ClinVar Miner

Submissions for variant NM_138694.4(PKHD1):c.6116T>C (p.Leu2039Pro)

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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Women's Health and Genetics/Laboratory Corporation of America, LabCorp RCV003123546 SCV003801269 uncertain significance not specified 2023-01-26 criteria provided, single submitter clinical testing Variant summary: PKHD1 c.6116T>C (p.Leu2039Pro) results in a non-conservative amino acid change located in the G8 domain (IPR019316) of 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 4e-06 in 251312 control chromosomes (gnomAD). c.6116T>C has been reported in the literature in individuals affected with Polycystic Kidney And Hepatic Disease (example: Krall_2014). These data indicate that the variant may be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014. Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic.
Baylor Genetics RCV003459782 SCV004204566 likely pathogenic Polycystic kidney disease 4 2023-08-28 criteria provided, single submitter clinical testing
Invitae RCV003502692 SCV004293751 pathogenic Autosomal recessive polycystic kidney disease 2023-11-06 criteria provided, single submitter clinical testing This sequence change replaces leucine, which is neutral and non-polar, with proline, which is neutral and non-polar, at codon 2039 of the PKHD1 protein (p.Leu2039Pro). This variant is present in population databases (rs777228780, gnomAD 0.0009%). This missense change has been observed in individual(s) with polycystic kidney disease (PMID: 24162162). 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: 2429307). 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 PKHD1 protein function with a positive predictive value of 95%. For these reasons, this variant has been classified as Pathogenic.

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