Total submissions: 3
Submitter | RCV | SCV | Clinical significance | Condition | Last evaluated | Review status | Method | Comment |
---|---|---|---|---|---|---|---|---|
Invitae | RCV000197425 | SCV000255139 | uncertain significance | Charcot-Marie-Tooth disease, type 2 | 2019-07-17 | criteria provided, single submitter | clinical testing | This sequence change replaces leucine with valine at codon 480 of the MED25 protein (p.Leu480Val). The leucine residue is highly conserved and there is a small physicochemical difference between leucine and valine. This variant is present in population databases (rs148214958, ExAC 0.05%). This variant has not been reported in the literature in individuals with MED25-related disease. ClinVar contains an entry for this variant (Variation ID: 216779). Algorithms developed to predict the effect of missense changes on protein structure and function do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. |
ARUP Laboratories, |
RCV000756328 | SCV000884103 | uncertain significance | not provided | 2017-09-05 | criteria provided, single submitter | clinical testing | The p.Leu480Val variant (rs148214958) has not been reported in the medical literature; however, it is listed in the ClinVar database as a variant of uncertain significance (Variation ID: 216779). It is listed in the Genome Aggregation Database (gnomAD) browser with a frequency in non-Finnish European populations of 0.026% (identified in 33 out of 124,724 chromosomes). The leucine at codon 480 is highly conserved considering 11 species up to frog (Alamut software v2.9), although computational analyses return mixed results regarding the effect of this variant on MED25 protein structure/function (SIFT: damaging, PolyPhen2: benign, and Mutation Taster: disease causing). Thus, based on the available information, the clinical significance of the p.Leu480Val variant cannot be determined with certainty. |
Fulgent Genetics, |
RCV000765458 | SCV000896749 | uncertain significance | Charcot-Marie-Tooth disease type 2B2; Basel-Vanagaite-Smirin-Yosef syndrome | 2018-10-31 | criteria provided, single submitter | clinical testing |