Total submissions: 41
Submitter | RCV | SCV | Clinical significance | Condition | Last evaluated | Review status | Method | Comment |
---|---|---|---|---|---|---|---|---|
Eurofins Ntd Llc |
RCV000224056 | SCV000230833 | pathogenic | not provided | 2018-07-17 | criteria provided, single submitter | clinical testing | |
Center for Pediatric Genomic Medicine, |
RCV000224056 | SCV000280999 | pathogenic | not provided | 2014-10-02 | criteria provided, single submitter | clinical testing | |
Gene |
RCV000224056 | SCV000322438 | pathogenic | not provided | 2022-03-22 | criteria provided, single submitter | clinical testing | Reported as the most common ALDOB pathogenic variant among individuals of European ancestry (Santer et al., 2005); Published functional studies demonstrate A150P decreases substrate affinity and enzyme stability and results in loss of thermostability and significantly lower activity than wild type protein (Esposito et al., 2002; Malay et al., 2002); X-ray crystallography shows extensive structural perturbation at the site of the substitution and in the adjacent loop regions (Malay et al., 2005); In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 12464284, 15733923, 19768653, 29510902, 27797444, 15880727, 12417303, 3383242, 25333069, 22975760, 18541450, 26937407, 29984853, 31589614, 30609409, 22773061, 31980526, 8096362, 34440436, 34426522) |
Illumina Laboratory Services, |
RCV000000493 | SCV000476066 | pathogenic | Hereditary fructosuria | 2018-05-17 | criteria provided, single submitter | clinical testing | The ALDOB c.448G>C (p.Ala150Pro) variant is well-documented as one of the most common variants among patients with hereditary fructose intolerance in European and North American populations (Baker et al. 2015). Across a small selection of the available literature, the p.Ala150Pro variant was identified in a homozygous state in 44 patients, in a compound heterozygous state in 33 patients, and in a heterozygous state in three unaffected family members of a patient (Cross et al. 1988; Coffee et al. 2010). Control data are not reported in these studies for this variant, which is found at a frequency of 0.00895 in the European population from the 1000 Genomes Project. The ALDOB p.Ala150Pro variant protein, extracted from liver and intestinal tissues from a homozygous patient, showed a profound reduction in substrate affinity and specific activity when compared with control subjects (Cox et al. 1983), and in vitro functional studies of ALDOB variants demonstrated that the p.Ala150Pro variant protein was highly unstable with no detectable residual enzyme activity (Esposito et al. 2002). Based on the collective evidence, the p.Ala150Pro variant is classified as pathogenic for hereditary fructose intolerance. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. |
Women's Health and Genetics/Laboratory Corporation of America, |
RCV000000493 | SCV000693962 | pathogenic | Hereditary fructosuria | 2017-08-21 | criteria provided, single submitter | clinical testing | Variant summary: The ALDOB c.448G>C (p.Ala150Pro) variant involves the alteration of a conserved nucleotide. 5/5 in silico tools predict a damaging outcome for this variant. This variant was found in 328/121396 control chromosomes at a frequency of 0.0027019, which does not exceed the estimated maximal expected allele frequency of a pathogenic ALDOB variant (0.0044721). The variant of interest has been reported in multiple affected individuals via publications. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as pathogenic. Taken together, this variant is classified as pathogenic. |
Laboratory for Molecular Medicine, |
RCV000000493 | SCV000711745 | pathogenic | Hereditary fructosuria | 2022-06-30 | criteria provided, single submitter | clinical testing | The p.Ala150Pro variant in ALDOB (frequently referred to as p.Ala149Pro) is the most common hereditary fructose intolerance (HFI) allele, accounting for approximately half of HFI alleles identified worldwide (Cross and Cox 1989 PMID: 3383242, Malay 2005 PMID: 15733923). In vitro functional studies also provide evidence that the p.Ala150Pro variant impacts protein function (Esposito 2002 PMID: 12417303, Malay 2002 PMID: 12464284, Malay 2005 PMID: 15733923). This variant has been identified in 0.47% (604/126366) of European chromosomes by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs1800546). Although it has been seen in the general population, its frequency is low enough to be consistent with a recessive carrier frequency. In summary, this variant meets criteria to be classified as pathogenic for HFI in an autosomal recessive manner based upon functional evidence and biallelic occurrence in affected individuals. ACMG/AMP Criteria applied: PM3_Very Strong, PS4_Moderate, PS3_Supporting. |
Invitae | RCV000000493 | SCV000752027 | pathogenic | Hereditary fructosuria | 2024-01-31 | criteria provided, single submitter | clinical testing | This sequence change replaces alanine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 150 of the ALDOB protein (p.Ala150Pro). This variant is present in population databases (rs1800546, gnomAD 0.5%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with inherited fructose intolerance (PMID: 3383242, 8096362, 15880727, 18541450, 19768653, 27797444). It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 464). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. Experimental studies have shown that this missense change affects ALDOB function (PMID: 12417303, 12464284). For these reasons, this variant has been classified as Pathogenic. |
SIB Swiss Institute of Bioinformatics | RCV000000493 | SCV000803454 | pathogenic | Hereditary fructosuria | 2018-05-31 | criteria provided, single submitter | curation | This variant is interpreted as a Pathogenic, for Fructose intolerance, hereditary, in Autosomal Recessive manner. The following ACMG Tag(s) were applied: PM2 => Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium (PMID:18541450) (PMID:15880727) (PMID:16406649). PS4-Moderate => Recurrent mutation, found in various HFI patients from unrelated pedigrees. PP3 => Multiple lines of computational evidence support a deleterious effect on the gene or gene product. PS3 => Well-established functional studies show a deleterious effect. Severe reduction of aldolase activity towards fructose-1-phosphate (F-1-P) and fructose-1,6-bisphosphate (F-1,6-P2) measured in hepatic biopsies. In vitro expression studies confirm that the recombinant enzyme has defective activity (PMID:12417303) (PMID:12205126). PP1 => Cosegregation with disease in multiple affected family members in a gene definitively known to cause the disease (PMID:3383242). |
Fulgent Genetics, |
RCV000000493 | SCV000894461 | pathogenic | Hereditary fructosuria | 2018-10-31 | criteria provided, single submitter | clinical testing | |
Baylor Genetics | RCV000000493 | SCV001163208 | pathogenic | Hereditary fructosuria | 2024-03-30 | criteria provided, single submitter | clinical testing | |
Myriad Genetics, |
RCV000000493 | SCV001193927 | pathogenic | Hereditary fructosuria | 2019-11-12 | criteria provided, single submitter | clinical testing | NM_000035.3(ALDOB):c.448G>C(A150P) is classified as pathogenic in the context of hereditary fructose intolerance. Sources cited for classification include the following: PMID 23114028, 11757579, 16406649, 15880727, 18541450, 3383242, 1967768, and 15532022. Classification of NM_000035.3(ALDOB):c.448G>C(A150P) is based on the following criteria: This is a well-established pathogenic variant in the literature that has been observed more frequently in patients with clinical diagnoses than in healthy populations. Please note: this variant was assessed in the context of healthy population screening. |
Ce |
RCV000224056 | SCV001249913 | pathogenic | not provided | 2024-03-01 | criteria provided, single submitter | clinical testing | ALDOB: PM3:Very Strong, PS3, PM2:Supporting, PP1 |
Elsea Laboratory, |
RCV000000493 | SCV001424273 | pathogenic | Hereditary fructosuria | 2020-04-01 | criteria provided, single submitter | clinical testing | |
Genome- |
RCV000000493 | SCV001810255 | pathogenic | Hereditary fructosuria | 2021-07-22 | criteria provided, single submitter | clinical testing | |
Revvity Omics, |
RCV000000493 | SCV002024904 | pathogenic | Hereditary fructosuria | 2022-12-20 | criteria provided, single submitter | clinical testing | |
New York Genome Center | RCV000000493 | SCV002025585 | pathogenic | Hereditary fructosuria | 2020-04-30 | criteria provided, single submitter | clinical testing | |
Greenwood Genetic Center Diagnostic Laboratories, |
RCV000000493 | SCV002061466 | pathogenic | Hereditary fructosuria | 2021-07-16 | criteria provided, single submitter | clinical testing | PS3, PP1, PP3, PM2, PM3 |
Genetic Services Laboratory, |
RCV000224056 | SCV002064384 | pathogenic | not provided | 2019-11-27 | criteria provided, single submitter | clinical testing | DNA sequence analysis of the ALDOB gene demonstrated a sequence change, c.448G>C, in exon 5 that results in an amino acid change, p.Ala150Pro. This sequence change has been described in the gnomAD database with a population frequency of 0.49%, however, it has not been observed in homozygous state in any individuals (dbSNP rs1800546). This sequence change (alternatively reported as p.Ala149Pro) has previously been described in the homozygous or compound heterozygous states with another pathogenic variant, in individuals with hereditary fructose intolerance (PMID: 3383242, PMID: 27797444, PMID: 22975760, PMID: 26937407, PMID: 20162364) and is one of the most commonly reported ALDOB pathogenic variant in individuals of European ancestry. The p.Ala150Pro change affects a moderately conserved amino acid residue located in a domain of the ALDOB protein that is known to be functional. In vitro functional analyses showed that the p.Ala150Pro substitution has an impact on both substrate affinity and enzyme stability and wild type protein activity is reduced (PMID: 12417303, PMID: 12464284). |
Provincial Medical Genetics Program of British Columbia, |
RCV000000493 | SCV002496385 | pathogenic | Hereditary fructosuria | 2022-01-01 | criteria provided, single submitter | clinical testing | |
Mendelics | RCV000000493 | SCV002517552 | pathogenic | Hereditary fructosuria | 2022-05-04 | criteria provided, single submitter | clinical testing | |
Laboratorio de Genetica e Diagnostico Molecular, |
RCV002251841 | SCV002523065 | pathogenic | See cases | 2022-03-28 | criteria provided, single submitter | clinical testing | ACMG classification criteria: PS3, PM3, PP3 |
Victorian Clinical Genetics Services, |
RCV000000493 | SCV002767902 | pathogenic | Hereditary fructosuria | 2022-03-31 | criteria provided, single submitter | clinical testing | Based on the classification scheme VCGS_Germline_v1.3.4, this variant is classified as Pathogenic. Following criteria are met: 0102 - Loss of function is a known mechanism of disease in this gene and is associated with hereditary fructose intolerance (MIM#229600). (I) 0106 - This gene is associated with autosomal recessive disease. (I) 0200 - Variant is predicted to result in a missense amino acid change from alanine to proline. (I) 0251 - This variant is heterozygous. (I) 0304 - Variant is present in gnomAD (v3) <0.01 for a recessive condition (472 heterozygotes, 2 homozygotes). (SP) 0309 - An alternative amino acid change at the same position has been observed in gnomAD (v2) (1 heterozygote, 0 homozygotes). (I) 0501 - Missense variant consistently predicted to be damaging by multiple in silico tools or highly conserved with a major amino acid change. (SP) 0600 - Variant is located in the annotated glycolytic domain (NCBI, PDB). (I) 0801 - This variant has strong previous evidence of pathogenicity in unrelated individuals. This variant has been reported many times as pathogenic and likely pathogenic, and is one of the most common deleterious variants in this gene (ClinVar, PMID: 15880727). (SP) 1002 - This variant has moderate functional evidence supporting abnormal protein function. In vitro assays demonstrate that this missense variant results in the complete loss of catalytic activity and efficiency of substrates fructose-1,6-bisphosphate and fructose-1-phosphate (PMID: 12417303). (SP) 1208 - Inheritance information for this variant is not currently available in this individual. (I) Legend: (SP) - Supporting pathogenic, (I) - Information, (SB) - Supporting benign |
Laboratory of Medical Genetics, |
RCV000000493 | SCV004014025 | pathogenic | Hereditary fructosuria | 2023-05-02 | criteria provided, single submitter | clinical testing | PS3, PM2, PP2, PP3, PP4, PP5 |
Rady Children's Institute for Genomic Medicine, |
RCV000000493 | SCV004046147 | pathogenic | Hereditary fructosuria | criteria provided, single submitter | clinical testing | This variant (also referred to as p.Ala149Pro in the literature) has been previously reported in the homozygous or compound heterozygous state in individuals with hereditary fructose intolerance (PMID: 3383242, 8096362, 19768653, 15880727, 18541450, 27797444). The c.448G>C (p.Ala150Pro) variant is the most common pathogenic variant in ALDOB (PMID: 15733923). Functional studies show this variant reduces substrate affinity as well as enzyme thermal stability, quaternary structure, and activity (PMID:12417303, 12464284, 15733923). The c.448G>C (p.Ala150Pro) variant is present in the heterozygous state in the gnomAD population database at a frequency of 0.3% (874/282528) and is absent in the homozygous state. It is predicted by multiple in silico tools to have a deleterious effect on protein function. Based on the available evidence, the c.448G>C (p.Ala150Pro) variant is classified as Pathogenic. | |
Prevention |
RCV003415603 | SCV004106651 | pathogenic | ALDOB-related disorder | 2024-02-01 | criteria provided, single submitter | clinical testing | The ALDOB c.448G>C variant is predicted to result in the amino acid substitution p.Ala150Pro. This variant, also referred to as p.Ala149Pro in the literature, is one of the most frequently reported causative variants for hereditary fructose intolerance (Cross et al. 1988. PubMed ID: 3383242; Sánchez-Gutiérrez et al. 2002. PubMed ID: 12205126). This variant is reported in 0.49% of alleles in individuals of European (Non-Finnish) descent in gnomAD. This variant is interpreted as pathogenic. |
Mayo Clinic Laboratories, |
RCV000224056 | SCV004226612 | pathogenic | not provided | 2022-04-21 | criteria provided, single submitter | clinical testing | PP4, PS3, PS4 |
ARUP Laboratories, |
RCV000000493 | SCV004563889 | pathogenic | Hereditary fructosuria | 2023-10-26 | criteria provided, single submitter | clinical testing | The ALDOB c.448G>C; p.Ala150Pro variant, also reported as Ala149Pro (rs1800546; ClinVar Variation ID: 464), is one of the most common pathogenic ALDOB variants and has been identified in numerous affected individuals both as a homozygote and in trans with other pathogenic ALDOB variants (Cross 1988, Davit-Spraul 2008, Ferri 2012, Li 2018, Valadares 2015). This variant is found in the general population with an overall allele frequency of 0.3% (874/282,528 alleles) in the Genome Aggregation Database. Computational analyses predict that this variant is deleterious (REVEL: 0.701). Functional studies demonstrate that this variant causes protein instability and loss of enzymatic activity (Esposito 2002, Malay 2002, Malay 2005). Based on the available information, the p.Ala150Pro variant is considered to be pathogenic. References: Cross NC et al. Catalytic deficiency of human aldolase B in hereditary fructose intolerance caused by a common missense mutation. Cell. 1988;53(6):881-885. PMID: 3383242. Davit-Spraul A et al. Hereditary fructose intolerance: frequency and spectrum mutations of the aldolase B gene in a large patients cohort from France--identification of eight new mutations. Mol Genet Metab. 2008;94(4):443-447. PMID: 18541450. Esposito G et al. Structural and functional analysis of aldolase B mutants related to hereditary fructose intolerance. FEBS Lett. 2002;531(2):152-156. PMID: 12417303. Ferri L et al. Integration of PCR-Sequencing Analysis with Multiplex Ligation-Dependent Probe Amplification for Diagnosis of Hereditary Fructose Intolerance. JIMD Rep. 2012;6:31-37. PMID: 23430936 Li H et al. Acute liver failure in neonates with undiagnosed hereditary fructose intolerance due to exposure from widely available infant formulas. Mol Genet Metab. 2018;123(4):428-432. PMID: 29510902. Malay AD et al. Structure of the thermolabile mutant aldolase B, A149P: molecular basis of hereditary fructose intolerance. J Mol Biol. 2005;347(1):135-144. PMID: 15733923. Malay AD et al. The temperature dependence of activity and structure for the most prevalent mutant aldolase B associated with hereditary fructose intolerance. Arch Biochem Biophys. 2002;408(2):295-304. PMID: 12464284. Valadares ER et al. Hereditary fructose intolerance in Brazilian patients. Mol Genet Metab Rep. 2015;4:35-38. PMID: 26937407. |
Center for Genomic Medicine, |
RCV000000493 | SCV004807244 | likely pathogenic | Hereditary fructosuria | 2024-03-26 | criteria provided, single submitter | clinical testing | |
Ambry Genetics | RCV004018526 | SCV004885753 | pathogenic | Inborn genetic diseases | 2021-11-24 | criteria provided, single submitter | clinical testing | The c.448G>C (p.A150P) alteration is located in exon 5 (coding exon 4) of the ALDOB gene. This alteration results from a G to C substitution at nucleotide position 448, causing the alanine (A) at amino acid position 150 to be replaced by a proline (P). Based on data from gnomAD, the C allele has an overall frequency of 0.31% (874/282528) total alleles studied. The highest observed frequency was 0.49% (627/128866) of European (non-Finnish) alleles. This mutation (also referred to as A149P) has been reported in the homozygous and compound heterozygous states in many affected patients, and is the most frequent ALDOB mutation with a frequency of up to 64% in various cohorts of patients with hereditary fructose intolerance (Cross, 1988; Santer, 2005; Davit-Spraul, 2008; Coffee, 2010). This amino acid position is not well conserved in available vertebrate species. In vitro functional studies show that protein with the p.A150P mutation demonstrates temperature-dependent structural changes and decreased enzyme activity compared to wild type protein (Esposito, 2002; Malay, 2002). This alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, this alteration is classified as pathogenic. |
OMIM | RCV000000493 | SCV000020642 | pathogenic | Hereditary fructosuria | 2008-08-01 | no assertion criteria provided | literature only | |
HFI Laboratory at Boston University, |
RCV000000493 | SCV000067374 | pathogenic | Hereditary fructosuria | no assertion criteria provided | clinical testing | ||
DLE - |
RCV000000493 | SCV000077515 | pathogenic | Hereditary fructosuria | no assertion criteria provided | clinical testing | ||
Gene |
RCV000000493 | SCV000257571 | not provided | Hereditary fructosuria | no assertion provided | literature only | One of the six most common HFI variants in US and European populations including Turkey, Spain, Central Europe, France, US, and Italy | |
Bioscientia Institut fuer Medizinische Diagnostik Gmb |
RCV000000493 | SCV000323150 | pathogenic | Hereditary fructosuria | no assertion criteria provided | clinical testing | ||
Genome |
RCV000000493 | SCV000840266 | not provided | Hereditary fructosuria | no assertion provided | phenotyping only | GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. | |
Biochemical Molecular Genetic Laboratory, |
RCV000000493 | SCV001132811 | pathogenic | Hereditary fructosuria | 2019-01-29 | no assertion criteria provided | clinical testing | |
Natera, |
RCV000000493 | SCV001462843 | pathogenic | Hereditary fructosuria | 2020-09-16 | no assertion criteria provided | clinical testing | |
ATS em Genética Clínica, |
RCV000000493 | SCV001573838 | pathogenic | Hereditary fructosuria | 2021-03-18 | no assertion criteria provided | literature only | |
Genome Diagnostics Laboratory, |
RCV000224056 | SCV001808419 | pathogenic | not provided | no assertion criteria provided | clinical testing | ||
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, |
RCV000224056 | SCV001958090 | pathogenic | not provided | no assertion criteria provided | clinical testing | ||
Clinical Genetics DNA and cytogenetics Diagnostics Lab, |
RCV000224056 | SCV001972164 | likely pathogenic | not provided | no assertion criteria provided | clinical testing |