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_000277.3(PAH):c.1043_1053del (p.Leu348fs)

CA229297

102489 (ClinVar)

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 9f581382-e0ca-437f-9223-3cc676ad3184
Approved on: 2020-10-30
Published on: 2020-10-30

HGVS expressions

NM_000277.3:c.1043_1053del
NM_000277.3(PAH):c.1043_1053del (p.Leu348fs)
NC_000012.12:g.102844348_102844358del
CM000674.2:g.102844348_102844358del
NC_000012.11:g.103238126_103238136del
CM000674.1:g.103238126_103238136del
NC_000012.10:g.101762256_101762266del
NG_008690.1:g.78245_78255del
NG_008690.2:g.119053_119063del
NM_000277.1:c.1043_1053del
NM_000277.2:c.1043_1053del
NM_001354304.1:c.1043_1053del
NM_001354304.2:c.1043_1053del
ENST00000307000.7:c.1028_1038del
ENST00000549247.6:n.802_812del
ENST00000551114.2:n.705_715del
ENST00000553106.5:c.1043_1053del
ENST00000635477.1:n.147_157del
ENST00000635528.1:n.558_568del
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Pathogenic

Met criteria codes 4
PVS1 PP4 PM2 PM3_Supporting

Evidence Links 2

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.1043_1053del (p.Leu348fs) variant in PAH has been reported in 1 female patient with classic PKU, serum Phe = 2600 umol/L; BH4 deficiency not excluded (PP4_Moderate). This variant was detected with R408W, reported as Pathogenic in ClinVar, phase not confirmed (0.5 points; PM3_Supporting). This frameshift variant is predicted to undergo NMD, not located in last exon or last 50bp of preliminary exon. Coding exon number 10 out of 13 coding exons (10 out of total exons) (PVS1), and is absent from population databases (PM2). In summary, this variant meets criteria to be classified as pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PVS1, PM2, PP4, PM3_Supporting.
Met criteria codes
PVS1
Frameshift variant, predicted to undergo NMD, not located in last exon or last 50bp of preliminary exon. Coding exon number 10 out of 13 coding exons (10 out of total exons).
PP4
PMID: 11328945 - L348fs dected in 1 female patient with classic PKU, serum Phe = 2600 umol/L; BH4 deficiency not excluded

PM2
Variant absent from population databases.
PM3_Supporting
PMID: 11328945 - L348fs detected with R408W, reported as Pathogenic in ClinVar (VarID:577, 21 submitters), phase not confirmed - 0.5 points
Curation History
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