Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3
The NM_176787.5(PIGN):āc.963G>Cā(p.Gln321His) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000745 in 1,341,494 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Synonymous variant affecting the same amino acid position (i.e. Q321Q) has been classified as Pathogenic.
PIGN (HGNC:8967): (phosphatidylinositol glycan anchor biosynthesis class N) This gene encodes a protein that is involved in glycosylphosphatidylinositol (GPI)-anchor biosynthesis. The GPI-anchor is a glycolipid found on many blood cells and serves to anchor proteins to the cell surface. This protein is expressed in the endoplasmic reticulum and transfers phosphoethanolamine (EtNP) to the first mannose of the GPI anchor. Two alternatively spliced variants, which encode an identical isoform, have been reported. [provided by RefSeq, Jul 2008]
Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);.;.;Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);Loss of stability (P = 0.2752);