Table 2. Molecular Findings.
Patient No. | Genomic Coordinates | Gene | Transcript | cDNA | Protein Effect | Zygosity | Classification | Inheritance | Parental Origin | Diagnosis by |
---|---|---|---|---|---|---|---|---|---|---|
1 | Chr1:160106162 | ATP1A2 | NM_000702.3 | c.2563 + 2T>C | Het | Likely pathogenic | AD | Maternal | Panel | |
2 | ChrX:53280248 | IQSEC2 | NM_001111125.2 | c.1510C>T | p.Gln504* | Hem | Likely pathogenic | XLD | Unknown | Panel |
3 | ChrX:53279758-53279776 | IQSEC2 | NM_001111125.2 | c.1983_1999del | p.Leu662fs | Het | Likely pathogenic | XLD | Unknown | Panel |
4 | Chr20:62038729 | KCNQ2 | NM_172107.2 | c.1888-1G>A | Het | Likely pathogenic | AD | Unknown | Panel | |
5 | ChrX:99662890 | PCDH19 | NM_001184880.1 | c.706C>T | p.Pro236Ser | Het | Likely pathogenic | XL | Unknown | Panel |
6 | Chr22:32098112-32270694 | PRR14L, DEPDC5 | 22q12.2 - q12.3 deletion | Het | Likely pathogenic | AD | Unknown | Panel | ||
7 | Chr16:29824948-29824950 | PRRT2 | NM_001256442.1 | c.577delG | p.Glu193Lysfs*36 | Het | Pathogenic | AD | Unknown | Panel |
8 | Chr2:166850723-166850726 | SCN1A | NM_001165963.1 | c.4783_4784delCT | p.Leu1595fs | Het | Pathogenic | AD | Unknown | Panel |
9 | Chr2:166905395 | SCN1A | NM_001202435.1 | c.1028 + 1G>T | Het | Pathogenic | AD | Unknown | Panel | |
10 | Chr2:166848438 | SCN1A | NM_001165963.1 | c.5347G>A | p.Ala1783Thr | Het | Pathogenic | AD | Unknown | Panel |
11 | Chr16:29595483-30198151 | PPRT2a | 16p11.2 deletion | Het | Pathogenic | AD | Unknown | Panel | ||
12 | Chr16:29652999-30194001 | PPRT2b | 16p11.2 deletion | Het | Pathogenic | AD | Unknown | Panel | ||
13 | Chr9:130430431dup | STXBP1 | NM_003165.3 | c.867dup | p.Ala290Serfs*24 | Het | Pathogenic | AD | Unknown | Panel |
14 | Chr9:130430439 | STXBP1 | NM_003165.3 | c.875G>A | p.Arg292His | Het | Pathogenic | AD | Unknown | Panel |
15c | Chr11:6638271; Chr11:6638385 | TPP1 | NM_000391.3 | c.622C>T; c.509-1G>C |
p.Arg208*; p.? | Compound het | Pathogenic; pathogenic | AR | Both | Panel |
16c | Chr9:138651532 | KCNT1 | NM_020822.2 | c.862G>A | p.Gly288Ser | Het | Pathogenic | AD | De novo, recurrent | Panel |
17 | Chr19:42482319 | ATP1A3 | NM_001256214.1 | c.1829G>A | p.Arg610His | Het | Likely pathogenic | AD | Likely de novo | Parental testing |
18 | Chr19:13372340 | CACNA1A | NM_023035.2 | c.4186G>A | p.Val1396Met | Het | Likely pathogenic | AD | Likely de novo | Parental testing |
19 | Chr5:161309591 | GABRA1 | NM_000806.5 | c.587A>G | p.Tyr196Cys | Het | Likely pathogenic | AD | Likely de novo | Parental testing |
20 | Chr2:166848464 | SCN1A | NM_001165963.1 | c.5321T>C | p.Phe1774Ser | Het, mosaic | Likely pathogenic | AD | De novo | Parental testing |
21 | Chr2:166231468 | SCN2A | NM_001040142.1 | c.4246C>T | p.Leu1416Phe | Het | Likely pathogenic | AD | likely de novo | Parental testing |
22 | Chr12:52200543 | SCN8A | NM_014191.3 | c.5273T>C | p.Val1758Ala | Het | Likely pathogenic | AD | De novo | Parental testing |
23 | Chr15:25584341 | UBE3A | NM_000462.3 | c.2550_2570dup | p.Glu851_Lys857dup | Het | Likely pathogenic | Imprinted | Likely de novo, unknown | Parental testing |
24 | Chr5:92921095 | NR2F1 | M_005654.5 | c.366C>G | p.Cys122Trp | Het | Likely pathogenic | AD | De novo | ES trio |
25 | Chr18:42531889 | SETBP1 | NM_015559.2 | c.2584G>A | p.Glu862Lys | Het | Pathogenic | AD | De novo | ES trio |
26 | ChrX:53440181 | SMC1A | NM_006306.3 | c.615 + 1G>C | Het, mosaic | Pathogenic | XLD | De novo | ES trio | |
27d | Chr1:40319721-40319723; 40319730 | TRIT1 | NM_017646.5 | c.334delC; c.326T>C; | p.Arg112fs; p.Ile109Thr | Compound het | VUS; VUS | AR | Both | ES trio |
Reanalysis Findings | ||||||||||
28 | Chr22:40036960 | CACNA1I | NM_021096.3 | c.829A>G | p.Ile277Val | Het | VUS | AD | Unknown | NA |
29 | Chr2:149267668 | MBD5 | NM_018328.4 | c.4377T>A | p.His1459Gln | Het | VUS | AD | Unknown | NA |
30 | Chr2:166020387 | SCN3A | NM_001081677.1 | c.619G>C | p.Val207Leu | Het | VUS | AD | Unknown | NA |
31 | Chr2:166025265 | SCN3A | NM_006922.3 | c.454G>A | p.Asp152Asn | Het | VUS | AD | Unknown | NA |
32 | Chr6:118015256 | NUS1 | NM_138459.4 | c.604A>G | p.Arg202Gly | Het | VUS | AD | Unknown | NA |
33 | Chr3:132394747 | UBA5 | NM_024818.4 | c.1111G>A | p.Ala371Thr | Het | Pathogenic | AR | Unknown | NA |
Abbreviations: AD, autosomal dominant; AR, autosomal recessive; ES, exome sequencing; Hem, hemizygous; Het, heterozygous; NA, not applicable; VUS, variant of unknown significance; XL, X-linked; XLD, X-linked dominant.
Full list of genes in the microdeletion: SEZ6L2, INO80E, SMG1P2, MIR3680-1, MIR3680-2, SPN, QPRT, C16orf54, ZG16, KIF22, MAZ, PRRT2, PAGR1, MVP, CDIPT, CDIPT-AS1, ASPHD1, KCTD13, TMEM219, TAOK2, HIRIP3, DOC2A, C16orf92, FAM57B, ALDOA, PPP4C, TBX6, YPEL3, LOC101928595, GDPD3, MAPK3, CORO1A.
Microdeletion includes genes listed from SPN through MAPK3 in footnote a.
Findings noted in medically actionable genes.
The report was marked as likely diagnostic owing to lack of definitive variant classification evidence and somewhat limited clinical validity of the gene.