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_001079804.3:c.796C>A

CA401363493

Gene: GAA
Condition: glycogen storage disease II
Inheritance Mode: Autosomal recessive inheritance
UUID: fce67c01-a123-49af-8e08-1c48dd577017
Approved on: 2022-06-30
Published on: 2022-06-30

HGVS expressions

NM_001079804.3:c.796C>A
NC_000017.11:g.80107660C>A
CM000679.2:g.80107660C>A
NC_000017.10:g.78081459C>A
CM000679.1:g.78081459C>A
NC_000017.9:g.75696054C>A
NG_009822.1:g.11105C>A
ENST00000302262.8:c.796C>A
ENST00000302262.7:c.796C>A
ENST00000390015.7:c.796C>A
ENST00000570803.5:c.796C>A
NM_000152.3:c.796C>A
NM_001079803.1:c.796C>A
NM_001079804.1:c.796C>A
NM_000152.4:c.796C>A
NM_001079803.2:c.796C>A
NM_001079804.2:c.796C>A
NM_000152.5:c.796C>A
NM_001079803.3:c.796C>A

Uncertain Significance

Met criteria codes 4
PM3_Supporting BP4 PM2_Supporting PM5_Supporting
Not Met criteria codes 2
PS1 PP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Lysosomal Diseases VCEP
The NM_000152.5:c.796C>A variant in GAA is a missense variant predicted to cause substitution of proline by threonine at amino acid 266 (p.Pro266Thr). One patient with a diagnosis of Pompe disease has been reported who is compound heterozygous, phase unknown, for the variant and a variant in GAA that has been classified as pathogenic by the ClinGen LSD VCEP, c.2237G>A (p.Trp746Ter) (PMID: 29451150) (PM3_Supporting). Two other missense changes, c.796C>T (p.Pro266Ser) and c.797C>T (p.Pro266Leu) at the same amino acid residue have been reported. The first, c.796C>T (p.Pro266Ser), has been classified as likely pathogenic by the ClinGen LSD VCEP. The second variant, c.797C>T (p.Pro266Leu), has not been classified as pathogenic or likely pathogenic by the ClinGen LSD VCEP (PM5_Supporting). The computational predictor REVEL gives a score of 0.262 which is below the threshold of 0.5, evidence that does not predict a damaging effect on GAA function (BP4). There is no ClinVar entry for this variant. In summary, this variant meet the criteria to be classified as a variant of uncertain significance for Pompe disease. GAA-specific ACMG/AMP codes met, based on the specifications of the ClinGen LSD VCEP (Specifications version 2.0): PM2_Supporting, PM3_Supporting, PM5_Supporting, BP4.
Met criteria codes
PM3_Supporting
One patient with a diagnosis of Pompe disease has been reported who is compound heterozygous, phase unknown, for the variant and a variant in GAA that has been classified as pathogenic by the ClinGen LSD VCEP, c.2237G>A (p.Trp746Ter) (PMID: 29451150), 0.5 points (PM3_Supporting).
BP4
The computational predictor REVEL gives a score of 0.262 which is below the threshold of 0.5, evidence that does not predict a damaging effect on GAA function (BP4).
PM2_Supporting
This variant is absent in gnomAD.
PM5_Supporting
Two other missense changes, c.796C>T (p.Pro266Ser) and c.797C>T (p.Pro266Leu) at the same amino acid residue have been reported. The first, c.796C>T (p.Pro266Ser), has been classified as likely pathogenic by the ClinGen LSD VCEP. The second variant, c.797C>T (p.Pro266Leu), has not been classified as pathogenic or likely pathogenic by the ClinGen LSD VCEP (PM5_Supporting).
Not Met criteria codes
PS1
The p.Pro266Thr amino acid change has not been reported with another nucleotide change in ClinVar, HGMD Pro, LOVD or pompevariantdatabase.nl.
PP4
One patient with this variant with symptomns consistent with late onset Pompe disease has been reported but there is insufficient data to apply PP4 (PMID: 29451150).
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