“…Only a few nonsense, frameshift, splice site variants, and indel variants 31,40 have been described in GNE, of which none was found in the homozygous state, 28 suggesting that this protein may have a critical role in embryonic development and viability, and that the total functional loss of GNE might be lethal in humans, as observed in mice. 14 At amino acid position 277 of GNE, two other variants have been reported: p.R277W and p.R277Q. The p.R277W variant was identified in families of European ancestry, 22,43,44 a family from China, 43 a family of Italian descent, 45 and a family from Japan).…”