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. 2021 May 27;29(11):1677–1689. doi: 10.1038/s41431-021-00907-9

Table 1.

Genetic and clinical findings in ten patients with a skeletal ciliopathy.

Gene Variant (ClinVar accession) Variant prediction Type of variant Main clinical features Reference
WDR35

NM_001006657.1:c.25-2A > G;

NP_001006658.1:p.Ile9fs*7

(SCV000020180.2)

ClinVar: Pathogenic

CADD score 34

CH, nonsense

Skeletal: Narrow thorax, pectus excavatum, brachydactyly, syndactyly (feet), polydactyly (hands), short stature, dolichocephaly, craniosynostosis

Facial: Telecanthus, narrow palpebral fissure, unilateral ptosis, hypertelorism, strabismus, low-set ears, everted lower lip, micrognathia

Kidneys: Renal insufficiency

Other: Joint laxity, teeth abnormalities, recurrent lung infections

Gilissen et al. [8] (patient 1)

NM_001006657.1:c.1877T > C;

NP_001006658.1:p.Glu626Gly

(SCV000020181.2)

ClinVar: Pathogenic

CADD score 35

CH, missense
IFT43

NM_052873.2:c.1A > G;

NP_443105.2:p.Met1_Lys21 del

(SCV000045384.3)

ClinVar: Pathogenic

CADD score 25

Homozygous, deletion

Skeletal: Narrow thorax, brachydactyly, polydactyly (hands and feet), syndactyly (feet), short long bones, short stature, scaphocephaly, craniosynostosis

Facial: Frontal bossing, telecanthus, everted lower lip, micrognathia

Kidneys: NPHP, ESRD at 3 years old

Other: Joint laxity, liver cirrhosis, teeth abnormalities, nail and hair abnormalities, skin laxity, cardiac abnormalities

Arts et al. [21] (patient 2)
WDR19

NM_025132.3:c.2129T > C;

NP_079408.3:p.Leu710Ser

(SCV000044972.5)

ClinVar: Pathogenic

CADD score 28

CH, missense

Skeletal: Narrow thorax, brachydactyly, pectus excavatum, hip dysplasia (recovered), spinal abnormalities

Kidneys: NPHP-like nephropathy, renal transplant at 14 years old

Other: Retinitis pigmentosa, joint hypermobility, teeth abnormalities, skin laxity, thick nails, bone marrow hypoplasia

Bredrup et al. [10]

NM_025132.3:c.3307C > T;

NP_079408.3:p.Arg1103*

(SCV000044973.5)

ClinVar: Pathogenic

CADD score 38

CH, nonsense
WDR35

NM_001006657.1:c.932C > A;

NP_001006658.1:p.Trp311Leu

(SCV001548279.1)

ClinVar: Pathogenic

CADD score 28

CH, missense

Skeletal: Short stature, brachydactyly, polydactyly (hands), short long bones

Kidneys: Bilateral renal cysts, renal transplant

Other: Hyperextensibility in fingers, arthogryposis, retinitis pigmentosa, liver cirrhosis, teeth abnormalities, recurrent lung infections, pancreatic cysts, ovarian cysts

Not previously reported

NM_001006657.1:c.3396-29_3396-18del;

r.spl?

(SCV001481988.2)

ClinVar: unknown

CADD score 8

CH, missense
WDR19

NM_025132.3:c.20T > C;

NP_079408.3:p.Leu7Pro

(SCV000044974.3)

ClinVar: Pathogenic

CADD score 27

Homozygous, missense

Skeletal: Narrow thorax, brachydactyly, rhizomelic abnormalities of long bones, pelvic abnormalities, short stature, inguinal hernia

Facial: Wide nasal bridge, thin upper lip

Kidneys: Small, proteinuria, renal transplant at 5 years and 12 years old

Other: Enlarged liver, yellow teeth, a supernumerary nipple on left side

Bredrup et al. [10]; de Vries et al. [4] (patient 1)
DYNC2H1

NM_001080463.1:c.9044A > G;

NP_001073932.1:p.Asp3015Gly

(SCV000814721.1)

ClinVar: Pathogenic

CADD score 33

CH, missense

Skeletal: Narrow thorax, pectus carinatum, pelvic abnormalities, short stature, thoracic scoliosis

Kidneys: No abnormalities

Other: Respiratory distress 4 days after birth

Schmidts et al. [5] (patient JATD1); de Vries et al. [4] (patient 4)

NM_001080463.1:c.1306G > T;

NP_001073932.1:p.Glu436*

(SCV001548280.1)

ClinVar: Pathogenic

CADD score 38

CH, nonsense
DYNC2H1

NM_001080463.1:c.7442G > A;

NP_001073932.1:p.Arg2481Gln

(SCV001548281.1)

ClinVar: Pathogenic

CADD score 24

CH, missense

Skeletal: Narrow thorax, (possible) brachydactyly, pelvic abnormalities, short stature

Kidneys: No abnormalities

Schmidts et al. [5] (patient JATD3)

NM_001080463.1:c.9817C > T;

NP_001073932.1:p.Gln3273*

(SCV001481983.2)

ClinVar: unknown

CADD score 59

CH, nonsense
DYNC2H1

NM_001080463.1:c.9044A > G;

NP_001073932.1:p.Asp3015Gly

(SCV000027072.3)

ClinVar: Pathogenic

CADD score 33

CH, missense

Skeletal: Narrow thorax, brachydactyly, syndactyly of feet, pelvic abnormalities, short stature, thoracic scoliosis

Kidneys: No abnormalities

Schmidts et al. [5] (patient JATD2); (de Vries et al. [4] (patient 5)

NM_001080463.1:c.3459-1G > A;

r.spl?

(SCV001481984.2)

ClinVar: unknown

CADD score 34

CH missense
DYNC2H1

NM_001080463.1:c.7594C > T;

NP_001073932.1:p.Arg2532Trp

(SCV001548283)

ClinVar: Likely pathogenic

CADD score 25

CH, missense

Skeletal: Narrow thorax, short long bones, short stature

Kidneys: Renal insufficiency

Other: Enlarged liver, respiratory insufficiency, speech problems

Not previously reported

NM_001080463.1:c.11252A > T;

NP_001073932.1:p.Glu3751Val

(SCV001481985.2)

ClinVar: unkown

CADD score 17

CH, missense
DYNC2H1

NM_001080463.1:c.872G > T;

NP_001073932.1:p.Cys291Phe

(SCV001481986.2)

ClinVar: unknown

CADD score 28

CH, missense

Skeletal: Narrow thorax, polydactyly (feet), syndactyly, short limbs

Kidneys: Probably one absent kidney

Other: Anhydramnios, lobulated tongue, cleft palate, absent nipples, ambiguous genitalia, cardiac abnormalities

Schmidts et al. [3]

NM_001080463.1:c.536G > A;

NP_001073932.1:p.Trp179*

(SCV001481987.2)

ClinVar: unknown

CADD score 40

CH, nonsense

NM_001080463.1:c.10343T > C;

NP_001073932.1:p.Leu3448Pro

(SCV001548282.1)

ClinVar: Pathogenic

CADD score 28

CH, missense

An overview of the patient lines that were used, including the pathogenic variant and type of variant (Combined Annotation Dependent Depletion (CADD) score version GRCh37-v1.6) [28]. Most patient lines were previously described in the indicated references. The coding positions of the variants refer to: NM_001080463.1 (DYNC2H1), NM_052873.2 (IFT43), NM_025132.3 (WDR19), NM_001006657.1 (WDR35). See Supplementary Table 1 for variant accession numbers in accordance with HGVS nomenclature guidelines.

ATD (Jeune) Asphyxiating thoracic dysplasia, CED cranioectodermal dysplasia, CEDL CED-like, CH compound heterozygous, ESRD end-stage renal disease, NPHP nephronophthisis, SRPS short-rib polydactyly syndrome.