The sequence variant c.1358C>A in exon 11 changes serine in position 453 with tyrosine (p.Ser453Tyr). Studies in transfected cells show that p.Tyr453 is inactive, not processed and retained in the ER. p.Ser453 is located in the active site area, and 3d-modelling indicates that p.Ser453Tyr may destabilize the active site.