ClinVar Miner

Submissions for variant NM_000152.5(GAA):c.460C>T (p.Arg154Cys)

gnomAD frequency: 0.00002  dbSNP: rs539841659
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Eurofins Ntd Llc (ga) RCV000596844 SCV000702898 uncertain significance not provided 2016-11-17 criteria provided, single submitter clinical testing
Fulgent Genetics, Fulgent Genetics RCV002483587 SCV002780504 uncertain significance Glycogen storage disease, type II 2021-12-28 criteria provided, single submitter clinical testing
Invitae RCV002483587 SCV004281394 likely pathogenic Glycogen storage disease, type II 2023-09-21 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with cysteine, which is neutral and slightly polar, at codon 154 of the GAA protein (p.Arg154Cys). This variant is present in population databases (rs539841659, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with GAA-related conditions. ClinVar contains an entry for this variant (Variation ID: 498074). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt GAA protein function. This variant disrupts the p.Arg154 amino acid residue in GAA. Other variant(s) that disrupt this residue have been determined to be pathogenic (PMID: 18285536). This suggests that this residue is clinically significant, and that variants that disrupt this residue are likely to be disease-causing. In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic.

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