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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CA16020940

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: b55a6542-48d2-4198-bcf1-7b9c2bb3dce4

HGVS expressions

NM_000277.3:c.1103A>G
ENST00000553106.6:c.1103A>G
ENST00000307000.7:c.1088A>G
ENST00000549247.6:n.862A>G
ENST00000551114.2:n.765A>G
ENST00000553106.5:c.1103A>G
ENST00000635477.1:n.207A>G
ENST00000635528.1:n.618A>G
NM_000277.1:c.1103A>G
NM_000277.2:c.1103A>G
NM_001354304.1:c.1103A>G
NM_001354304.2:c.1103A>G
NC_000012.12:g.102843742T>C
CM000674.2:g.102843742T>C
NC_000012.11:g.103237520T>C
CM000674.1:g.103237520T>C
NC_000012.10:g.101761650T>C
NG_008690.1:g.78861A>G
NG_008690.2:g.119669A>G

Uncertain Significance

Met criteria codes 1
PM2
Not Met criteria codes 4
PP4 PP3 PM5 PM3

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.1103A>G (p.Glu368Gly) variant in PAH has been reported in an Indian family with an affected patient with classical PKU. BH4 deficiency not reportedly ruled out. The patient is deceased and was not available for genotyping, but each parent was a heterozygous carrier of this variant. (PMID: 24130151) This variant is absent from 1000G, ESP, ExAC and gnomAD. Computational evidence is conflicting. The p.Glu368Lys variant is interpreted as Pathogenic by 1 submitter in ClinVar, and as likely pathogenic by PAH VCEP. In summary, this variant meets criteria to be classified as uncertain significance for PAH. PAH-specific ACMG/AMP criteria applied: PM2.
Met criteria codes
PM2
Absent from controls in ExAC, gnomAD, 1000 Genomes, ESP
Not Met criteria codes
PP4
Reported in a deceased patient with classical PKU. BH4 deficiency not reportedly ruled out. PMID: 24130151
PP3
Computational evidence is conflicting: Deleterious in SIFT, MutationTaster; Benign in PolyPhen2, REVEL=0.724.
PM5
p.Glu368Lys interpreted as Pathogenic by 1 submitter, Interpreted as likely pathogenic by PAH VCEP
PM3
Parents were heterozygous carriers PMID: 24130151
Approved on: 2021-05-28
Published on: 2021-05-28
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