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_001354304.2:c.311C>T

CA386304006

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: bdfd24a5-2b03-45b5-9fee-9cc87e5acd76

HGVS expressions

NM_001354304.2:c.311C>T
NC_000012.12:g.102894776G>A
CM000674.2:g.102894776G>A
NC_000012.11:g.103288554G>A
CM000674.1:g.103288554G>A
NC_000012.10:g.101812684G>A
NG_008690.1:g.27827C>T
NG_008690.2:g.68635C>T
ENST00000553106.6:c.311C>T
ENST00000307000.7:c.296C>T
ENST00000546844.1:c.311C>T
ENST00000548928.1:n.233C>T
ENST00000549111.5:n.407C>T
ENST00000550978.6:n.295C>T
ENST00000551337.5:c.311C>T
ENST00000551988.5:n.400C>T
ENST00000553106.5:c.311C>T
NM_000277.1:c.311C>T
NM_000277.2:c.311C>T
NM_001354304.1:c.311C>T
NM_000277.3:c.311C>T

Likely Pathogenic

Met criteria codes 3
PM5 PP4_Moderate PM2
Not Met criteria codes 1
PP3

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.311C>T (p.Ala104Val) missense variant in PAH has been reported in 1 Chinese patient with classic PKU (Phe >1200umol/L; BH4 deficiency excluded) (PMID: 29499199; PP4_Moderate). This variant is absent from population databases (PM2), and is located at same location a c.311C>A (p.Ala104Asp), reported as Pathogenic in ClinVar (VarID:102650). In summary, this variant meets criteria to be classified as likely pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PP4_Moderate, PM2, PM5.
Met criteria codes
PM5
At same location as NM_000277.3(PAH):c.311C>A (p.Ala104Asp); reported as Pathogenic in ClinVar (VarID:102650)
PP4_Moderate
PMID: 29499199 - A104V detected in 1 Chinese patient with CPKU (serum Phe >1200umol/L); BH4 deficiency excluded via urinary pterin analysis with HPLC
PM2
Variant absent from population databases.
Not Met criteria codes
PP3
Computational evidence is conflicting, predicted benign by by SIFT and PolyPhen2, predicted deleterious by MutationTaster, REVEL = 0.508
Approved on: 2022-07-30
Published on: 2022-07-30
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