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. 2022 Nov 19;20:100575. doi: 10.1016/j.ebr.2022.100575

Table 2.

Details of patients with VUSs that strongly clinically correlate with phenotype.

Case No. Gene Nucleotide Protein Consequence Zygosity ACMG classification Age of onset Classification of Epilepsy Clinical Features (if provided) Other Features Family History Consanguinity Change to medical treatment made Variant Reclassification (with Clinical information) ACMG reclassification Criteria
22 KCTD7 Exon 3, c.335G > A (p.Arg112His) Missense Homozygous VUS 2 years Combined focal and generalized Generalized and focal seizures clinically Speech delay, regression in milestones, microcephaly, short stature, elfin facies, slanting eyes, failure to thrive Yes (2nd cousin) Yes Yes Likely Pathogenic PS1, PP3, PP4, PP5
23 SCN1A Exon 26, c.5243C > G (p.Pro1748Arg) Missense Heterozygous VUS 6 months Generalized GTC originally with fever, now without None No Yes Yes Likely Pathogenic PS1, PM1, PM2, PP3, PP4
24 CLN6 Exon 3, c.248A > G (p.Asp83Gly) Missense Heterozygous VUS 4 years Generalized GTC Regression of milestones, falls, ataxia N/A Yes N/A Likely Pathogenic PM2, PP1, PP2, PP3, PP4

Abbreviations: GTC: generalized tonic clonic; N/A: not available; VUS: variant of uncertain significance.