ClinVar Miner

Submissions for variant NM_183050.4(BCKDHB):c.991G>A (p.Ala331Thr)

dbSNP: rs1777825845
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Mayo Clinic Laboratories, Mayo Clinic RCV002254500 SCV002525760 likely pathogenic not provided 2021-07-14 criteria provided, single submitter clinical testing PM2, PM3, PP3, PP4
Labcorp Genetics (formerly Invitae), Labcorp RCV003094176 SCV003499774 likely pathogenic Maple syrup urine disease 2025-01-23 criteria provided, single submitter clinical testing This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 331 of the BCKDHB protein (p.Ala331Thr). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with maple syrup urine disease (PMID: 31112740). 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: 1691427). 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) indicates that this missense variant is expected to disrupt BCKDHB protein function with a positive predictive value of 80%. In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic.
Fulgent Genetics, Fulgent Genetics RCV005042760 SCV005674013 likely pathogenic Maple syrup urine disease type 1B 2024-01-17 criteria provided, single submitter clinical testing

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