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Variant: NM_000277.2(PAH):c.547_548delGAinsTT (p.Glu183Leu)

CA267658

120278 (ClinVar)

Gene: PAH
Condition: phenylketonuria
Inheritance Mode: Autosomal recessive inheritance
UUID: 3e905683-806d-4709-8aaf-b71562b3bf03
Approved on: 2019-08-11
Published on: 2019-08-11

HGVS expressions

NM_000277.2:c.547_548delGAinsTT
NM_000277.2(PAH):c.547_548delGAinsTT (p.Glu183Leu)
NM_000277.1:c.547_548delinsTT
NM_000277.2:c.547_548delinsTT
NM_001354304.1:c.547_548delinsTT
NM_000277.3:c.547_548delinsTT
ENST00000307000.7:c.532_533delinsTT
ENST00000549111.5:n.643_644delinsTT
ENST00000551988.5:n.568_569delinsTT
ENST00000553106.5:c.547_548delinsTT
NC_000012.12:g.102855294_102855295delinsAA
CM000674.2:g.102855294_102855295delinsAA
NC_000012.11:g.103249072_103249073delinsAA
CM000674.1:g.103249072_103249073delinsAA
NC_000012.10:g.101773202_101773203delinsAA
NG_008690.1:g.67308_67309delinsTT
NG_008690.2:g.108116_108117delinsTT

Likely Pathogenic

Met criteria codes 4
PM3 PM2 PP4 PP3

Evidence Links 1

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Phenylketonuria VCEP
The c.547_548delGAinsTT PAH variant has been identified in at least one patient with classic PKU (PMID: 26666653). It was detected in trans with the pathogenic variant c.143T>C; p.Leu48Ser (ClinVar 608). This variant is absent from 1000G, ESP, and gnomAD databases. It is predicted deleterious in multiple in silico models. In summary, this variant meets criteria to be classified as likely pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PP4, PM2, PM3, PP3.
Met criteria codes
PM3
This variant has been observed in trans with the previously assessed pathogenic variant c.143T>C; p.Leu48Ser (ClinVar 608, Pathogenic).

PM2
The variant is absent from ExAC, gnomAD, 1000G, and ESP.
PP4
A compound heterozygous proband with this variant was described with the classic PKU phenotype and PHE >1200umol/L. Defects in BH4 cofactor metabolism were not excluded.

PP3
MutationTaster: Disease Causing; PolyPhen-2: Probably Damaging; PROVEAN: Deleterious; SIFT: Damaging
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