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. 2022 Feb 2;3(1):101150. doi: 10.1016/j.xpro.2022.101150

Table 1.

Description and recommended pathogenicity thresholds for gene-based constraint metrics and intolerance scores for the assessment of multiple genes encompassed with large copy-number variants in patients.

Algorithm Description Score Threshold interpretation Reference
pLI Dichotomous metric that reflects the probability of loss of function intolerance based on predicted protein truncating variation: nonsense, splice acceptor and splice donor variation 0 to 1 pLI ≥ 0.9 = Extremely intolerant (Samocha et al., 2014)
(Lek et al., 2016)
Missense Z-score Standard deviation of the # of observed rare (<1% MAF) missense SNP's from the mean of the predicted number of expected rare (<1% MAF) missense SNP's for a given gene. (Synonymous variants typically have Z-score close to 0 and o/e close to 1) -5 to 5 Z-score > 0 = More Intolerant
Z-score < 0 = Less intolerant
(Samocha et al., 2014)
(Lek et al., 2016)
EvoTol percentile Percentile ranking of a gene's evolutionary intolerance relative to other genes based on the number of damaging versus non-damaging variants in dbSNP. Percentile (priority ranking) Top 25th percentile = Intolerant
Top 1 percentile = Most intolerant
(Rackham et al., 2015)
RVIS percentile Percentile ranking of a gene's intolerance to functional variation relative to other genes based on observed versus expected frequency of loss-of-function variants from the NHLBI-ESP6500 data set in ExAC (release 0.3). Percentile (priority ranking) Bottom 25th percentile = Intolerant
(Genes are ranked from most to least intolerant)
(Petrovski et al., 2013)
pcGERP percentile Percentile estimate reflecting how conserved the protein-coding sequence of a gene relative to other genes Percentile estimate Lower percentile = More intolerance (increased conservation)
(Genes are ranked from most to least intolerant)
(Davydov et al., 2010)
(Cooper et al., 2005)
(Petrovski et al., 2015)

Abbreviation: pLI, probability of being Loss-of-function Intolerant; EvoTol, Evolutionary Intolerance; RVIS, Residual Variation Intolerance Score; pcGERP, protein-coding Genomic Evolutionary Rate Profiling; MAF, minor allele frequency.