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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CA16020815

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 81580d4c-89e3-47cf-85d8-7a582d06d614

HGVS expressions

NM_001354304.2:c.551del
NC_000012.12:g.102855294del
CM000674.2:g.102855294del
NC_000012.11:g.103249072del
CM000674.1:g.103249072del
NC_000012.10:g.101773202del
NG_008690.1:g.67312del
NG_008690.2:g.108120del
NM_000277.1:c.551del
NM_000277.2:c.551del
NM_001354304.1:c.551del
NM_000277.3:c.551del
ENST00000307000.7:c.536del
ENST00000549111.5:n.647del
ENST00000551988.5:n.572del
ENST00000553106.5:c.551del

Pathogenic

Met criteria codes 3
PVS1 PP4_Moderate PM2

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The frameshift variant c.551del generates a stop codon in exon 6 of 13 and is predicted to undergo NMD. The variant is absent from population databases, including gnomAD. It has been in at least one HPA patient (PMID: 21307867). In summary, this variant meets criteria to be classified as Pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PVS1, PM2, PP4_moderate.
Met criteria codes
PVS1
The frameshift variant c.551del occurs in exon 6 where it generates a premature stop codon and is thus predicted to cause NMD.
PP4_Moderate
At least one patient from PMID: 21307867 meets criteria for PP4_moderate with PHE levels of >0.18 mM and exclusion of BH4 deficiency.

PM2
The variant is absent from population databases, including gnomAD, ExAC, 1000 Genomes, and ESP.
Approved on: 2020-10-30
Published on: 2020-10-30
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