Table 3.
Spectrum of ATM gene variants in the North Indian patients with A-T.
Case no | Zygosity | Variants | Affected ATM protein domain | Clinical significance* | |||
---|---|---|---|---|---|---|---|
Exon | cDNA nucleotide change | Protein change | Type | ||||
3 | CH | 24 | c.3546_3547delGA | p.Asn1183TrpfsTer16 | Frameshift | HEAT | Pathogenic |
50 | c.7456C>T | p.Arg2486Ter | Nonsense | FAT | Pathogenic | ||
4 | H | 45 | c.6547G>T | p.Glu2183Ter | Nonsense | FAT | Pathogenic |
5# | H | 45 | c.6547 G>T | p.Glu2183Ter | Nonsense | FAT | Pathogenic |
6# | H | 45 | c.6547 G>T | p.Glu2183Ter | Nonsense | FAT | Pathogenic |
7 | CH | 10 | c.1339C>T | p.Arg447Ter | Nonsense | HEAT | Pathogenic |
58 | c.8473C>T | p.Gln2825Ter | Nonsense | PI3K | Pathogenic | ||
8 | H | Intron 42–43 | c.6198+1G>T | Splice site variant | Donor splicing variant | FAT | Likely pathogenic |
9 | H | 2 | c.67 C>T | p. Arg23Ter | Nonsense | N-terminal-TAN | Pathogenic |
10 | H | 46 | c.6658 C>T | p.Gln2220Ter | Nonsense | FAT | Pathogenic |
11 | CH | 10 | c.1339C>T | p.Arg447Ter | Nonsense | HEAT | Pathogenic |
58 | c.8473C>T | p.Gln2825Ter | Nonsense | PI3K | Pathogenic | ||
12 | H | 43 | c.6219_6229delCTGCCATATTC | p.Cys2074PhefsTer10 | Frameshift | FAT | Pathogenic |
13 | H | 2 | c.67C>T | p.Arg23Ter | Nonsense | N-terminal-TAN | Pathogenic |
14 | H | 42 | c.6100C>T | p.Arg2034Ter | Nonsense | FAT | Pathogenic |
15 | CH | 2 | c.67C>T | p.Arg23Ter | Nonsense | N-terminal-TAN | Pathogenic |
Intron 20–21 | c.3077+1G>T | Splice site variant | Donor splicing variant | HEAT | Likely pathogenic | ||
16 | CH | 37 | c.5631_5635delCTCGCinsA | p.Phe1877LeufsTer39 | Frameshift | HEAT | Pathogenic |
49 | c.7307G>A | p.Arg2436Lys | Missense variant (affecting donor splice site) | FAT | VUS | ||
17 | H | 52 | c.7788G>C | p.Glu2596Asp | Missense variant (affecting donor splice site) | FAT-PI3K | VUS |
18 | CH | 37 | c.5631_5635delCTCGCinsA | p.Phe1877LeufsTer39 | Frameshift | HEAT | Pathogenic |
49 | c.7307G>A | p.Arg2436Lys | Missense variant (affecting donor splice site) | FAT | VUS | ||
26 | H | 37 | c.5631_5635delCTCGCinsA | p.Phe1877LeufsTer39 | Frameshift | HEAT | Pathogenic |
#Siblings; CH compound heterozygous, H homozygous, PI3K phosphatidylinositol 3-kinase, FAT FAT domain, TAN telomere-length maintenance and DNA damage repair domain, VUS variant of uncertain significance. *As per ACMG guidelines.