The sequence variant c.164G>T in exon 2 changes cysteine in position 55 to phenylalanine (p.Cys55Phe). Studies in transfected cells show that p.Phe55 is inactive, not processed and retained in the ER. p.Cys55 forms a disulphide bridge with p.Cys358, and 3d-modelling indicates that p.Cys55Phe causes misfolding of the enzyme.