PMID- 38137040 OWN - NLM STAT- MEDLINE DCOM- 20231225 LR - 20231225 IS - 2073-4425 (Electronic) IS - 2073-4425 (Linking) VI - 14 IP - 12 DP - 2023 Dec 14 TI - Compilation of Genotype and Phenotype Data in GCDH-LOVD for Variant Classification and Further Application. LID - 10.3390/genes14122218 [doi] LID - 2218 AB - Glutaric aciduria type 1 (GA-1) is a rare but treatable autosomal-recessive neurometabolic disorder of lysin metabolism caused by biallelic pathogenic variants in glutaryl-CoA dehydrogenase gene (GCDH) that lead to deficiency of GCDH protein. Without treatment, this enzyme defect causes a neurological phenotype characterized by movement disorder and cognitive impairment. Based on a comprehensive literature search, we established a large dataset of GCDH variants using the Leiden Open Variation Database (LOVD) to summarize the known genotypes and the clinical and biochemical phenotypes associated with GA-1. With these data, we developed a GCDH-specific variation classification framework based on American College of Medical Genetics and Genomics and the Association for Molecular Pathology guidelines. We used this framework to reclassify published variants and to describe their geographic distribution, both of which have practical implications for the molecular genetic diagnosis of GA-1. The freely available GCDH-specific LOVD dataset provides a basis for diagnostic laboratories and researchers to further optimize their knowledge and molecular diagnosis of this rare disease. FAU - Tibelius, Alexandra AU - Tibelius A AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. FAU - Evers, Christina AU - Evers C AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. FAU - Oeser, Sabrina AU - Oeser S AUID- ORCID: 0009-0007-1915-5415 AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. FAU - Rinke, Isabelle AU - Rinke I AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. FAU - Jauch, Anna AU - Jauch A AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. FAU - Hinderhofer, Katrin AU - Hinderhofer K AD - Institute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany. LA - eng PT - Journal Article DEP - 20231214 PL - Switzerland TA - Genes (Basel) JT - Genes JID - 101551097 RN - EC 1.3.8.6 (Glutaryl-CoA Dehydrogenase) RN - Glutaric Acidemia I SB - IM MH - Humans MH - *Brain Diseases, Metabolic/diagnosis MH - Glutaryl-CoA Dehydrogenase MH - Phenotype MH - Genotype PMC - PMC10742628 OTO - NOTNLM OT - GCDH OT - LOVD OT - geographic distribution OT - glutaric acidemia OT - glutaric aciduria OT - glutaryl-CoA dehydrogenase OT - inborn errors of metabolism OT - variant classification OT - variant interpretation OT - variation database COIS- The authors declare no conflict of interest. EDAT- 2023/12/23 12:43 MHDA- 2023/12/25 06:41 PMCR- 2023/12/14 CRDT- 2023/12/23 01:07 PHST- 2023/11/19 00:00 [received] PHST- 2023/12/06 00:00 [revised] PHST- 2023/12/12 00:00 [accepted] PHST- 2023/12/25 06:41 [medline] PHST- 2023/12/23 12:43 [pubmed] PHST- 2023/12/23 01:07 [entrez] PHST- 2023/12/14 00:00 [pmc-release] AID - genes14122218 [pii] AID - genes-14-02218 [pii] AID - 10.3390/genes14122218 [doi] PST - epublish SO - Genes (Basel). 2023 Dec 14;14(12):2218. doi: 10.3390/genes14122218.