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_000277.1(PAH):c.728G>T (p.Arg243Leu)

CA229719

102808 (ClinVar)

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 3baf9d92-6ef7-42d6-96e7-f80bec7da14a

HGVS expressions

NM_000277.1:c.728G>T
NM_000277.1(PAH):c.728G>T (p.Arg243Leu)
ENST00000553106.6:c.728G>T
ENST00000307000.7:c.713G>T
ENST00000549247.6:n.487G>T
ENST00000553106.5:c.728G>T
NM_000277.2:c.728G>T
NM_001354304.1:c.728G>T
NM_000277.3:c.728G>T
NM_001354304.2:c.728G>T
NC_000012.12:g.102852929C>A
CM000674.2:g.102852929C>A
NC_000012.11:g.103246707C>A
CM000674.1:g.103246707C>A
NC_000012.10:g.101770837C>A
NG_008690.1:g.69674G>T
NG_008690.2:g.110482G>T

Likely Pathogenic

Met criteria codes 5
PM3_Supporting 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.728G>T (p.Arg243Leu) variant in PAH has been reported in 1 individual with PKU detected with pathogenic variant p.R261Q (P 9 submitters) PMID: 12655553, 20217238. This variant is absent in population databases. Computational evidence supports a deleterious effect. Another missense change at the same amino acid,p .Arg243Gln, is pathogenic in ClinVar by multiple submitters (variation ID 591). In summary, this variant meets criteria to be classified as likely pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PP4, PM2, PM3, PM5, PP3.
Met criteria codes
PM3_Supporting
detected with p.R261Q (P 9 submitters) PMID: 20217238 parental analysis not reported
PP4
PMID 12655553: In footnote of Table 1. listed in one allele in a cohort of Germany PKU/MHP patients.

PP3
Predicted deleterious in SIFT, PolyPhen2, MutationTaster, REVEL=0.966
PM2
Absent from controls in ExAC, gnomAD, 1000 Genomes, ESP
PM5
p.Arg243Gln pathogenic 10 submitters
Approved on: 2021-02-14
Published on: 2021-06-09
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