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  • See Evidence submitted by expert panel for details.

CA16020716

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: c04f2ecf-3dc6-4936-9b14-dcfd8523534b

HGVS expressions

NM_000277.1:c.43_44insAG
NC_000012.12:g.102917087_102917088insCT
CM000674.2:g.102917087_102917088insCT
NC_000012.11:g.103310865_103310866insCT
CM000674.1:g.103310865_103310866insCT
NC_000012.10:g.101834995_101834996insCT
NG_008690.1:g.5515_5516insAG
NG_008690.2:g.46323_46324insAG
NM_000277.2:c.43_44insAG
NM_001354304.1:c.43_44insAG
NM_000277.3:c.43_44insAG
ENST00000307000.7:c.-105_-104insAG
ENST00000546844.1:c.43_44insAG
ENST00000547319.1:n.354_355insAG
ENST00000549111.5:n.139_140insAG
ENST00000550978.6:n.27_28insAG
ENST00000551337.5:c.43_44insAG
ENST00000551988.5:n.132_133insAG
ENST00000553106.5:c.43_44insAG
ENST00000635500.1:n.29-4190_29-4189insAG

Pathogenic

Met criteria codes 3
PM2 PVS1 PP4
Not Met criteria codes 1
PM3

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The PAH: c.43_44insAG variant is a frameshift variant occurring in exon 1 of 13 in the canonical transcript of PAH, a gene fulfilling the most recent criteria for LOF being a known disease mechanism (see PMID: 30192042) (PVS1). The variant has been reported with the IVS8-2A>G (c.913-2A>G) splice-site variant (PMID: 22513348), a recurrent splice-site variant among Central European PKU cases (see PMID: 23160875) in one Slovenian proband with classic PKU as assessed by plasma Phe levels; BH4 deficiency does not appear to have been formally excluded by biochemical or genetic testing (PP4). It is absent from control databases including ethnically matched individuals, including gnomAD/ExAC, 1000 Genomes, and ESP (PM2).
Met criteria codes
PM2
The variant is absent from control databases including ethnically matched individuals, including gnomAD/ExAC, 1000 Genomes, and ESP (PM2).
PVS1
The PAH: c.43_44insAG variant is a frameshift variant occurring in exon 1 of 13 in the canonical transcript of PAH, a gene fulfilling the most recent criteria for LOF being a known disease mechanism (see PMID: 30192042) (PVS1).
PP4
The variant has been previously reported in trans with the IVS8-2A>G (c.913-2A>G) splice-site variant (PMID: 22513348), a recurrent splice-site variant among Central European PKU cases (see PMID: 23160875) (PM3) in one Slovenian proband with classic PKU as assessed by plasma Phe levels; BH4 deficiency does not appear to have been formally excluded by biochemical or genetic testing (PP4).

Not Met criteria codes
PM3
The variant has been reported with the IVS8-2A>G (c.913-2A>G) splice-site variant (PMID: 22513348), a recurrent splice-site variant among Central European PKU cases (see PMID: 23160875) (PM3-supporting) in one Slovenian proband.

Approved on: 2019-08-12
Published on: 2019-08-12
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