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Ataxia and cerebellar anomalies - narrow panel v3.30 PEX6 Eleanor Williams Tag Q2_22_rating was removed from gene: PEX6.
Ataxia and cerebellar anomalies - narrow panel v3.30 PEX6 Eleanor Williams reviewed gene: PEX6: Rating: GREEN; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance:
Ataxia and cerebellar anomalies - narrow panel v3.29 PEX6 Eleanor Williams 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)
Ataxia and cerebellar anomalies - narrow panel v2.295 PEX6 Sarah Leigh changed review comment from: 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, in order to highlight that unaffected parents may also carry rs61753230.; to: 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.
Ataxia and cerebellar anomalies - narrow panel v2.292 PEX6 Sarah Leigh Tag Q2_22_MOI was removed from gene: PEX6.
Tag Q2_22_rating tag was added to gene: PEX6.
Ataxia and cerebellar anomalies - narrow panel v2.292 PEX6 Sarah Leigh Added comment: 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, in order to highlight that unaffected parents may also carry rs61753230.
Ataxia and cerebellar anomalies - narrow panel v2.292 PEX6 Sarah Leigh Mode of inheritance for gene: PEX6 was changed from BOTH monoallelic and biallelic, autosomal or pseudoautosomal to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Ataxia and cerebellar anomalies - narrow panel v2.291 PEX6 Sarah Leigh Classified gene: PEX6 as Amber List (moderate evidence)
Ataxia and cerebellar anomalies - narrow panel v2.291 PEX6 Sarah Leigh Added comment: Comment on list classification: There is enough evidence for PEX6 to be green on this panel.
Ataxia and cerebellar anomalies - narrow panel v2.291 PEX6 Sarah Leigh Gene: pex6 has been classified as Amber List (Moderate Evidence).
Ataxia and cerebellar anomalies - narrow panel v2.290 PEX6 Sarah Leigh 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
Added comment: 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: Literature