The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]

  • See Evidence submitted by expert panel for details.

Variant: NM_000277.3(PAH):c.648C>G (p.Tyr216Ter)

CA229669

102769 (ClinVar)

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: bef3eb83-0cda-4e62-8d6e-2cee996c411c
Approved on: 2020-10-30
Published on: 2020-10-30

HGVS expressions

NM_000277.3:c.648C>G
NM_000277.3(PAH):c.648C>G (p.Tyr216Ter)
NC_000012.12:g.102855194G>C
CM000674.2:g.102855194G>C
NC_000012.11:g.103248972G>C
CM000674.1:g.103248972G>C
NC_000012.10:g.101773102G>C
NG_008690.1:g.67409C>G
NG_008690.2:g.108217C>G
NM_000277.1:c.648C>G
NM_000277.2:c.648C>G
NM_001354304.1:c.648C>G
NM_001354304.2:c.648C>G
ENST00000307000.7:c.633C>G
ENST00000549111.5:n.744C>G
ENST00000553106.5:c.648C>G
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Pathogenic

Met criteria codes 4
PM2 PVS1 PP4 PM3_Supporting

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.648C>G (p.Tyr216Ter) variant has been identified in at least one patient with classic PKU (PMID: 26666653). The patient was compound heterozygous with the pathogenic variant Glu280Lys (ClinVar 580). This variant is absent from 1000G, ESP, and gnomAD databases. This variant creates a stop codon in exon 6 of 13 which is predicted to cause NMD. In summary, this variant meets criteria to be classified as pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PVS1, PP4, PM2, PM3_supporting.
Met criteria codes
PM2
The variant is absent from population databases including gnomAD, ExAC, 1000 Genomes, and ESP.
PVS1
The Tyr216Ter nonsense variant creates a stop codon in exon 6 of 13 which is predicted to cause NMD.
PP4
At least one proband with this variant has been described (PMID: 26666653) with the classic PKU phenotype and PHE >1200umol/L. Exclusion of defects in BH4 cofactor metabolism was not reported.

PM3_Supporting
At least one patient has been reported (PMID: 26666653) compound heterozygous for Tyr216Ter and Glu280Lys (ClinVar 580, Pathogenic by multiple submitters). Confirmation of trans phase was not reported.
Curation History
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