ClinVar Miner

Submissions for variant NM_002641.4(PIGA):c.355C>T (p.Arg119Trp)

dbSNP: rs587777396
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Total submissions: 4
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV000443275 SCV000516543 pathogenic not provided 2023-03-24 criteria provided, single submitter clinical testing Not observed 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: 24706016, 26923721, 32452540, 31175295, 29502866, 29656098)
Institute of Human Genetics Munich, Klinikum Rechts Der Isar, TU München RCV000119283 SCV001150205 pathogenic Multiple congenital anomalies-hypotonia-seizures syndrome 2 2018-10-12 criteria provided, single submitter clinical testing
Illumina Laboratory Services, Illumina RCV000119283 SCV001451531 likely pathogenic Multiple congenital anomalies-hypotonia-seizures syndrome 2 2019-01-16 criteria provided, single submitter clinical testing The PIGA c.355C>T (p.Arg119Trp) variant is a missense variant that has been reported in a hemizygous state in one male who presented with facial dysmorphisms, thin corpus callosum, delayed myelination, early onset epilepsy, hypotonia and profound intellectual disability and in a heterozygous state in the individual's unaffected mother (Kato et al. 2014). Another affected male individual was found to be hemizygous for a different variant at the same amino acid residue, c.356G>A (p.Arg119Gln), and presented with similar features (Lin et al. 2018). The p.Arg119Trp variant is absent from the Genome Aggregation Database in a region of good sequence coverage so the variant is presumed to be rare. Functional impact of the variant was assessed by examining the surface expression of three different GPI-anchored proteins, FLAER, CD24 and CD16, in patient granulocytes by flow cytometry. The authors found decreased expression of at least two proteins, CD24 and CD16, as compared to normal controls (Kato et al. 2014). In addition, several in-silico tools predict the Arg119Trp change to be deleterious. Based on the collective evidence and application of the ACMG criteria, the p.Arg119Trp variant is classified as likely pathogenic for multiple congenital anomalies-hypotonia-seizures syndrome 2.
OMIM RCV000119283 SCV000154718 pathogenic Multiple congenital anomalies-hypotonia-seizures syndrome 2 2014-05-06 no assertion criteria provided literature only

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