{
  "url": "https://dantelabs.com/pt/genes/pc",
  "gene": {
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    "symbol": "PC",
    "name": "pyruvate carboxylase",
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          "symbol": "NPAS4",
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        {
          "symbol": "MRPL11",
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          "biotype": "protein_coding",
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        {
          "symbol": "PELI3",
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          "biotype": "protein_coding",
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          "strand": "+",
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        {
          "symbol": "DPP3",
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          "biotype": "protein_coding",
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        {
          "symbol": "",
          "ensemblId": "ENSG00000256349",
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        {
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        {
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        {
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        {
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        {
          "symbol": "RBM14",
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        {
          "symbol": "RBM14-RBM4",
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        {
          "symbol": "RBM4",
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        {
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          "symbol": "SPTBN2",
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        {
          "symbol": "TOP6BL",
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        {
          "symbol": "RCE1",
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        {
          "symbol": "LRFN4",
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          "biotype": "protein_coding",
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        {
          "symbol": "C11orf86",
          "ensemblId": "ENSG00000173237",
          "biotype": "protein_coding",
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        },
        {
          "symbol": "SYT12",
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          "biotype": "protein_coding",
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        {
          "symbol": "RHOD",
          "ensemblId": "ENSG00000173156",
          "biotype": "protein_coding",
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          "strand": "+",
          "slug": "rhod"
        },
        {
          "symbol": "KDM2A",
          "ensemblId": "ENSG00000173120",
          "biotype": "protein_coding",
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          "strand": "+",
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        {
          "symbol": "GRK2",
          "ensemblId": "ENSG00000173020",
          "biotype": "protein_coding",
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          "strand": "+",
          "slug": "grk2"
        },
        {
          "symbol": "ANKRD13D",
          "ensemblId": "ENSG00000172932",
          "biotype": "protein_coding",
          "start": 67288655,
          "end": 67302486,
          "strand": "+",
          "slug": "ankrd13d"
        },
        {
          "symbol": "SSH3",
          "ensemblId": "ENSG00000172830",
          "biotype": "protein_coding",
          "start": 67303478,
          "end": 67312608,
          "strand": "+",
          "slug": "ssh3"
        },
        {
          "symbol": "RAD9A",
          "ensemblId": "ENSG00000172613",
          "biotype": "protein_coding",
          "start": 67317871,
          "end": 67398412,
          "strand": "+",
          "slug": "rad9a"
        },
        {
          "symbol": "POLD4",
          "ensemblId": "ENSG00000175482",
          "biotype": "protein_coding",
          "start": 67345400,
          "end": 67356972,
          "strand": "-",
          "slug": "pold4"
        },
        {
          "symbol": "",
          "ensemblId": "ENSG00000256514",
          "biotype": "protein_coding",
          "start": 67351572,
          "end": 67373584,
          "strand": "-"
        },
        {
          "symbol": "CLCF1",
          "ensemblId": "ENSG00000175505",
          "biotype": "protein_coding",
          "start": 67364168,
          "end": 67374301,
          "strand": "-",
          "slug": "clcf1"
        },
        {
          "symbol": "PPP1CA",
          "ensemblId": "ENSG00000172531",
          "biotype": "protein_coding",
          "start": 67398176,
          "end": 67421183,
          "strand": "-",
          "slug": "ppp1ca"
        },
        {
          "symbol": "TBC1D10C",
          "ensemblId": "ENSG00000175463",
          "biotype": "protein_coding",
          "start": 67398454,
          "end": 67410092,
          "strand": "+",
          "slug": "tbc1d10c"
        }
      ],
      "truncated": false
    },
    "reports": [
      {
        "slug": "pyruvate-dehydrogenase-and-pyruvate-carboxylase-deficiency",
        "name": "Deficiência de Piruvato Desidrogenase e de Piruvato Carboxilase",
        "diseases": [
          {
            "mondoId": "MONDO:0009949",
            "name": "Deficiência de Piruvato Carboxilase",
            "genes": 1,
            "inheritance": "autosomal-recessive",
            "description": "Causada por variantes em PC, que podem causar acidose láctica, hipoglicemia e problemas de desenvolvimento, com gravidade variável, desde formas graves neonatais a formas mais ligeiras.",
            "management": "Conhecer a alteração permite evitar o jejum, tratar prontamente as crises metabólicas e seguir um acompanhamento alimentar especializado; a dieta cetogénica deve ser evitada.",
            "evidence": {
              "gencc": [
                "ClinGen",
                "G2P",
                "Labcorp Genetics (formerly Invitae)",
                "Myriad Women's Health",
                "PanelApp Australia"
              ],
              "clingen": "Definitive",
              "acmgSf": false,
              "inheritance": [
                "autosomal-recessive"
              ]
            },
            "sameAsReport": false,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/pt/conditions/pyruvate-dehydrogenase-and-pyruvate-carboxylase-deficiency"
      }
    ],
    "pharmacogenomics": [],
    "traits": [],
    "phenotypes": [
      {
        "slug": "clonus",
        "name": "Clonus",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/clonus"
      },
      {
        "slug": "hepatomegaly",
        "name": "Enlarged liver",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "url": "https://dantelabs.com/traits/hepatomegaly"
      },
      {
        "slug": "seizure",
        "name": "Epilepsy",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/seizure"
      },
      {
        "slug": "global-developmental-delay",
        "name": "Global developmental delay",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/global-developmental-delay"
      },
      {
        "slug": "increased-circulating-lactate-concentration",
        "name": "Higher than normal levels of lactate in blood",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "url": "https://dantelabs.com/traits/increased-circulating-lactate-concentration"
      },
      {
        "slug": "hyperalaninemia",
        "name": "Increased blood alanine",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "url": "https://dantelabs.com/traits/hyperalaninemia"
      },
      {
        "slug": "increased-circulating-pyruvate-concentration",
        "name": "Increased circulating pyruvate concentration",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "url": "https://dantelabs.com/traits/increased-circulating-pyruvate-concentration"
      },
      {
        "slug": "lactic-acidosis",
        "name": "Increased lactate in body",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/lactic-acidosis"
      },
      {
        "slug": "intellectual-disability",
        "name": "Intellectual disability",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/intellectual-disability"
      },
      {
        "slug": "athetosis",
        "name": "Involuntary writhing movements in fingers, hands, toes, and feet",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/athetosis"
      },
      {
        "slug": "leukodystrophy",
        "name": "Leukodystrophy",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/leukodystrophy"
      },
      {
        "slug": "hypoglycemia",
        "name": "Low blood sugar",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/hypoglycemia"
      },
      {
        "slug": "hypotonia",
        "name": "Low muscle tone",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/hypotonia"
      },
      {
        "slug": "neuronal-loss-in-the-cerebral-cortex",
        "name": "Neuronal loss in the cerebral cortex",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/neuronal-loss-in-the-cerebral-cortex"
      },
      {
        "slug": "periventricular-leukomalacia",
        "name": "Periventricular leukomalacia",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/periventricular-leukomalacia"
      },
      {
        "slug": "proximal-renal-tubular-acidosis",
        "name": "Proximal renal tubular acidosis",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-genitourinary-system"
        ],
        "url": "https://dantelabs.com/traits/proximal-renal-tubular-acidosis"
      }
    ],
    "related": [],
    "sources": {
      "bundleId": "2026.10.17-8666dff2",
      "panel": "2026-10-17",
      "acmgSf": "SF v3.2"
    },
    "locusKind": "proteinCoding"
  },
  "variants": {
    "total": 0,
    "url": null,
    "items": []
  }
}