The sequence variant c.2439_2444dup6 in exon 21 inserts two amino acids after arginine in position 815 (p.His814_Arg815dup). Studies in transfected cells show that p.His814_Arg815dup is inactive and retained in the ER. A portion of p.His814_Arg815dup is processed but since it is not detected in the culture medium, the variant might be expressed at a lower level and/or be folded inefficiently.