uuid": "08c0af15-2212-42d9-841c-0a5e84d6838d",
      "variant": {
        "@id": "https://reg.genome.network/allele/CA286506",
        "id": "CAR:CA286506",
        "relatedContextualAllele": [
          {
            "alleleName": [
              {
                "name": "NM_000277.1:c.688G>A"
              }
            ],
            "preferred": true
          }
        ],
        "relatedIdentifier": [
          {
            "label": "NM_000277.1(PAH):c.688G>A (p.Val230Ile)"
          }
        ],
        "type": "CAR"
      }
    }
  ],
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-11-04T08:19:46.734Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}