The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]

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CA16020719

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 9ffeebb5-c4e1-48c9-8640-d8d6b0df1676

HGVS expressions

NM_000277.1:c.47C>A
NC_000012.12:g.102917084G>T
CM000674.2:g.102917084G>T
NC_000012.11:g.103310862G>T
CM000674.1:g.103310862G>T
NC_000012.10:g.101834992G>T
NG_008690.1:g.5519C>A
NG_008690.2:g.46327C>A
NM_000277.2:c.47C>A
NM_001354304.1:c.47C>A
NM_000277.3:c.47C>A
ENST00000307000.7:c.-101C>A
ENST00000546844.1:c.47C>A
ENST00000547319.1:n.358C>A
ENST00000549111.5:n.143C>A
ENST00000550978.6:n.31C>A
ENST00000551337.5:c.47C>A
ENST00000551988.5:n.136C>A
ENST00000553106.5:c.47C>A
ENST00000635500.1:n.29-4186C>A

Uncertain Significance

Met criteria codes 2
PP4 PM2
Not Met criteria codes 2
PP3 BP4

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
VUS: The c.47C>A (p.S16Y) variant in PAH was reported in one patient in a PKU cohort without segregation, and evidence of BH4 responsiveness (PP4, PMID: 21307867). This variant is absent from population databases, including 1000 Genomes, gnomAD and ESP. Computations predictors SIFT and Polyphen are conflicting, REVEL=0.569. In summary, this variant meets criteria to be classified as uncertain significance for PAH. PAH-specific ACMG/AMP criteria applied: PP4, PM2.
Met criteria codes
PP4
The variant was found in one chromosome of a Japanese patient with PKU. Patient's genotype was not provided, and not determined if BH4 responsive. PMID: 21307867

PM2
No code specific comments provided, please refer to the summary above or general recommendations provided in the guideline
Not Met criteria codes
PP3
SIFT and Polyphen conflicting.
BP4
SIFT and Polyphen conflicting.
Approved on: 2019-02-26
Published on: 2019-04-06
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