Ataxia and cerebellar anomalies - narrow panel
Gene: PEX6
The rating of this gene has been updated to green and the mode of inheritance set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal following NHS Genomic Medicine Service approval.Created: 5 Feb 2023, 5:18 p.m. | Last Modified: 5 Feb 2023, 5:18 p.m.
Panel Version: 3.30
Comment on mode of inheritance: The mode of inheritance for PEX6 has been set to: BOTH monoallelic and biallelic, autosomal or pseudoautosomal, in order to detect the dominant Peroxisome biogenesis disorder 4B (OMIM:614863). Incomplete penetrance has been noted for this gene, in order to highlight that unaffected parents may also carry rs61753230.Created: 6 Apr 2022, 12:18 p.m. | Last Modified: 16 Jun 2022, 4:07 p.m.
Panel Version: 2.295
Comment on list classification: There is enough evidence for PEX6 to be green on this panel.Created: 6 Apr 2022, 12:17 p.m. | Last Modified: 6 Apr 2022, 12:17 p.m.
Panel Version: 2.291
For Peroxisome biogenesis disorder 4B (OMIM:614863), Falkenberg et al (PMID: 29220678) has identified Allelic Expression Imbalance (AEI) as a mechanism responsible for the condition. Affected patients (7 unrelated cases) were monoallelic for rs61753230 (c.2578C>T, p.Arg860Trp) and rs144286892 (c.∗442_445 delTAAA), with these variants being on the same chromosome (cis). It would appear that rs144286892 causes the over expression of the allele that it is on, resulting in over expression of rs61753230. The unaffected parents analysed were monoallelic for rs61753230 and biallelic for rs144286892, resulting in overexpression of both rs61753230 and wild type alleles (PMID: 29220678). Experimental evidence revealed that rs61753230 has a dominant-negative effect on the function of the PEX1- PEX6 complex in peroxisomal matrix protein import (PMID: 29220678).
Sources: LiteratureCreated: 6 Apr 2022, 12:16 p.m.
Mode of inheritance
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Phenotypes
Peroxisome biogenesis disorder 4B, OMIM:614863
Publications
Mode of pathogenicity
Other
Tag Q2_22_rating was removed from gene: PEX6.
Source Expert Review Green was added to PEX6. Source NHS GMS was added to PEX6. Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Tag Q2_22_MOI was removed from gene: PEX6. Tag Q2_22_rating tag was added to gene: PEX6.
Mode of inheritance for gene: PEX6 was changed from BOTH monoallelic and biallelic, autosomal or pseudoautosomal to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Gene: pex6 has been classified as Amber List (Moderate Evidence).
gene: PEX6 was added gene: PEX6 was added to Ataxia and cerebellar anomalies - narrow panel. Sources: Literature Q2_22_MOI tags were added to gene: PEX6. Mode of inheritance for gene: PEX6 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal Publications for gene: PEX6 were set to 25655951; 29220678 Phenotypes for gene: PEX6 were set to Peroxisome biogenesis disorder 4B, OMIM:614863 Penetrance for gene: PEX6 were set to Incomplete Mode of pathogenicity for gene: PEX6 was set to Other Review for gene: PEX6 was set to GREEN