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Variant: NM_001306179.2:c.811del

CA915940438

Gene: HNF1A
Condition: monogenic diabetes
Inheritance Mode: Autosomal dominant inheritance
UUID: 9331c89b-5ffd-4911-b3d0-fe77a2b17f41

HGVS expressions

NM_001306179.2:c.811del
NC_000012.12:g.120994261del
CM000674.2:g.120994261del
NC_000012.11:g.121432064del
CM000674.1:g.121432064del
NC_000012.10:g.119916447del
NG_011731.2:g.20516del
ENST00000257555.11:c.811del
ENST00000257555.10:c.811del
ENST00000400024.6:c.811del
ENST00000402929.5:n.946del
ENST00000535955.5:n.43-3230del
ENST00000538626.2:n.191-3230del
ENST00000538646.5:c.624del
ENST00000540108.1:c.*251del
ENST00000541395.5:c.811del
ENST00000541924.5:c.713+555del
ENST00000543427.5:c.633+635del
ENST00000544413.2:c.811del
ENST00000544574.5:c.73-2356del
ENST00000560968.5:n.893+61del
ENST00000615446.4:c.-257-2001del
ENST00000617366.4:c.586+682del
NM_000545.5:c.811del
NM_000545.6:c.811del
NM_001306179.1:c.811del
NM_000545.8:c.811del

Likely Pathogenic

The Expert Panel has overridden the computationally generated classification - "Uncertain Significance - Insufficient Evidence"
Met criteria codes 2
PVS1_Strong PM2_Supporting
Not Met criteria codes 1
PP4

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specification: ClinGen Monogenic Diabetes Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines Version 1.1

PDF
Criteria Specification Approval History
Criteria Specifications for this VCEP
Evidence submitted by expert panel
Monogenic Diabetes VCEP
The c.811del variant in the HNF1 homeobox A gene, HNF1A, causes a frameshift in the protein at codon 271 NM_000545.8, adding 71 novel amino acids before encountering a stop codon (p.(Arg271GlyfsTer71). This variant, located in biologically-relevant exon 4 of 10, is predicted to lead to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism (PVS1; PMID: 23348805). This variant is absent from gnomAD v2.1.1 (PM2_Supporting). This variant was identified in an individual with a clinical history suggestive of HNF1A-MODY (MODY probability calculator result >50%); however, HNF4A was not tested, and PP4 will not be applied (PMID: 16917892, internal lab contributors). In summary, c.811delC meets the criteria to be classified as likely pathogenic for monogenic diabetes. ACMG/AMP criteria applied, as specified by the ClinGen MDEP (specification version 1.1, approved 9/30/21): PVS1, PM2_Supporting.
Met criteria codes
PVS1_Strong
This variant is predicted to cause loss of function by resulting in the nonsense mediated decay of a biologically relevant exon.
PM2_Supporting
This variant is absent from gnomAD.
Not Met criteria codes
PP4
This variant was identified in an individual with a clinical history suggestive of HNF1A-MODY (MODY probability calculator result >50%); however, HNF4A was not tested (PMID: 16917892, internal lab contributors).
Approved on: 2022-04-13
Published on: 2022-07-12
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