ClinVar Miner

Submissions for variant NM_000709.4(BCKDHA):c.661_664del (p.Tyr221fs)

dbSNP: rs796051938
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV000185796 SCV000238734 pathogenic not provided 2017-02-15 criteria provided, single submitter clinical testing The c.661_664delTACG pathogenic variant in the BCKDHA gene causes a frameshift starting with codon Tyrosine 221, changes this amino acid to a Glutamine residue and creates a premature Stop codon at position 108 of the new reading frame, denoted p.Tyr221GlnfsX108. This pathogenic variant is predicted to cause loss of normal protein function either through protein truncation or nonsense-mediated mRNA decay. Although this pathogenic variant has not been previously reported to our knowledge, its presence is consistent with a diagnosis of maple syrup urine disease.
National Newborn Screening Laboratory, Hospital Nacional de Niños RCV000408793 SCV002097377 pathogenic Maple syrup urine disease criteria provided, single submitter clinical testing This is a frame-shift variant in the BCKDHA gene, for which loss of function is a known disease mechanism. This variant results in a truncated protein by creating a premature stop codon. It is not present in population databases (GnomAD exomes, GnomAD genomes). This variant has one publication associated with an individual with MSUD phenotype (PMID: 28417071). It was found in a compound heterozygous state in a patient with biochemical analysis supporting the diagnosis of MSUD (NBS dried blood sample: Xle: 2045umol/L, Val: 554umol/L, Xle/Ala: 7,66. Pre-treatment plasma aminogram: Leu: 2747umol/L, Val: 788umol/L, Ile: 491umol/L, Leu/Ala: 59,7).
Baylor Genetics RCV000408793 SCV004215895 pathogenic Maple syrup urine disease 2023-07-17 criteria provided, single submitter clinical testing
Invitae RCV000408793 SCV004649749 pathogenic Maple syrup urine disease 2023-04-12 criteria provided, single submitter clinical testing ClinVar contains an entry for this variant (Variation ID: 203638). For these reasons, this variant has been classified as Pathogenic. This premature translational stop signal has been observed in individual(s) with autosomal recessive maple syrup urine disease (PMID: 28417071). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Tyr221Glnfs*108) in the BCKDHA gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in BCKDHA are known to be pathogenic (PMID: 16786533, 22593002).
Bioscientia Institut fuer Medizinische Diagnostik GmbH, Sonic Healthcare RCV000408793 SCV000484930 likely pathogenic Maple syrup urine disease no assertion criteria provided clinical testing

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