ClinVar Miner

Submissions for variant NM_000439.5(PCSK1):c.541T>C (p.Tyr181His)

gnomAD frequency: 0.00014  dbSNP: rs145592525
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Illumina Laboratory Services, Illumina RCV001156476 SCV001317975 uncertain significance Obesity due to prohormone convertase I deficiency 2017-04-27 criteria provided, single submitter clinical testing This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance.
Fulgent Genetics, Fulgent Genetics RCV002497582 SCV002806880 uncertain significance Body mass index quantitative trait locus 12; Obesity due to prohormone convertase I deficiency 2022-01-24 criteria provided, single submitter clinical testing
Clinical Genetics, Academic Medical Center RCV001700981 SCV001925716 uncertain significance not provided no assertion criteria provided clinical testing
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center RCV001700981 SCV001973448 uncertain significance not provided no assertion criteria provided clinical testing
PreventionGenetics, part of Exact Sciences RCV003938522 SCV004750509 uncertain significance PCSK1-related disorder 2024-02-21 no assertion criteria provided clinical testing The PCSK1 c.541T>C variant is predicted to result in the amino acid substitution p.Tyr181His. This variant has been detected in the heterozygous state in several individuals with obesity but also in control subjects (Creemers et al. 2012. PubMed ID: 22210313; Kleinendorst et al. 2018. PubMed ID: 29970488; Van Dijck et al. 2022. PubMed ID: 36292633). The p.Tyr181His substitution did not influence PCSK1 enzymatic activity in engineered cell lines, but it did result in mildly decreased propeptide cleavage—a property required for activation in native cells (Creemers et al. 2012. PubMed ID: 22210313). In the same study, case-control analysis was under-powered, but suggested the variant may be associated with heterozygous obesity susceptibility; however, this was disputed in a different study (Creemers et al. 2012. PubMed ID: 22210313; Van Dijck et al. 2022. PubMed ID: 36292633). Another in vitro functional study showed suggestive evidence of loss of function (Table 3 and Supplemental Data Set, Shah et al. 2023. PubMed ID: 36864747). This variant is reported in 0.021% of alleles in individuals of European (non-Finnish) descent in gnomAD. Although we suspect this variant may be pathogenic, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence.

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