ClinVar Miner

Submissions for variant NM_001386393.1(PANK2):c.460C>T (p.Arg154Trp)

gnomAD frequency: 0.00001  dbSNP: rs137852961
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Labcorp Genetics (formerly Invitae), Labcorp RCV000004810 SCV002305227 pathogenic Pigmentary pallidal degeneration 2023-09-28 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. This variant disrupts the p.Arg264 amino acid residue in PANK2. Other variant(s) that disrupt this residue have been observed in individuals with PANK2-related conditions (PMID: 16437574, 33098801), which suggests that this may be a clinically significant amino acid residue. 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 PANK2 protein function. ClinVar contains an entry for this variant (Variation ID: 4550). This variant is also known as p.R154W . This missense change has been observed in individuals with pantothenate kinase-associated neurodegeneration (PMID: 11479594, 16437574, 22221393). This variant is present in population databases (rs137852961, gnomAD 0.01%). This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 264 of the PANK2 protein (p.Arg264Trp).
GeneDx RCV002460885 SCV002757691 likely pathogenic not provided 2022-05-27 criteria provided, single submitter clinical testing Observed multiple times with a second PANK2 variant in unrelated patients with PANK2-related neurodegeneration in published literature, but it is not known whether the variants occurred on the same (in cis) or on different (in trans) chromosomes in all cases (Darling et al., 2017; Hartig et al., 2006; Zhou et al., 2001); Published functional studies demonstrate that the variant results in a significant decrease in PANK2 protein activity (Hong et al., 2007; Zhang et al., 2006); Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 31540697, 27544236, 32928263, 28456385, 22221393, 11479594, 32456086, 16272150, 16437574, 28845923, 17631502)
Fulgent Genetics, Fulgent Genetics RCV000004810 SCV005661852 likely pathogenic Pigmentary pallidal degeneration 2024-06-07 criteria provided, single submitter clinical testing
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV000004810 SCV005887919 pathogenic Pigmentary pallidal degeneration 2025-01-08 criteria provided, single submitter clinical testing Variant summary: PANK2 c.790C>T (p.Arg264Trp)/c.460C>T (p.Arg154Trp) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 8e-06 in 251420 control chromosomes (gnomAD). c.790C>T has been reported in the literature in multiple individuals affected with Pantothenate Kinase-Associated Neurodegeneration (e.g. Zhou_2001, Leoni_2012). These data indicate that the variant is very likely to be associated with disease. The following publications have been ascertained in the context of this evaluation (PMID: 11479594, 22221393). ClinVar contains an entry for this variant (Variation ID: 4550). Based on the evidence outlined above, the variant was classified as pathogenic.
OMIM RCV000004810 SCV000024986 pathogenic Pigmentary pallidal degeneration 2001-08-01 no assertion criteria provided literature only

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