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NM_181523.3(PIK3R1):c.1945C>T (p.Arg649Trp) AND multiple conditions

Germline classification:
Pathogenic (2 submissions)
Last evaluated:
May 3, 2022
Review status:
2 stars out of maximum of 4 stars
criteria provided, multiple submitters, no conflicts
Somatic classification
of clinical impact:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Somatic classification
of oncogenicity:
None
Review status:
(0/4) 0 stars out of maximum of 4 stars
no assertion criteria provided
Record status:
current
Accession:
RCV000515192.17

Allele description

NM_181523.3(PIK3R1):c.1945C>T (p.Arg649Trp)

Gene:
PIK3R1:phosphoinositide-3-kinase regulatory subunit 1 [Gene - OMIM - HGNC]
Variant type:
single nucleotide variant
Cytogenetic location:
5q13.1
Genomic location:
Preferred name:
NM_181523.3(PIK3R1):c.1945C>T (p.Arg649Trp)
HGVS:
  • NC_000005.10:g.68296301C>T
  • NG_012849.2:g.85546C>T
  • NM_001242466.2:c.856C>T
  • NM_181504.4:c.1135C>T
  • NM_181523.3:c.1945C>TMANE SELECT
  • NM_181524.2:c.1045C>T
  • NP_001229395.1:p.Arg286Trp
  • NP_852556.2:p.Arg379Trp
  • NP_852664.1:p.Arg649Trp
  • NP_852664.1:p.Arg649Trp
  • NP_852665.1:p.Arg349Trp
  • LRG_453t1:c.1945C>T
  • LRG_453:g.85546C>T
  • LRG_453p1:p.Arg649Trp
  • NC_000005.9:g.67592129C>T
  • NM_181523.1:c.1945C>T
  • NM_181523.2:c.1945C>T
  • P27986:p.Arg649Trp
Protein change:
R286W; ARG649TRP
Links:
UniProtKB: P27986#VAR_070223; OMIM: 171833.0004; dbSNP: rs397515453
NCBI 1000 Genomes Browser:
rs397515453
Molecular consequence:
  • NM_001242466.2:c.856C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_181504.4:c.1135C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_181523.3:c.1945C>T - missense variant - [Sequence Ontology: SO:0001583]
  • NM_181524.2:c.1045C>T - missense variant - [Sequence Ontology: SO:0001583]

Condition(s)

Name:
SHORT syndrome
Synonyms:
SHORT STATURE, HYPEREXTENSIBILITY, HERNIA, OCULAR DEPRESSION, RIEGER ANOMALY, AND TEETHING DELAY; Stature, Hyperextensibility of joints or Hernia (inguinal), Ocular depression, Rieger anomaly and Teething delay; LIPODYSTROPHY, PARTIAL, WITH RIEGER ANOMALY AND SHORT STATURE
Identifiers:
MONDO: MONDO:0010026; MedGen: C0878684; Orphanet: 3163; OMIM: 269880
Name:
Agammaglobulinemia 7, autosomal recessive (AGM7)
Synonyms:
AGAMMAGLOBULINEMIA, AUTOSOMAL RECESSIVE, DUE TO PIK3R1 DEFECT
Identifiers:
MONDO: MONDO:0014083; MedGen: C3554689; OMIM: 615214
Name:
Immunodeficiency 36 (IMD36)
Synonyms:
IMMUNODEFICIENCY 36 WITH LYMPHOPROLIFERATION
Identifiers:
MONDO: MONDO:0014453; MedGen: C4014934; Orphanet: 397596; OMIM: 616005

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Assertion and evidence details

Submission AccessionSubmitterReview Status
(Assertion method)
Clinical Significance
(Last evaluated)
OriginMethodCitations
SCV000611295Fulgent Genetics, Fulgent Genetics
criteria provided, single submitter

(ACMG Guidelines, 2015)
Pathogenic
(May 18, 2017)
unknownclinical testing

PubMed (1)
[See all records that cite this PMID]

SCV000827309Labcorp Genetics (formerly Invitae), Labcorp
criteria provided, single submitter

(Invitae Variant Classification Sherloc (09022015))
Pathogenic
(May 3, 2022)
germlineclinical testing

PubMed (10)
[See all records that cite these PMIDs]

Summary from all submissions

EthnicityOriginAffectedIndividualsFamiliesChromosomes testedNumber TestedFamily historyMethod
not providedgermlineunknownnot providednot providednot providednot providednot providedclinical testing
not providedunknownunknownnot providednot providednot providednot providednot providedclinical testing

Citations

PubMed

Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.

Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E, Spector E, Voelkerding K, Rehm HL; ACMG Laboratory Quality Assurance Committee.

Genet Med. 2015 May;17(5):405-24. doi: 10.1038/gim.2015.30. Epub 2015 Mar 5.

PubMed [citation]
PMID:
25741868
PMCID:
PMC4544753

PIK3R1 mutations cause syndromic insulin resistance with lipoatrophy.

Thauvin-Robinet C, Auclair M, Duplomb L, Caron-Debarle M, Avila M, St-Onge J, Le Merrer M, Le Luyer B, Héron D, Mathieu-Dramard M, Bitoun P, Petit JM, Odent S, Amiel J, Picot D, Carmignac V, Thevenon J, Callier P, Laville M, Reznik Y, Fagour C, Nunes ML, et al.

Am J Hum Genet. 2013 Jul 11;93(1):141-9. doi: 10.1016/j.ajhg.2013.05.019. Epub 2013 Jun 27.

PubMed [citation]
PMID:
23810378
PMCID:
PMC3710759
See all PubMed Citations (11)

Details of each submission

From Fulgent Genetics, Fulgent Genetics, SCV000611295.1

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (1)
#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1unknownunknownnot providednot providednot providednot providednot providednot providednot provided

From Labcorp Genetics (formerly Invitae), Labcorp, SCV000827309.4

#EthnicityIndividualsChromosomes TestedFamily HistoryMethodCitations
1not providednot providednot providednot providedclinical testing PubMed (10)

Description

This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 649 of the PIK3R1 protein (p.Arg649Trp). This variant is not present in population databases (gnomAD no frequency). This missense change has been observed in individual(s) with clinical features of SHORT syndrome (PMID: 23810378, 23810379, 23810382, 23980586, 24886349, 25326637, 27766312). In at least one individual the variant was observed to be de novo. It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 60763). 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 PIK3R1 protein function. Experimental studies have shown that this missense change affects PIK3R1 function (PMID: 23810379, 26974159, 27766312, 28632845). For these reasons, this variant has been classified as Pathogenic.

#SampleMethodObservation
OriginAffectedNumber testedTissuePurposeMethodIndividualsAllele frequencyFamiliesCo-occurrences
1germlineunknownnot providednot providednot providednot providednot providednot providednot provided

Last Updated: Nov 24, 2024