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CA16020975

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: d334616b-19a0-4ae3-8973-719fb1d2cc2b

HGVS expressions

NM_001354304.2:c.1235T>G
NM_000277.1:c.1235T>G
NM_000277.2:c.1235T>G
NM_001354304.1:c.1235T>G
NM_000277.3:c.1235T>G
ENST00000307000.7:c.1220T>G
ENST00000551114.2:n.897T>G
ENST00000553106.5:c.1235T>G
ENST00000635477.1:n.339T>G
ENST00000635528.1:n.750T>G
NC_000012.12:g.102840480A>C
CM000674.2:g.102840480A>C
NC_000012.11:g.103234258A>C
CM000674.1:g.103234258A>C
NC_000012.10:g.101758388A>C
NG_008690.1:g.82123T>G
NG_008690.2:g.122931T>G

Uncertain Significance

Met criteria codes 4
PM2 PM3_Supporting PP3 PP4

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.1235T>G (p.Val412Gly) variant in PAH meets criteria to be classified as uncertain significance due to insufficient evidence. PAH-specific ACMG/AMP criteria applied: PM2: Absent from population databases (1000 Genomes, ExAC). PP3: Computational prediction tools suggest that the c.1235T>G variant is damaging to protein function. Evolutionarily conserved. PP4: Patient has classic PKU (PMID:24350308). PM3_Supporting: Found to co-occur with p.R408W in one patient with classic PKU, but no additional studies to demonstrate phase of variants. No other PAH variants identified in patient (PMID:24350308). Undefined BH4 responsiveness (PMID:24350308)
Met criteria codes
PM2
Not present in any databases
PM3_Supporting
Co-occured with p.R408W in patient with classic PKU. No additional studies done to confirm phase of variant.
PP3
Predicted to be damaging with SIFT, PolyPhen, and MutTaster. Conserved evolutionarily (PhyloP30way, SiPhy).
PP4
Patient has classic PKU, phenotype not further specified

Approved on: 2020-06-25
Published on: 2020-06-25
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