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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Variant: NM_000277.1:c.1249T>G

CA16020982

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 4c782a9b-194f-4bcf-b836-b7f74d93b474

HGVS expressions

NM_000277.1:c.1249T>G
NC_000012.12:g.102840466A>C
CM000674.2:g.102840466A>C
NC_000012.11:g.103234244A>C
CM000674.1:g.103234244A>C
NC_000012.10:g.101758374A>C
NG_008690.1:g.82137T>G
NG_008690.2:g.122945T>G
ENST00000553106.6:c.1249T>G
ENST00000307000.7:c.1234T>G
ENST00000551114.2:n.911T>G
ENST00000553106.5:c.1249T>G
ENST00000635477.1:n.353T>G
ENST00000635528.1:n.764T>G
NM_000277.2:c.1249T>G
NM_001354304.1:c.1249T>G
NM_000277.3:c.1249T>G
NM_001354304.2:c.1249T>G

Likely Pathogenic

Met criteria codes 4
PP4 PP3 PM2 PM5

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.1249T>G (p.Tyr417Asp) variant in PAH has been reported in 1 individual with PAH deficiency (PMID: 10693064). This variant is absent in population databases. Computational evidence support a deleterious effect. Another missense variant at the same amino acid (p.Tyr417His) is interpreted as pathogenic. In summary, this variant meets criteria to be classified as likely pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PM2, PM5, PP3, PP4.
Met criteria codes
PP4
Y417D found on 1 allele of a hyperphenylalaninaemia patient. (normal values of blood phenylalanine <180 µmol/l). BH4 deficiency not investigated. PMID: 10693064

PP3
Deleterious effect predicted in SIFT, PolyPhen2, MutationTaster, REVEL=0.991
PM2
Absent from ExAC, gnomAD, 1000G, ESP
PM5
p.Tyr417His interpreted as pathogenic by 1 submitter and PAH VCEP
Approved on: 2020-08-13
Published on: 2021-11-21
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