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. 2019 Oct 17;105(5):894–906. doi: 10.1016/j.ajhg.2019.09.010

Table 3.

Evidence that Identified Germline and Somatic Mutations Result in LoF

Sample ID Germline Mutation Somatic Mutation
6001-1 frameshift: ACMG PVS1
6 supporting publications
in-frame deletion (−4 residues)
PROVEAN prediction: deleterious (−14.903) deletes region in β-sheet
gnomAD AF: 0
6001-3 same as above frameshift
common ENG LOF mechanism, expect NMD
6001-7 same as above frameshift
common ENG LOF mechanism, expect NMD
6001-8 same as above in-frame delins (−1 +2 residues)
2 reported pathogenic in-frame indels overlapping this codon54, 55
PROVEAN prediction: deleterious (−6.106) gnomAD AF: 0
6001-10 same as above frameshift
common ENG LOF mechanism, expect NMD
6002-1 missense: ACMG PS1
6 supporting publications
frameshift
common ACVRL1 LOF mechanism, expect NMD
6002-2 same as above in-frame delins (−7 +1 residues)
PROVEAN prediction: deleterious (−25.903) deletes region in α-helix
gnomAD AF: 0
6003-1 cryptic splice site: ACMG PS3
in silico predicted to activate cryptic site
in vitro evidence (Fig. 4)
Splice Site in silico predicted to disrupt donor site
gnomAD AF: 0
6005-1 missense: ACMG PS1
16 supporting publications
Frameshift common ACVRL1 LOF mechanism, expect NMD

AF = Allele Frequency; NMD = Nonsense Mediated Decay

Germline variant classification according to ACMG guidelines, not applicable to somatic variants31

PVS1 = Very strong evidence for pathogenicity; PS1-4 = Strong evidence

PROVEAN scores below −2.5 are predicted deleterious