ClinVar Miner

Submissions for variant NM_024301.5(FKRP):c.1343C>T (p.Pro448Leu)

gnomAD frequency: 0.00001  dbSNP: rs104894681
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Total submissions: 7
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Eurofins Ntd Llc (ga) RCV000360542 SCV000345061 pathogenic not provided 2017-12-14 criteria provided, single submitter clinical testing
Fulgent Genetics, Fulgent Genetics RCV000763056 SCV000893537 likely pathogenic Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A1; Muscular dystrophy-dystroglycanopathy type B5; Autosomal recessive limb-girdle muscular dystrophy type 2I; Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A5 2022-02-28 criteria provided, single submitter clinical testing
Ambry Genetics RCV002381242 SCV002688773 likely pathogenic Cardiovascular phenotype 2022-07-14 criteria provided, single submitter clinical testing The p.P448L variant (also known as c.1343C>T), located in coding exon 1 of the FKRP gene, results from a C to T substitution at nucleotide position 1343. The proline at codon 448 is replaced by leucine, an amino acid with similar properties. This alteration has been reported as homozygous in an individual with congenital muscular dystrophy (Brockington M et al. Am J Hum Genet, 2001 Dec;69:1198-209). Additionally, both in vitro and in vivo assays showed this alteration impacts protein function, including a homozygous knock-in mouse that showed this alteration almost completely lacks functional glycosylation of alpha-dystroglycan in muscles and brain (Esapa CT et al. Hum Mol Genet, 2002 Dec;11:3319-31; Esapa CT et al. Hum Mol Genet, 2005 Jan;14:295-305; Keramaris-Vrantsis E et al. Muscle Nerve, 2007 Oct;36:455-65; Lu PJ et al. Biochim Biophys Acta, 2010 Feb;1802:253-8; Chan YM et al. Hum Mol Genet, 2010 Oct;19:3995-4006; Maricelli JW et al. PLoS One, 2016 Sep;11:e0161984; Blaeser A et al. PLoS One, 2016 Oct;11:e0164187). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the majority of available evidence to date, this variant is likely to be pathogenic.
CeGaT Center for Human Genetics Tuebingen RCV000360542 SCV004011082 pathogenic not provided 2023-05-01 criteria provided, single submitter clinical testing FKRP: PM3:Strong, PM2, PS3:Moderate, PP3, PP4
Baylor Genetics RCV003466807 SCV004197415 likely pathogenic Muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A5 2023-08-08 criteria provided, single submitter clinical testing
Invitae RCV003591620 SCV004276080 pathogenic Walker-Warburg congenital muscular dystrophy 2023-05-08 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. Experimental studies have shown that this missense change affects FKRP function (PMID: 12471058, 15574464, 19900540, 20675713, 27711214, 29858056, 30417025). 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 FKRP protein function. ClinVar contains an entry for this variant (Variation ID: 4220). This missense change has been observed in individuals with muscular dystrophy (PMID: 11592034, 31069529). This variant is present in population databases (rs104894681, gnomAD 0.007%). This sequence change replaces proline, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 448 of the FKRP protein (p.Pro448Leu).
OMIM RCV002226440 SCV000024614 pathogenic Muscular dystrophy-dystroglycanopathy (congenital without impaired intellectual development), type B, 5 2001-12-01 no assertion criteria provided literature only

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