ClinVar Miner

Submissions for variant NM_000180.4(GUCY2D):c.1245del (p.Phe415fs)

dbSNP: rs1598146173
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
ClinGen Leber Congenital Amaurosis/early Onset Retinal Dystrophy Variant Curation Expert Panel, ClinGen RCV005053960 SCV005687742 pathogenic GUCY2D-related recessive retinopathy 2025-01-30 reviewed by expert panel curation NM_000180.4(GUCY2D):c.1245del (p.Phe415Leufs*73) is a loss of function variant in which the deletion of a T at c.1245 in exon 4 of 20 causes a frameshift and early termination 73 codons after p.Phe415. This premature stop codon is predicted to lead to nonsense mediated decay in a gene in which loss-of-function is an established mechanism of disease (PVS1). This variant is absent from gnomAD v. 4.1.0 (PM2_Supporting). The variant has been reported to segregate with LCA through the proband plus 1 similarly affected relative, with the variant present in the compound heterozygous state (PP1; PMID: 32865313). The patient's phenotype or family history is highly specific for the gene, with at least one proband harboring this variant exhibiting a phenotype including a diagnosis of LCA / eoRD (0.5pts), previous genetic testing that did not provide an alternative explanation for visual impairment (2 pts), symptomatic onset between birth and 5 years (1 pt), nystagmus (1 pt), decreased peripheral vision (1 pt), and decreased central vision (1 pt) which together are specific for GUCY2D-related recessive retinopathy (6.5 total points, PMID: 32865313, PP4). In summary, this variant meets the criteria to be classified as pathogenic for GUCY2D-related recessive retinopathy based on the ACMG/AMP criteria applied, as specified by the ClinGen LCA/eoRD VCEP: PVS1, PM2_Supporting, PP1, and PP4. (VCEP specifications version 1.0.0; date of approval 01/22/2025).
Mendelics RCV000989736 SCV001140280 pathogenic Cone-rod dystrophy 6 2019-05-28 criteria provided, single submitter clinical testing
Labcorp Genetics (formerly Invitae), Labcorp RCV001858713 SCV002235919 pathogenic Cone-rod dystrophy 6; Leber congenital amaurosis 1 2022-08-24 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 803313). This premature translational stop signal has been observed in individual(s) with GUCY2D-related conditions (PMID: 32865313). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Phe415Leufs*73) in the GUCY2D gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in GUCY2D are known to be pathogenic (PMID: 10951519, 11328726).

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