{
  "url": "https://dantelabs.com/nl/genes/cel",
  "gene": {
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    "symbol": "CEL",
    "name": "carboxyl ester lipase",
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        {
          "symbol": "CFAP77",
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        {
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        {
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          "ensemblId": "ENSG00000165695",
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          "strand": "-",
          "slug": "ak8"
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        {
          "symbol": "SPACA9",
          "ensemblId": "ENSG00000165698",
          "biotype": "protein_coding",
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        {
          "symbol": "TSC1",
          "ensemblId": "ENSG00000165699",
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        {
          "symbol": "GFI1B",
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        {
          "symbol": "GTF3C5",
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        {
          "symbol": "RALGDS",
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        {
          "symbol": "",
          "ensemblId": "ENSG00000285245",
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        {
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        {
          "symbol": "OBP2B",
          "ensemblId": "ENSG00000171102",
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        {
          "symbol": "ABO",
          "ensemblId": "ENSG00000175164",
          "biotype": "protein_coding",
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          "strand": "-",
          "slug": "abo"
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        {
          "symbol": "SURF6",
          "ensemblId": "ENSG00000148296",
          "biotype": "protein_coding",
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        {
          "symbol": "MED22",
          "ensemblId": "ENSG00000148297",
          "biotype": "protein_coding",
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        },
        {
          "symbol": "RPL7A",
          "ensemblId": "ENSG00000148303",
          "biotype": "protein_coding",
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          "strand": "+",
          "slug": "rpl7a"
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        {
          "symbol": "SURF1",
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          "biotype": "protein_coding",
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          "strand": "-",
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        {
          "symbol": "SURF2",
          "ensemblId": "ENSG00000148291",
          "biotype": "protein_coding",
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          "strand": "+",
          "slug": "surf2"
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        {
          "symbol": "SURF4",
          "ensemblId": "ENSG00000148248",
          "biotype": "protein_coding",
          "start": 133361450,
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          "strand": "-",
          "slug": "surf4"
        },
        {
          "symbol": "STKLD1",
          "ensemblId": "ENSG00000198870",
          "biotype": "protein_coding",
          "start": 133376332,
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          "strand": "+",
          "slug": "stkld1"
        },
        {
          "symbol": "REXO4",
          "ensemblId": "ENSG00000148300",
          "biotype": "protein_coding",
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          "end": 133418096,
          "strand": "-",
          "slug": "rexo4"
        },
        {
          "symbol": "ADAMTS13",
          "ensemblId": "ENSG00000160323",
          "biotype": "protein_coding",
          "start": 133414358,
          "end": 133459402,
          "strand": "+",
          "slug": "adamts13"
        },
        {
          "symbol": "CACFD1",
          "ensemblId": "ENSG00000160325",
          "biotype": "protein_coding",
          "start": 133459965,
          "end": 133470848,
          "strand": "+",
          "slug": "cacfd1"
        },
        {
          "symbol": "SLC2A6",
          "ensemblId": "ENSG00000160326",
          "biotype": "protein_coding",
          "start": 133462053,
          "end": 133479148,
          "strand": "-",
          "slug": "slc2a6"
        },
        {
          "symbol": "MYMK",
          "ensemblId": "ENSG00000187616",
          "biotype": "protein_coding",
          "start": 133514586,
          "end": 133528612,
          "strand": "-",
          "slug": "mymk"
        },
        {
          "symbol": "ADAMTSL2",
          "ensemblId": "ENSG00000197859",
          "biotype": "protein_coding",
          "start": 133532164,
          "end": 133575522,
          "strand": "+",
          "slug": "adamtsl2"
        }
      ],
      "truncated": false
    },
    "reports": [
      {
        "slug": "diabetes-mellitus",
        "name": "Diabetes mellitus",
        "diseases": [
          {
            "mondoId": "MONDO:0005015",
            "name": "Diabetes mellitus",
            "genes": 31,
            "inheritance": null,
            "description": "Een stofwisselingsstoornis die wordt gekenmerkt door abnormaal hoge bloedsuikerspiegels als gevolg van verminderde insulineproductie of insulineresistentie/-ongevoeligheid.",
            "management": "Teplizumab (Tzield) voor presymptomatisch T1D in stadium 2 (door de FDA goedgekeurd in 2022); insulinevervanging bij klinisch begin van T1D; TrialNet-screening op autoantilichamen bij risicovolle familieleden; closed-loop-systemen voor insulinetoediening",
            "evidence": {
              "gencc": [
                "Genomics England PanelApp"
              ],
              "clingen": "Moderate",
              "acmgSf": false,
              "inheritance": [
                "autosomal-dominant"
              ]
            },
            "sameAsReport": true,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/nl/conditions/diabetes-mellitus"
      },
      {
        "slug": "maturity-onset-diabetes-of-the-young",
        "name": "Maturity-Onset Diabetes Of The Young",
        "diseases": [
          {
            "mondoId": "MONDO:0018911",
            "name": "Maturity-Onset Diabetes Of The Young",
            "genes": 12,
            "inheritance": "autosomal-dominant",
            "description": "MODY (maturity-onset diabetes of the young) is een zeldzame, familiaire en klinisch en genetisch heterogene vorm van diabetes, gekenmerkt door een jonge leeftijd bij het begin (meestal tussen 10 en 45 jaar), met behoud van de eigen insulineproductie, geen bètacelautoimmuniteit in de alvleesklier, geen obesitas en geen insulineresistentie, en bij sommige subtypes extrapancreatische verschijnselen.",
            "management": "GCK-MODY: geen behandeling nodig; HNF1A/HNF4A-MODY: sulfonylureumderivaten in lage dosis; HNF1B-MODY: insuline en monitoring van de nierfunctie; T2D polygeen: leefstijlaanpassing, metformine, GLP-1-receptoragonisten en SGLT2-remmers, afhankelijk van het profiel van bijkomende aandoeningen",
            "evidence": {
              "gencc": [
                "Genomics England PanelApp"
              ],
              "clingen": "Moderate",
              "acmgSf": false,
              "inheritance": [
                "autosomal-dominant"
              ]
            },
            "sameAsReport": true,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/nl/conditions/maturity-onset-diabetes-of-the-young"
      }
    ],
    "pharmacogenomics": [],
    "traits": [],
    "phenotypes": [
      {
        "slug": "abdominal-pain",
        "name": "Abdominal pain",
        "systems": [
          "abnormality-of-the-digestive-system",
          "constitutional-symptom"
        ],
        "url": "https://dantelabs.com/traits/abdominal-pain"
      },
      {
        "slug": "abnormal-circulating-c-peptide-concentration",
        "name": "Abnormal circulating C-peptide concentration",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/abnormal-circulating-c-peptide-concentration"
      },
      {
        "slug": "abnormal-circulating-insulin-concentration",
        "name": "Abnormal circulating insulin concentration",
        "systems": [
          "abnormality-of-the-endocrine-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/abnormal-circulating-insulin-concentration"
      },
      {
        "slug": "abnormal-oral-glucose-tolerance",
        "name": "Abnormal oral glucose tolerance",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/abnormal-oral-glucose-tolerance"
      },
      {
        "slug": "abnormality-of-the-genitourinary-system",
        "name": "Abnormality of the genitourinary system",
        "systems": [],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/abnormality-of-the-genitourinary-system"
      },
      {
        "slug": "abnormality-of-the-kidney",
        "name": "Abnormality of the kidney",
        "systems": [
          "abnormality-of-the-genitourinary-system"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/abnormality-of-the-kidney"
      },
      {
        "slug": "autoimmune-antibody-positivity",
        "name": "Autoimmune antibody positivity",
        "systems": [
          "abnormality-of-the-immune-system"
        ],
        "url": "https://dantelabs.com/traits/autoimmune-antibody-positivity"
      },
      {
        "slug": "large-for-gestational-age",
        "name": "Birth weight > 90th percentile",
        "systems": [
          "growth-abnormality"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/large-for-gestational-age"
      },
      {
        "slug": "renal-cyst",
        "name": "Cystic kidney disease",
        "systems": [
          "abnormality-of-the-genitourinary-system"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/renal-cyst"
      },
      {
        "slug": "acanthosis-nigricans",
        "name": "Darkened and thickened skin",
        "systems": [
          "abnormality-of-the-integument"
        ],
        "url": "https://dantelabs.com/traits/acanthosis-nigricans"
      },
      {
        "slug": "diabetic-ketoacidosis",
        "name": "Diabetic ketoacidosis",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-endocrine-system"
        ],
        "url": "https://dantelabs.com/traits/diabetic-ketoacidosis"
      },
      {
        "slug": "elevated-hemoglobin-a1c",
        "name": "Elevated hemoglobin A1c",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/elevated-hemoglobin-a1c"
      },
      {
        "slug": "glycosuria",
        "name": "Glucose in urine",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-genitourinary-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/glycosuria"
      },
      {
        "slug": "glucose-intolerance",
        "name": "Glucose intolerance",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/glucose-intolerance"
      },
      {
        "slug": "hepatocellular-adenoma",
        "name": "Hepatocellular adenoma",
        "systems": [
          "abnormality-of-the-digestive-system",
          "neoplasm"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/hepatocellular-adenoma"
      },
      {
        "slug": "hyperglycemia",
        "name": "High blood sugar",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/hyperglycemia"
      },
      {
        "slug": "hyperinsulinemic-hypoglycemia",
        "name": "Hyperinsulinemic hypoglycemia",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-endocrine-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/hyperinsulinemic-hypoglycemia"
      },
      {
        "slug": "hypoinsulinemia",
        "name": "Hypoinsulinemia",
        "systems": [
          "abnormality-of-the-endocrine-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/hypoinsulinemia"
      },
      {
        "slug": "exocrine-pancreatic-insufficiency",
        "name": "Inability to properly digest food due to lack of pancreatic digestive enzymes",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/exocrine-pancreatic-insufficiency"
      },
      {
        "slug": "insulin-resistant-diabetes-mellitus",
        "name": "Insulin resistant diabetes",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-endocrine-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/insulin-resistant-diabetes-mellitus"
      },
      {
        "slug": "nephropathy",
        "name": "Kidney damage",
        "systems": [
          "abnormality-of-the-genitourinary-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/nephropathy"
      },
      {
        "slug": "neonatal-hypoglycemia",
        "name": "Low blood sugar in newborn",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/neonatal-hypoglycemia"
      },
      {
        "slug": "maturity-onset-diabetes-of-the-young",
        "name": "Maturity-onset diabetes of the young",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-endocrine-system"
        ],
        "url": "https://dantelabs.com/traits/maturity-onset-diabetes-of-the-young"
      },
      {
        "slug": "retinopathy",
        "name": "Noninflammatory retina disease",
        "systems": [
          "abnormality-of-the-eye"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/retinopathy"
      },
      {
        "slug": "obesity",
        "name": "Obesity",
        "systems": [
          "growth-abnormality"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/obesity"
      },
      {
        "slug": "overweight",
        "name": "Overweight",
        "systems": [
          "growth-abnormality"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/overweight"
      },
      {
        "slug": "intrauterine-growth-retardation",
        "name": "Prenatal growth deficiency",
        "systems": [
          "growth-abnormality"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/intrauterine-growth-retardation"
      },
      {
        "slug": "transient-neonatal-diabetes-mellitus",
        "name": "Transient neonatal diabetes mellitus",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-endocrine-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/transient-neonatal-diabetes-mellitus"
      },
      {
        "slug": "pancreatic-hypoplasia",
        "name": "Underdeveloped pancreas",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "frequency": "very-rare",
        "url": "https://dantelabs.com/traits/pancreatic-hypoplasia"
      }
    ],
    "related": [
      {
        "slug": "abcc8",
        "symbol": "ABCC8",
        "name": "ATP binding cassette subfamily C member 8",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/abcc8"
      },
      {
        "slug": "appl1",
        "symbol": "APPL1",
        "name": "adaptor protein, phosphotyrosine interacting with PH domain and leucine zipper 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/appl1"
      },
      {
        "slug": "gck",
        "symbol": "GCK",
        "name": "glucokinase",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/gck"
      },
      {
        "slug": "hnf1a",
        "symbol": "HNF1A",
        "name": "HNF1 homeobox A",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/hnf1a"
      },
      {
        "slug": "hnf1b",
        "symbol": "HNF1B",
        "name": "HNF1 homeobox B",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/hnf1b"
      },
      {
        "slug": "hnf4a",
        "symbol": "HNF4A",
        "name": "hepatocyte nuclear factor 4 alpha",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/hnf4a"
      },
      {
        "slug": "ins",
        "symbol": "INS",
        "name": "insulin",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/ins"
      },
      {
        "slug": "kcnj11",
        "symbol": "KCNJ11",
        "name": "potassium inwardly rectifying channel subfamily J member 11",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/kcnj11"
      },
      {
        "slug": "klf11",
        "symbol": "KLF11",
        "name": "KLF transcription factor 11",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/klf11"
      },
      {
        "slug": "neurod1",
        "symbol": "NEUROD1",
        "name": "neuronal differentiation 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/neurod1"
      },
      {
        "slug": "pdx1",
        "symbol": "PDX1",
        "name": "pancreatic and duodenal homeobox 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/pdx1"
      },
      {
        "slug": "akt2",
        "symbol": "AKT2",
        "name": "AKT serine/threonine kinase 2",
        "shared": 1,
        "url": "https://dantelabs.com/nl/genes/akt2"
      }
    ],
    "sources": {
      "bundleId": "2026.10.17-8666dff2",
      "panel": "2026-10-17",
      "acmgSf": "SF v3.2"
    },
    "locusKind": "proteinCoding"
  },
  "variants": {
    "total": 0,
    "url": null,
    "items": []
  }
}