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. 2019 Aug 9;25:427–437.

Table 2. Classification of 12 mutations in crystallin genes in this study according to ACMG guideline.

Family ID Inheritance Gene cDNA change p.change Status Type PVS1 PM1 PM2 PM4 PP1 PP2 PP3 PP5 Classification Reference
CAT-27
AD
CRYAA
c.35G>T
p.R12L
Hetero
missense
 
Y
Y
 
Y
Y
Y
 
Likely pathogenic
Novel
CAT-40
AD
CRYAA
c.346C>T
p.R116C
Hetero
missense
 
Y
Y
 
Y
Y
Y
Y
Likely pathogenic
[17-20]
CAT-42
AD
CRYAA
c.61C>T
p.R21W
Hetero
missense
 
Y
Y
 
Y
Y
Y
Y
Likely pathogenic
[12,21-24]
CAT-14
AD
CRYBA1
IVS3 c.215+1G>A
/
Hetero
canonical splice site
Y
 
Y
 
Y
Y
Y
 
Pathogenic
[25-28]
CAT-21
Sporadiccase
CRYBA1
c.272-274GAG del
p.G91del
Hetero
frameshift
Y
Y
Y
 
 
 
Y
Likely pathogenic
[29,30]
CAT-32
AD
CRYBA1
IVS3 c.215+1G>A
/
Hetero
canonical splice site
Y
 
Y
 
Y
 
Y
 
Pathogenic
[25-28]
CAT-11
AD
CRYBB2
c.463C>A
p.Q155K
Hetero
missense
 
Y
Y
 
Y
Y
Y
 
Likely pathogenic
Novel
CAT-44
AD
CRYBB2
c.355G>A
p.G119R
Hetero
missense
 
Y
Y
 
Y
Y
Y
Y
Likely pathogenic
[24]
CAT-24
AD
CRYBB2
c.(433C>T; 440A>G; 449C>T)
p.(R145W; Q147R; T150M)
Hetero
Complex missense
Y
 
 
 
Y
Y
Y
Likely pathogenic
[12,31]
CAT-53
Sporadiccase
CRYBB2
c.(433C>T; 440A>G; 449C>T)
p.(R145W; Q147R; T150M)
Hetero
Complex missense
Y
 
 
 
Y
Y
Y
Likely pathogenic
[12,31]
CAT-54
AD
CRYBB2
c.(433C>T; 440A>G; 449C>T)
p.(R145W; Q147R; T150M)
Hetero
Complex missense
Y
 
 
 
Y
Y
Y
Likely pathogenic
[12,31]
CAT-33
AD
CRYGC
IVS1 c.10-1G>A
/
Hetero
canonical splice site
Y
 
Y
 
Y
Y
Y
 
Pathogenic
Novel
CAT-41
AD
CRYGD
c.346delT
p.F116Sfsx29
Hetero
frameshift
Y
Y
Y
Y
 
 
 
Likely pathogenic
Novel
CAT-46 AD CRYGD c.70C>A p.P24T Hetero missense   Y Y   Y Y   Y Likely pathogenic [24,31,31]

Note: AD=autosomal dominant; Hetero=heterozygosity; PVS1=null variant (nonsense, frameshift, canonical +- 2 splice sites, initiation codon, single or multiexon deletion) in a gene where LOF is a known mechanism of disease PM1=Located in a mutational hot spot and/or critical and well established functional domain (e.g., active site of an enzyme) without benign variation; PM2=Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium; PM4=Protein length changes as a result of in-frame deletions/insertions in a nonrepeat region or stop-loss variants; PP1=Cosegregation with disease in multiple affected family members in a gene definitively known to cause the disease; PP2=Missense variant in a gene that has a low rate of benign missense variation and in which missense variants are a common mechanism of disease; PP3=Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.) PP5=Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratory to perform an independent evaluation; PP6=The user has additional 2 supporting pathogenic evidences.