ClinVar Miner

Submissions for variant NM_033109.5(PNPT1):c.407G>A (p.Arg136His)

dbSNP: rs746356243
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Total submissions: 5
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
GeneDx RCV001585665 SCV001811021 likely pathogenic not provided 2024-08-28 criteria provided, single submitter clinical testing 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: 28645153, 30046113, 31752325, 30244537, 33199448, 34758253, 37298184, 34498404, deLen-Ojeda2024[paper])
Labcorp Genetics (formerly Invitae), Labcorp RCV001585665 SCV003524614 pathogenic not provided 2024-10-15 criteria provided, single submitter clinical testing This sequence change replaces arginine, which is basic and polar, with histidine, which is basic and polar, at codon 136 of the PNPT1 protein (p.Arg136His). This variant is present in population databases (rs746356243, gnomAD 0.02%). This missense change has been observed in individual(s) with combined oxidative phosphorylation deficiency (PMID: 28645153, 30046113, 33199448). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 587375). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) has been performed for this missense variant. However, the output from this modeling did not meet the statistical confidence thresholds required to predict the impact of this variant on PNPT1 protein function. For these reasons, this variant has been classified as Pathogenic.
Ambry Genetics RCV002534523 SCV003755532 likely pathogenic Inborn genetic diseases 2024-11-25 criteria provided, single submitter clinical testing The c.407G>A (p.R136H) alteration is located in exon 5 (coding exon 5) of the PNPT1 gene. This alteration results from a G to A substitution at nucleotide position 407, causing the arginine (R) at amino acid position 136 to be replaced by a histidine (H). Based on data from gnomAD, the A allele has an overall frequency of 0.002% (6/251096) total alleles studied. This variant has been identified in the homozygous state and/or in conjunction with other PNPT1 variant(s) in individual(s) with features consistent with PNPT1-related combined oxidative phosphorylation deficiency (Maitlainen, 2017; Pennisi, 2022; Leon-Ojeda, 2024). This amino acid position is highly conserved in available vertebrate species. This alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, this alteration is classified as likely pathogenic.
OMIM RCV000714514 SCV000845204 pathogenic Combined oxidative phosphorylation defect type 13 2018-10-30 no assertion criteria provided literature only
Genomics England Pilot Project, Genomics England RCV000714514 SCV001760091 likely pathogenic Combined oxidative phosphorylation defect type 13 no assertion criteria provided clinical testing

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