Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM1PM2PP3_StrongPP5_Moderate
The NM_000430.4(PAFAH1B1):c.1196G>C(p.Ser399Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Synonymous variant affecting the same amino acid position (i.e. S399S) has been classified as Likely benign.
PAFAH1B1 (HGNC:8574): (platelet activating factor acetylhydrolase 1b regulatory subunit 1) This locus was identified as encoding a gene that when mutated or lost caused the lissencephaly associated with Miller-Dieker lissencephaly syndrome. This gene encodes the non-catalytic alpha subunit of the intracellular Ib isoform of platelet-activating factor acteylhydrolase, a heterotrimeric enzyme that specifically catalyzes the removal of the acetyl group at the SN-2 position of platelet-activating factor (identified as 1-O-alkyl-2-acetyl-sn-glyceryl-3-phosphorylcholine). Two other isoforms of intracellular platelet-activating factor acetylhydrolase exist: one composed of multiple subunits, the other, a single subunit. In addition, a single-subunit isoform of this enzyme is found in serum. [provided by RefSeq, Apr 2009]
Our verdict: Pathogenic. The variant received 10 ACMG points.
PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 3 benign, 4 uncertain in NM_000430.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.948
PP5
Variant 17-2681765-G-C is Pathogenic according to our data. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr17-2681765-G-C is described in CliVar as Pathogenic. Clinvar id is 159501.Status of the report is criteria_provided_single_submitter, 1 stars.