Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP5
The NM_014489.4(PGAP2):c.46C>T(p.Arg16Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000304 in 1,613,918 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R16Q) has been classified as Uncertain significance.
PGAP2 (HGNC:17893): (post-GPI attachment to proteins 2) The protein encoded by this gene plays a role in the maturation of glycosylphosphatidylinositol (GPI) anchors on GPI-anchored proteins. Mutations in this gene are associated with an autosomal recessive syndrome characterized by hyperphosphatasia and intellectual disability. [provided by RefSeq, Jul 2017]
PGAP2 Gene-Disease associations (from GenCC):
hyperphosphatasia with intellectual disability syndrome 3
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-3811305-C-T is Pathogenic according to our data. Variant chr11-3811305-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 50505.Status of the report is no_assertion_criteria_provided, 0 stars.