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  • See Evidence submitted by expert panel for details.

Variant: NM_000277.2(PAH):c.169G>T (p.Glu57Ter)

CA267642

120268 (ClinVar)

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 25d06695-2ddd-4701-bf21-ddb937ad9b51
Approved on: 2019-09-29
Published on: 2019-10-02

HGVS expressions

NM_000277.2:c.169G>T
NM_000277.2(PAH):c.169G>T (p.Glu57Ter)
NC_000012.12:g.102894918C>A
CM000674.2:g.102894918C>A
NC_000012.11:g.103288696C>A
CM000674.1:g.103288696C>A
NC_000012.10:g.101812826C>A
NG_008690.1:g.27685G>T
NG_008690.2:g.68493G>T
NM_000277.1:c.169G>T
NM_001354304.1:c.169G>T
NM_000277.3:c.169G>T
ENST00000307000.7:c.154G>T
ENST00000546844.1:c.169G>T
ENST00000548677.2:n.256G>T
ENST00000548928.1:n.91G>T
ENST00000549111.5:n.265G>T
ENST00000550978.6:n.153G>T
ENST00000551337.5:c.169G>T
ENST00000551988.5:n.258G>T
ENST00000553106.5:c.169G>T
ENST00000635500.1:n.137G>T
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Pathogenic

Met criteria codes 3
PVS1 PP4 PM2

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.169G>T (p.Glu57Ter) variant in PAH has been previously reported Likely Pathogenic by one clinical laboratory in ClinVar (see variant ID 120268); the collection method is stated as “literature only” and no further information is provided. With respect to the published literature, it has been previously reported in one proband with classic PKU (defined by the authors as plasma phenylalanine levels > 1200umol/L) (PMID: 26666653) (PP4). The proband was said to be heterozygous for the variant and also harbor the known pathogenic allele (per ClinGen PAH working group classification, see ClinVar ID 636) c.194T>C (p.Ile65Thr); however, the manuscript did not specify whether the phase of the variants was confirmed via parental testing. Thus, at this point, PM3 cannot be applied with full confidence. The sequence change results in a nonsense variant which occurs in exon 3 of 13 in the in the canonical transcript of PAH, a gene fulfilling the most recent criteria for LOF being a known disease mechanism (see PMID: 30192042) (PVS1). It is present at extremely low frequencies in control databases including ethnically matched individuals, including gnomAD/ExAC, 1000 Genomes, and ESP: the highest MAF reported is 0.00014 in Other subpopulation in gnomAD, below the 0.0002 allele frequency cutoff for PAH variants (PM2).
Met criteria codes
PVS1
The sequence change results in a nonsense variant which occurs in exon 3 of 13 in the in the canonical transcript of PAH, a gene fulfilling the most recent criteria for LOF being a known disease mechanism (see PMID: 30192042) (PVS1).
PP4
The c.169G>T (p.Glu57Ter) variant in PAH has been previously reported Likely Pathogenic by one clinical laboratory in ClinVar (see variant ID 120268); the collection method is stated as “literature only” and no further information is provided. With respect to the published literature, it has been previously reported in one proband with classic PKU (defined by the authors as plasma phenylalanine levels > 1200umol/L) (PMID: 26666653) (PP4). The proband was said to be heterozygous for the variant and also harbor the known pathogenic allele (per ClinGen PAH working group classification, see ClinVar ID 636) c.194T>C (p.Ile65Thr); however, the manuscript did not specify whether the phase of the variants was confirmed via parental testing. Thus, at this point, PM3 cannot be applied with full confidence.

PM2
It is present at extremely low frequencies in control databases including ethnically matched individuals, including gnomAD/ExAC, 1000 Genomes, and ESP: the highest MAF reported is 0.00014 in Other subpopulation in gnomAD, below the 0.0002 allele frequency cutoff for PAH variants (PM2).
Curation History
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