Long-term prognosis of haemangioblastoma of the CNS: impact of von Hippel-Lindau disease
PMID: 10592114
Gene: VHL
StandardizedReferenceSequence: NM_000551.3
Long-term prognosis of haemangioblastoma of the CNS: impact of von Hippel-Lindau disease
PMID: 10592114
Gene: VHL
StandardizedReferenceSequence: NM_000551.3
1 France c.337C>T p.Arg113*
GroupID: 12
Case: Sex, Age, Ethnicity unknown
DiseaseAssertion: VHL
FamilyInfo: Unknown. 1 registrant from France was found with this variant; no family info was mentioned
CasePresentingHPOs: HP:0030393 (Endolymphatic sac tumor)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: N/A
PreviouslyPublished: N/A
SupplementalData: N/A
Variant: p.R113* (c.337C>T)
CaseProblemVariantFreeText: N/A
LegacyVariant: N/A
ClinVarID: 220414 https://www.ncbi.nlm.nih.gov/clinvar/variation/220414/
CAID: N/A
gnomAD: N/A
VariantEvidence: N/A
MutationType: stop_gained
CivicName: R113* (c.337C>T)
MultipleGeneVariants: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: L396P
Variant1ClinVarID:
Variant1CAID: CA355963499
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: P496R
Variant1ClinVarID: 496861
Variant1CAID: CA2802275
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: A436P
Variant1ClinVarID:
Variant1CAID: CA355963897
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: G208D
Variant1ClinVarID: 554590
Variant1CAID: CA355961948
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: E276K
Variant1ClinVarID:
Variant1CAID: CA355962355
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: H449N
Variant1ClinVarID: 350230
Variant1CAID: CA2802233
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: H82P
Variant1ClinVarID: 195039
Variant1CAID: CA201510
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: E178K
Variant1ClinVarID: 2203495
Variant1CAID: CA355961709
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: P385R
Variant1ClinVarID: 556024
Variant1CAID: CA355963438
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: H240R
Variant1ClinVarID: 947028
Variant1CAID: CA355962127
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1:
Variant1ClinVarID:
Variant1CAID: CA355963739
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
Case#: Variant not associated with a proband. Variant listed in supplementary materials in Supplementary Table 4
DiseaseAssertion: Mucopolysaccharidosis type I, MPS I
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: D315Y
Variant1ClinVarID:
Variant1CAID: CA355962740
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
patient 2474
Case#: Patient 2474, male, northern European origin, he was class valedictorian in high school and then a practicing attorney until his intellect deteriorated later in life.
DiseaseAssertion: MPS1-S, mild
FamilyInfo: Affected sister with MPS-1 who had a similar or slightly more severe clinical phenotype.
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Fibroblasts has enabled detection of 0.041 ± 0.008 (n = 6) ng of IDUA protein of total cellular protein/mg (0.13% of normal mean). This gives a calculated specific activity and VmX, of 88 and 102 pmol/min/ng of IDUA toward the fluorogenic and heparin-derived disaccharide substrates, respectively, both of which are in the normal range.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.590-7G>A (678-7G>A)
Variant1ClinVarID: 222996
Variant1CAID: CA356990
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Three novel α-L-iduronidase mutations in 10 unrelated Chinese mucopolysaccharidosis type I families
PMID: 21734815
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
6/m
Case#: 6, Male, Han Chinese
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Not Provided
CasePresentingHPOs: HP:0001249, HP:0007957, HP:0001433 (Mental Retardation (severe), Corneal Clouding, Hepatosplenomegaly)
CaseHPOFreeText: Skeletal Deformities
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0 Leukocyte IDUA activity (nmol/h/mg protein) (isolated leukocytes in the latter)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Using the artificial substrate 4-methyl-umbelliferyl α-L-iduronide (Sigma)
Variant1: c.792+1G>T
Variant1ClinVarID: N/A
Variant1CAID: CA355962278
Variant2: Not identified
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
older sibling
Case#: OS of sibship 1, female, 8 years old (age at diagnosis), 8.8 years old (age at ERT enrollment), 5.4 years (duration of ERT)
DiseaseAssertion: MPS1-HS
FamilyInfo: Affected male YS (YS of sibship 1)
CasePresentingHPOs: HP:0007957, HP:0000943, HP:0002828, HP:0000365, HP:0001263, HP:0001260, HP:0002751 (Corneal opacity, dysostosis, joint contractures, mild hearing impairment, psychomotor delay, speech difficulty, kyphoscoliosis)
CaseHPOFreeText: Cardiac disease, lung function tests 50% of normal, organomegaly
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - symptoms present at T1 were stabilized or improved (organomegaly and hearing) at T2, except for worsening of kyphoscoliosis.
CaseBMT: N/A
Variant1: c.1598C>G (p.P533R)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: c.1598C>G (p.P533R)
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
younger
Case#: YS of sibship 4, male, 0.8 years old (age at diagnosis), 1.3 years old (age at ERT enrollment), 3.6 years (duration of ERT)
DiseaseAssertion: MPS1-HS
FamilyInfo: Affected male OS (OS of sibship 4)
CasePresentingHPOs: HP:0007957, HP:0000943, HP:0002828 (Corneal opacity, dysostosis, joint contractures)
CaseHPOFreeText: Cardiac disease, progression of respiratory symptoms
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - Had poor compliance (~60 %) with ERT, which may have impacted the symptom progression.
CaseBMT: N/A
Variant1: c.623G>A (p.G208D)
Variant1ClinVarID: 554590
Variant1CAID: CA355961948
Variant2: (p.P520R), Typo, no proline at this position
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
younger sibling
Case#: YS of sibship 8, male, 3.3 years old (age at diagnosis), 3.7 years old (age at ERT enrollment), 5.8 years (duration of ERT)
DiseaseAssertion: MPS1-HS
FamilyInfo: Affected OS (OS of sibship 8)
CasePresentingHPOs: HP:0007957, HP:0000943, HP:0002828 (Corneal opacity, dysostosis, joint contracture)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - Had progression of cardiac symptoms at T2, dysostosis multiplex stabilized, and remained milder. Joint contractures progressed into the moderate range.
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
younger sibling
Case#: YS of sibship 7, female, 3.3 years old (age at diagnosis), 3.4 years old (age at ERT enrollment), 5.6 years (duration of ERT)
DiseaseAssertion: MPS1-HS
FamilyInfo: Affected OS (OS of sibship 7)
CasePresentingHPOs: HP:0007957, HP:0000943, HP:0002828, HP:0001263, HP:0001270 (Corneal opacity, dysostosis, joint contractures, cognitive impairment, motor impairment)
CaseHPOFreeText: Cardiac disease, somatic impairment
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - After 5 years of ERT, cardiac symptoms progressed but remained mild. Corneal clouding progressed as well. At the age of 5, motor development remained normal, and cognitive skills and musculoskeletal disease improved.
CaseBMT: N/A
Variant1: c.1598C>G (p.P533R)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: (L564fsx) No CDNA change provided.
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
11
Case#: OS2 of sibship 6 (see Table 1), male, 8 years old (age at diagnosis), 11 years old (age at ERT enrollment), 6 years (duration of ERT)
DiseaseAssertion: MPS1-HS
FamilyInfo: Two affected siblings (OS1 and YS of sibship 6)
CasePresentingHPOs: HP:0007957, HP:0000943, HP:0002828 (Corneal opacity, dysostosis, joint contractures)
CaseHPOFreeText: Cardiac disease, musculoskeletal symptoms
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - Pulmonary function was 45–50 % of normal at T2. No restrictions in ADL.
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
The effect of haemopoietic stem cell transplantation on the ocular phenotype in mucopolysaccharidosis type I (Hurler)
PMID: 29240299
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
13
Case#: Patient 13, born in 2010 (paper published in 2017), 16 months (age at first treatment)
DiseaseAssertion: MPSI-H
FamilyInfo: N/A
CasePresentingHPOs: Corneal clouding (HP:0007957)
CaseHPOFreeText: N/A
CaseNotHPOs: Retinopathy, cataract (HP:0000488, HP:0000518)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 55 ng/mol (36 weight matched enzyme reference assay)
CaseUrineGAGs: 0.28 DS/CS
CaseERT: N/A
CaseBMT: Yes, MUD (GOS)
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Impaired ion homeostasis as a possible associate factor in mucopolysaccharidosis pathogenesis: transcriptomic, cellular and animal studies
PMID: 34928474
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
PKMPS1P6
Case#: PKMPS1P6, 8 months old (age at presentation), 2 years old (age at report), female, Pakastani
DiseaseAssertion: MPS-I
FamilyInfo: Proband's parents were first cousins.
CasePresentingHPOs: Coarse facial features, recurrent respiratory tract infections, joint stiffness, upper airway obstructive symptoms, mild developmental delay, umbilical hernia (HP:0000256, HP:0002788, HP:0001387, HP:0002781, HP:0001263, HP:0001537)
CaseHPOFreeText: Widening of the wrist and a stunted, pectus carinatum
CaseNotHPOs: Visceromegaly (HP:0003271)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1469T>C (p.L490P)
Variant1ClinVarID: 11919
Variant1CAID: CA220503
Variant2: c.1469T>C (p.L490P)
Variant2ClinVarID: 11919
Variant2CAID: CA220503
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
PKMPS1P8
Case#: PKMPS1P8, 10 years old (age at presentation), male, Pakastani
DiseaseAssertion: MPS-I
FamilyInfo: Born to consanguineous parents
CasePresentingHPOs: Coarse facial features, mild developmental delay, short stature, pectus carinatum, genu valgum, corneal clouding (HP:0000256, HP:0001263, HP:0004322, HP:0000768, HP:0002857, HP:0007957)
CaseHPOFreeText: Difficulty walking since the age of 4 years. Widening of the wrist, underweight, soft abdomen.
CaseNotHPOs: Visceromegaly (HP:0003271)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1469T>C (p.L490P)
Variant1ClinVarID:
Variant1CAID: 11919
Variant2: CA220503
Variant2ClinVarID: c.1469T>C (p.L490P)
Variant2CAID: 11919
AdditionalVariants: CA220503
ParentalGenotype: N/A
PreviouslyPublished N/A
PKMPS1P4
Case#: PKMPS1P4, 16 months (age of presentation), male, Pakastani
DiseaseAssertion: MPS-I
FamilyInfo: Proband was born to a consanguineous family.
CasePresentingHPOs: Snoring, failure to thrive, developmental delay, coarse facial features, skeletal deformities, umbilical hernia (HP:0025267, HP:0001508, HP:0001263, HP:0000256, HP:0002652, HP:0001537)
CaseHPOFreeText: Copious nasal secretions, chest infections, underweight, and a liver span of 3 cm.
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1469T>C (p.L490P)
Variant1ClinVarID: 11919
Variant1CAID: CA220503
Variant2: c.1469T>C (p.L490P)
Variant2ClinVarID: 11919
Variant2CAID: CA220503
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
PKMPS1P5
Case#: PKMPS1P5, 10 months old (age at presentation), 2 years old (age at report), female, Pakastani
DiseaseAssertion:MPS-I
FamilyInfo: Her parents were related
CasePresentingHPOs: Upper airway obstructive symptoms, stridor, developmental delay, coarse facial features, pneumonia, umbilical hernia, short neck, kyphosis (HP:0002781, HP:0010307, HP:0001263, HP:0000256, HP:0002090, HP:0001537, HP:0000470, HP:0002808)
CaseHPOFreeText: Copious nasal discharge, widening of the wrist, liver span was 3 cm.
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.784delC (p.H262Tfs*55)
Variant1ClinVarID: 956890
Variant1CAID: CA2802083
Variant2: c.784delC (p.H262Tfs*55)
Variant2ClinVarID: 956890
Variant2CAID: CA2802083
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 17, 3 years old (age at report), male, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, joint contractures, corneal clouding, recurrent infections, dysostosis multiplex, intellectual disability, hernia (HP:0000280, HP:0001433, HP:0002828, HP:0007957, HP:0002719, HP:0000943, HP:0001249, HP:0100790)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 3.6% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.784delC (p.His262Thrfs*55)
Variant1ClinVarID: 956890
Variant1CAID: CA2802083
Variant2: c.784delC (p.His262Thrfs*55)
Variant2ClinVarID: 956890
Variant2CAID: CA2802083
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 6, 1 years old (age at report), male, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, joint contractures, corneal clouding, recurrent infections, dysostosis multiplex, intellectual disability (HP:0000280, HP:0001433, HP:0002828, HP:0007957, HP:0002719, HP:0000943, HP:0001249)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 2.7% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.362T>C (p.Leu121Pro)
Variant1ClinVarID: 1343382
Variant1CAID: CA355961174
Variant2: c.362T>C (p.Leu121Pro)
Variant2ClinVarID: 1343382
Variant2CAID: CA355961174
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 54, 8 years old (age at report), female, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, joint contractures, corneal clouding, recurrent infections, intellectual disability (HP:0000280, HP:0001433, HP:0002828, HP:0007957, HP:0002719, HP:0001249)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 2.3% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.568_581del (p.Asn190His)
Variant1ClinVarID: 3639714
Variant1CAID: CA2801994
Variant2: c.1469T>C (p.Leu490Pro)
Variant2ClinVarID: 11919
Variant2CAID: CA220503
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 31, 6 years old (age at report), male, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: Sibling of Patient 32
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, joint contractures, corneal clouding, recurrent infections, dysostosis multiplex, hernia (HP:0000280, HP:0001433, HP:0002828, HP:0007957, HP:0002719, HP:0000943, HP:0100790)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 3.0% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1373T>C (p.Leu458Pro)
Variant1ClinVarID: N/A
Variant1CAID: CA355964255
Variant2: c.1373T>C (p.Leu458Pro)
Variant2ClinVarID: N/A
Variant2CAID: CA355964255
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 12, 7 years old (age at report), female, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, joint contractures, intellectual disability (HP:0000280, HP:0001433, HP:0002828, HP:0001249)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 2.7% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.532G>A (p.Glu178Lys)
Variant1ClinVarID: 2203495
Variant1CAID: CA355961709
Variant2: c.532G>A (p.Glu178Lys)
Variant2ClinVarID: 2203495
Variant2CAID: CA355961709
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 23, 9 months old (age at report), female, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Intellectual disability (HP:0001249)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.0% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1029C>A (p.Tyr353Ter)
Variant1ClinVarID: 222997
Variant1CAID: CA356984
Variant2: c.1029C>A (p.Tyr353Ter)
Variant2ClinVarID: 222997
Variant2CAID: CA356984
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler disease
Case#: Patient 14, 5 years old (age at report), male, Indian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Coarse facial features, hepatosplenomegaly, corneal clouding, recurrent infections, hernia (HP:0000280, HP:0001433, HP:0007957, HP:0002719, HP:0100790)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 2.8% (Range of residual enzyme activity: 0.0%-4.8%)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.543T>G (p.Asn181Lys)
Variant1ClinVarID: N/A
Variant1CAID: CA355961734
Variant2: c.543T>G (p.Asn181Lys)
Variant2ClinVarID: N/A
Variant2CAID: CA355961734
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
33
Case#: Patient 33 (Table 3)
DiseaseAssertion: Attenuated naïve MPS 1
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 3 nmol/h/mg per DBS (dried blood spots) determined during NBS. 13.2 DBS protein concentration determined by Immuno-SRM (pmol/L).
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.1577T>C (p.L526P)
Variant1ClinVarID: 567566
Variant1CAID: CA2802300
Variant2: c.1577T>C (p.L526P)
Variant2ClinVarID: 567566
Variant2CAID: CA2802300
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
29
Case#: Patient 29 (Table 3)
DiseaseAssertion: Severe naïve MPS 1
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: <1 nmol/h/mg per DBS (dried blood spots) determined during NBS
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1524+1G>T
Variant2ClinVarID: 555169
Variant2CAID: CA355964830
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
32
Case#: Patient 32 (Table 3)
DiseaseAssertion: Moderate naïve MPS 1
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.1598C>G (p.P533R)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: c.1598C>G (p.P533R)
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
41
Case#: Patient 41 (Table 3)
DiseaseAssertion: Moderate MPS 1
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 77.5 DBS protein concentration determined by Immuno-SRM (pmol/L).
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.1598C>G (p.P533R)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: c.1598C>G (p.P533R)
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
P4
Case#: P4, Male, 13 years (diagnosed), 16.1 (report), 38 kg (weight), 146 cm (height), Algerian
DiseaseAssertion: Scheie Syndrome
FamilyInfo: Parents are consanguineous
CasePresentingHPOs: HP:0001999, HP:0000943, HP:0002240, HP:0002240, HP:0001387, HP:0007957 (Facial Dysmorphic Features, Multiple Dysostosis, Joint Stiffness, Hepatomegaly, Hernia(Ombelical), Corneal Opacity)
CaseHPOFreeText: Cardiac Manifestations(Mitral Stenosis & Aortic Insufficiency)
CaseNotHPOs: HP:0001249, HP:0000238 (Mental Retardation, Hydrocephalus)
CaseNotHPOFreeText: Chronic Rhinorrhea
CaseEnzymeAssay: IDUA Enzyme activity 7 (% to the reference range mean)
CaseUrineGAGs: GAG quantitation 18 (fold change to the reference range mean according to age)
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Direct DNA Fragments Sequencing
Variant1: c.1598C>G (p.Pro533Arg)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: c.1598C>G (p.Pro533Arg)
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
P12
Case#: P12, Male, 2.6 years (diagnosed), 9.6 (report), Algerian
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Parents are not consanguineous
CasePresentingHPOs: HP:0001249, HP:0001999, HP:0000943, HP:0001387, HP:0001433, HP:0001387, HP:0000238 (Mental Retardation, Facial Dysmorphic Features, Multiple Dysostosis, Joint Stiffness, Hepatosplenomegaly, Hernia(Ombelical), Hydrocephalus)
CaseHPOFreeText: Chronic Rhinorrhea
CaseNotHPOs: HP:0007957 (Corneal Opacity)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA Enzyme activity 0 (% to the reference range mean)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Direct DNA Fragments Sequencing
Variant1: c.1598C>G (p.Pro533Arg)
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2:c.1743C>G (p.Tyr581*)
Variant2ClinVarID: 550883
Variant2CAID: CA2802392
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: Patient 9, Turkish
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1598C>T (p.P533L)
Variant1ClinVarID: 429205
Variant1CAID: CA355965029
Variant2: c.1598C>T (p.P533L)
Variant2ClinVarID: 429205
Variant2CAID: CA355965029
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: Patient 6, Turkish
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.793-5C>A (homozygous)
Variant1ClinVarID: N/A
Variant1CAID: CA3250086379
Variant2: c.793-6C>G (homozygous)
Variant2ClinVarID: N/A
Variant2CAID: CA2739858898
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
PMID: 31298590
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Evaluation and identification of IDUA gene mutations inTurkishpatients with mucopolysaccharidosis type ITurkishpatients with mucopolysaccharidosis type I
PMID: 31298590
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Patient 6
Case#: Patient 6, Male, 1 year (diagnosed), 2 years (report), Djerba Island (Tunisian origin)
DiseaseAssertion: N/A
FamilyInfo: Parents are consanguineous between 2nd cousins
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Leukocyte IDUA activity 0.3% (% normal) ; determined in sonicated leukocyte pellets using the artificial substrate 4-methylumbellifery IDUA
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Sequencing exons and intro-exon junctions; Phenol/chloroform procedure
Variant1: p.P533R
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: p.P533R
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: p.A8A (c.24 A > C, p.A20A (c.60G > A); p.Q433Q (c.99T > G), IVS2-44 (c.300 44C > T); p.R105Q (c.314G > A); p.N181N (c.543 T > C), IVS5-45 (c.590-45G > C); IVS5-8 (c.590- 8C > T); p.A314A (c.942G > C); IVS7+48 (c.972+48A > G), IVS7-45 (c.973-45 G > C; p.A361 (Tc.1081G > A); p.T388T (c.116G > C); p.V454I (c.1360G > A); IVS9+36 (c.1402+36T > C), p.R489R (c.1467C > T), IVS12+72 (c.1727T > G), 3'UTR+44 (c.1962+44G > C).
ParentalGenotype: N/A
PreviouslyPublished N/A
Patient 3
Case#: Patient 3, Male, 2 years (diagnosed), 12 years (report), Sfax (Tunisian origin)
DiseaseAssertion: N/A
FamilyInfo: Parents are consanguineous between 3rd cousins
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Leukocyte IDUA activity 0.2% (% normal) ; determined in sonicated leukocyte pellets using the artificial substrate 4-methylumbellifery IDUA
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Sequencing exons and intro-exon junctions; Phenol/chloroform procedure
Variant1: p.P533R
Variant1ClinVarID: 11910
Variant1CAID: CA256112
Variant2: p.P533R
Variant2ClinVarID: 11910
Variant2CAID: CA256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.523_534delTGGAACTTCGAG
Case#: No additional case information provided
DiseaseAssertion: MPSI-H/S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.523_534delTGGAACTTCGAG (p.Trp175_Glu178del)
Variant1ClinVarID: 2734635
Variant1CAID: CA645372297
Variant2: c.523_534delTGGAACTTCGAG (p.Trp175_Glu178del)
Variant2ClinVarID: 2734635
Variant2CAID: CA645372297
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.784_784delC
Case#: No additional case information provided
DiseaseAssertion: MPSI-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.784_784delC (p.H262TfsTer55)
Variant1ClinVarID: 956890
Variant1CAID: CA2802083
Variant2: c.784_784delC (p.H262TfsTer55)
Variant2ClinVarID: 956890
Variant2CAID: CA2802083
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.158+1G > A
Case#: No additional case information provided
DiseaseAssertion: MPSI-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.13 umol/g hr, reference range 10–50 umol/g hr.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.158+1G>A
Variant1ClinVarID: 526835
Variant1CAID: CA355945713
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.17_24dupCCCGCGCC
Case#: No additional case information provided
DiseaseAssertion: MPSI-H/S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.4 umol/g hr, reference range 10–50 umol/g hr.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.17_24dupCCCGCGCC (p.Ala9ProfsTer102)
Variant1ClinVarID: N/A
Variant1CAID: CA645372294
Variant2: c.1871A>T (p.D624V)
Variant2ClinVarID: N/A
Variant2CAID: CA355965955
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.36_44delGCTCCTGGC
Case#: No additional case information provided
DiseaseAssertion: MPSI-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.05 umol/g hr, reference range 10–50 umol/g hr.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.36_44delGCTCCTGGC (p.Leu13_Ala15del)
Variant1ClinVarID: 3720558
Variant1CAID: CA645372295
Variant2: c.1205G>A (W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
An Integrated Computational Framework to Assess the Mutational Landscape of α-L-Iduronidase IDUA Gene
Free, full-text NOT available. Text obtained through a University account and annotations added to the free PubMed abstract.
IDUA variants were pulled from various public databases and subjected to in silico analyses. No individual-level patient data (e.g., phenotypes) are provided.
Hurler disease bone marrow stromal cells exhibit altered ability to support osteoclast formation
PMID: 22280094
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
In silico analysis of potential off-target sites togene editing for Mucopolysaccharidosis type Iusing the CRISPR/Cas9 system: Implicationsfor population-specific treatments
PMID: 35073349 Gene: IDUA Disease: MPS1 Inheritance: Autosomal recessive
6
Case#: Patient 6 (see Table 2), 33 weeks, 6 days (Gestational age)
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.47 nmol x mg-1 × hr-1
CaseUrineGAGs: N/A
CaseERT:N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.653T>C (p.L218P)
Variant2ClinVarID: 222995
Variant2CAID: CA356986
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
8
Case#: Patient 8 (see Table 2), 38 weeks (Gestational age)
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: Upper respiratory tract involvement
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.58 nmol x mg-1 × hr-1
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.653T>C (P.L218P)
Variant2ClinVarID: 222995
Variant2CAID: CA356986
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
191
Case#: Patient 19 (see Table 2), 38 weeks (Gestational age)
DiseaseAssertion: MPS1-H/S
FamilyInfo: Sibling of Patient 20 (see Table 2)
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: Inguinal hernia (HP:0000023)
CaseNotHPOFreeText: Upper respiratory tract involvement
CaseEnzymeAssay: 0.92 nmol x mg-1 × hr-1
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1044C>A (p.N348K)
Variant2ClinVarID: N/A
Variant2CAID: CA:355963142
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
3
Case#: Patient 3 (see Table 2), 40 weeks (Gestational age)
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.208C>T (p.Q70X)
Variant2ClinVarID: 11909
Variant2CAID: CA204563
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
24
Case#: Patient 24 (see Table 2), 40 weeks (Gestational age)
DiseaseAssertion: MPS1-S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: Inguinal hernia (HP:0000023)
CaseNotHPOFreeText: Upper respiratory tract involvement
CaseEnzymeAssay: 1.05 nmol x mg-1 × hr-1
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1148G>A (p.R383H)
Variant2ClinVarID: 558189
Variant2CAID: CA:2802205
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
First Three Years’ Experience of Mucopolysaccharidosis Type-I Newborn Screening in California
PMID: 37516270
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Abnormal
Case#: No additional case information provided
DiseaseAssertion: MPSI-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Abnormal
CaseUrineGAGs: Abnormal
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1861C>T (p.R621X)
Variant1ClinVarID: 11917
Variant1CAID: CA256118
Variant2: c.1861C>T (p.R621X)
Variant2ClinVarID: 11917
Variant2CAID: CA256118
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Abnormal
Case#: No additional case information provided.
DiseaseAssertion: Not specified
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Abnormal
CaseUrineGAGs: Normal
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1504C>T (p.R502W)
Variant1ClinVarID: 2070831
Variant1CAID: CA2802280
Variant2: c.1504C>T (p.R502W)
Variant2ClinVarID: 2070831
Variant2CAID: CA2802280
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Abnormal
Case#: No additional case information provided.
DiseaseAssertion: Not specified
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Abnormal
CaseUrineGAGs: Normal
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1163C>T (p.T388M)
Variant1ClinVarID: 558615
Variant1CAID: CA355963455
Variant2: c.1163C>T (p.T388M)
Variant2ClinVarID: 558615
Variant2CAID: CA355963455
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Abnormal
Case#: No additional case information provided.
DiseaseAssertion: Not specified
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Abnormal
CaseUrineGAGs: Normal
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1855C>T (p.R619X)
Variant1ClinVarID: 280976
Variant1CAID: CA2802455
Variant2: c.1169T>C (p.M390T)
Variant2ClinVarID: 1496867
Variant2CAID: CA355963466
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Patient 1
Case#: Patient 1, Chinese descent, 7 years old (age at report), born via normal pregnancy and delivery, height of 96 cm (<3rd percentile), weight of 22.5 kg (25th-50th percentile).
DiseaseAssertion: MPS 1
FamilyInfo: The third child of non-consanguineous parents. Affected older sister (Patient 2).
CasePresentingHPOs: Short stature, skeletal dysplasia, joint stiffness, claw hand deformity, coarse facial features, prominent forehead, wide nose, flared nostrils, thick lips, inguinal hernia, visual impairment (HP:0004322, HP:0002652, HP:0001387, HP:0034337, HP:0000280, HP:0011220, HP:0000445, HP:0000454, HP:0000219, HP:0000023, HP:0000505)
CaseHPOFreeText: Corneal edema with diffuse granular opacity, central corneal thickness
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.2T>C (p.M1?)
Variant1ClinVarID: 639529
Variant1CAID: CA2801095
Variant2: c.911delT (p.V304fs)
Variant2ClinVarID: 1184991
Variant2CAID: CA2573052265
AdditionalVariants: N/A
ParentalGenotype: Paternal: c.2T>C, Maternal: c.911delT
PreviouslyPublished N/A
c.547C>T
Case#: Functional assay variant with a clinical significance of being a VUS.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.547C>T (p.P183S)
Variant1ClinVarID: 2432770
Variant1CAID: CA2801989
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.1225G>C
Case#: Functional assay variant with a clinical significance of clinically benign.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1225G>C (p.G409R)
Variant1ClinVarID: 92627
Variant1CAID: CA248659
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.1898C>T
Case#: Functional assay variant with a clinical significance of pathogenic.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1898C>T (p.S633L)
Variant1ClinVarID: 556406
Variant1CAID: CA355966010
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.218A>G
Case#: Functional assay variant with a clinical significance of being a VUS.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.218A>G (p.N73S)
Variant1ClinVarID: 2432733
Variant1CAID: CA355946346
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.794G>A
Case#: Functional assay variant with a clinical significance of being a VUS.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.794G>A (p.G265D)
Variant1ClinVarID: 2203496
Variant1CAID: CA91168317
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
9/M
Case#: Patient 9, male, Han origin, 8 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Joint stiffness, Hepatosplenomegaly, Airway obstruction (HP:0001387, HP:0001433, HP:0006536)
CaseHPOFreeText: N/A
CaseNotHPOs: Global Developmental Delay, Macrocephaly, Mongolian macula, Hernia (HP:0001263, HP:0000256, HP:0011369, HP:0100790)
CaseNotHPOFreeText: Cardiac disease
CaseEnzymeAssay: IDUA activity 0.2 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1037T>G (p.L346R)
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.156C>G (p.F52L)
Variant2ClinVarID: 554280
Variant2CAID: CA355945700
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
25/M
Case#: Patient 25, male, Han origin, 10 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0000256, HP:0001387, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: Global Developmental Delay, Mongolian macula (HP:0001263, HP:0011369)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.2 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1037T>G (p.L346R)
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.1037T>G (p.L346R)
Variant2ClinVarID: 11927
Variant2CAID: CA256128
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed by parental testing.
PreviouslyPublished N/A
56/M
Case#: Patient 56, male, Han origin, 3 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Global Developmental Delay, Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0001263, HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 0.8 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1037T>G (p.L346R)
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.1210G>T (p.E404X)
Variant2ClinVarID: 552095
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
49/M
Case#: Patient 49, male, Han origin, 7 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly (HP:0000256, HP:0001387, HP:0011369, HP:0001433)
CaseHPOFreeText: N/A
CaseNotHPOs: Global Developmental Delay, Hernia, Airway obstruction (HP:0001263, HP:0100790, HP:0006536)
CaseNotHPOFreeText: Cardiac disease
CaseEnzymeAssay: IDUA activity 1.2 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.236C>T (p.A79V)
Variant1ClinVarID: 1458769
Variant1CAID: CA356987
Variant2: c.1037T>G (p.L346R)
Variant2ClinVarID: 11927
Variant2CAID: CA256128
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
19/M
Case#: Patient 19, male, Han origin, 5 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: Global Developmental Delay (HP:0001263)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.0 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.296+4G>A, it looks like this is a typo and should be c.299+4G>A
Variant1ClinVarID: N/A
Variant1CAID: CA2669476183
Variant2: 668insGCG, it looks like this should be c.665_667dup
Variant2ClinVarID: N/A
Variant2CAID: CA2586965942
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
41/M
Case#: Patient 41, male, Han origin, 2 years old (age at diagnosis)
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Global Developmental Delay, Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0001263, HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.4 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.792+1G>C
Variant1ClinVarID: N/A
Variant1CAID: CA355962280
Variant2: c.1-2C>G
Variant2ClinVarID: N/A
Variant2CAID: CA2586973510
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
39/F
Case#: Patient 39, female, Han origin, 2 years 6 months old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: Global Developmental Delay (HP:0001263)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.5 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
5/F
Case#: Patient 5, female, Han origin, 11 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Airway obstruction (HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: Global Developmental Delay, Hernia (HP:0001263, HP:0100790)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.3 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.536C>G (p.T179R)
Variant1ClinVarID: 556358
Variant1CAID: CA355961718
Variant2: c.1898C>T (p.S633L)
Variant2ClinVarID: 556406
Variant2CAID: CA355966010
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
20/M
Case#: Patient 20, male, Han origin, 4 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Macrocephaly, Joint stiffness, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0000256, HP:0001387, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: N/A
CaseNotHPOs: Global Developmental Delay, Mongolian macula (HP:0001263, HP:0011369)
CaseNotHPOFreeText: Cardiac disease
CaseEnzymeAssay: IDUA activity 0.5 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1877G>A (p.W626X)
Variant1ClinVarID: 928997
Variant1CAID: CA355965968
Variant2: c.236C>T (p.A79V)
Variant2ClinVarID: 1458769
Variant2CAID: CA356987
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
32/M
Case#: Patient 32, male, Han origin, 1 year 5 months old (age at diagnosis)
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Global Developmental Delay, Macrocephaly, Joint stiffness, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0001263, HP:0000256, HP:0001387, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseHPOFreeText: Cardiac disease
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.0 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1146dupG (Paper refers to the variant as c.1147dupG, there is a typo in the article where all duplication variants are one base pair off)
Variant1ClinVarID: N/A
Variant1CAID: CA2586965958
Variant2: c.46_57del12 (p.Ser16_Ala19del)
Variant2ClinVarID: 92643
Variant2CAID: CA220509
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed in trans by parental testing.
PreviouslyPublished N/A
45/M
Case#: Patient 45, male, Han origin, 8 years old (age at diagnosis)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Joint stiffness (HP:0001387)
CaseHPOFreeText: N/A
CaseNotHPOs: Global Developmental Delay, Macrocephaly, Mongolian macula, Hepatosplenomegaly, Hernia, Airway obstruction (HP:0001263, HP:0000256, HP:0011369, HP:0001433, HP:0100790, HP:0006536)
CaseNotHPOFreeText: Cardiac disease
CaseEnzymeAssay: IDUA activity 1.1 nmol/h/mg protein. The normal range in Chinese controls was found to be 27.2–52 nmol/h/mg protein.
CaseUrineGAGs: Diagnosis was confirmed biochemically by the demonstration of an increased excretion of urinary dermatan sulfate and heparan sulfate.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1037T>G (p.L346R)
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.1037T>G (p.L346R)
Variant2ClinVarID: 11927
Variant2CAID: CA256128
AdditionalVariants: N/A
ParentalGenotype: The transmission of sequence variations found in each patient was inferred by sequencing the corresponding exons of the patient's parents - confirmed by parental testing.
PreviouslyPublished N/A
Case#: NC-700 ID number, Table S1.1 of Supplementary Material. Female, 8 months old (age at first symptoms), 1 year and 2 months old (age at diagnosis). Stored ambient 1.7 yr.
DiseaseAssertion: Severe MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Recurrent ear infections, kyphosis, gross motor delay, hearing loss, corneal clouding (HP:0410018, HP:0002808, HP:0002194, HP:0000365, HP:0007957)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 1142 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1032C>G (p.Y344X) is included in the table but according to the CilnGen allele registry, this genotype does not exist.
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: CA-112 ID number, Table S1.1 of Supplementary Material. Male, 2 weeks old (age at first symptoms), 7 months old (age at diagnosis). Stored frozen (-20ºC) 16 yr
DiseaseAssertion: Severe MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Megalocornea, recurrent ear infections, hernia (groin), corneal clouding, joint stiffness (HP:0000485, HP:0410018, HP:0100790, HP:0007957, HP:0001387)
CaseHPOFreeText: Aortic/mitra valve regurgitation
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 1352 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1861C>T (p.R621X)
Variant1ClinVarID: 11917
Variant1CAID: CA256118
Variant2: c.1163C>G (p.T388R)
Variant2ClinVarID: 496384
Variant2CAID: CA91169370
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: CA-117 ID number, Table S1.1 of Supplementary Material. Male, 1 year and 4 months old (age at first symptoms), 1 year and 4 months old (age at diagnosis). Stored frozen (-20ºC) 26.5 yr
DiseaseAssertion: Severe MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Kyphosis, corneal clouding, joint stiffness, learning disability (HP:0002808, HP:0007957, HP:0001387, HP:0001328)
CaseHPOFreeText: Bump on spine, thick and narrowed fingers, flat nose bridge, difficulty walking
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 1861 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: CA-122 ID number, Table S1.1 of Supplementary Material. Female, 15 years old (age at first symptoms but this may be a type as the patient was diagnosed at the age of 3), 3 years old (age at diagnosis).
DiseaseAssertion: Severe MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Umbilical hernia, recurrent colds, recurrent ear infections (HP:0001537, HP:0002788, HP:0410018)
CaseHPOFreeText: Joint mobility
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 1056 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: CA-115 ID number, Table S1.1 of Supplementary Material. Female, 4 months old (age at first symptoms), 9 months old (age at diagnosis). Stored frozen (-20ºC) 3.4 yr
DiseaseAssertion: Severe MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Hydrocephalus, hypotonia, nasal congestion (HP:0000238, HP:0001252, HP:0001742)
CaseHPOFreeText: Big head flared out, bell shaped ribs, cardiac low ejection fraction, leaky mitral value, knocked knees
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 767 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
PMID: 39645522
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Case#: IL-5b ID number, Table S1.1 of Supplementary Material. Additional PHI not provided.
DiseaseAssertion: Attenuated MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 1211 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.793G>A (p.G265R)
Variant2ClinVarID: 638074
Variant2CAID: CA2802098
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: CA-119 ID number, Table S1.1 of Supplementary Material. Male, at birth (age at first symptoms), 15 years and 6 months old (age at diagnosis). Stored frozen (-20ºC) 32 yr. May be the sibling of CA-120 due to closeness in ID numbers as well as having the same variants.
DiseaseAssertion: Attenuated MPS-I
FamilyInfo: N/A
CasePresentingHPOs: Premature birth, hernia (3), ear infections, joint contractures (HP:0001622, HP:0100790, HP:0410018, HP:0002828)
CaseHPOFreeText: Lung issues, hernia, spine heart (No additional information about these symptoms provided)
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: 393 fmol/punch
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1651-7C>T
Variant1ClinVarID: 1147380
Variant1CAID: CA438057995
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
29
Case#: Patient 29, female, 1 year 6 months (age at presentation).
DiseaseAssertion: MPS1-H
FamilyInfo: Consanguinity in the family present for this patient.
CasePresentingHPOs: Corneal clouding, coarse facial features, dysostosis multiplex, global developmental delay, hepatomegaly, joint stiffness, splenomegaly, recurrent respiratory infections, umbilical hernia (HP:0007957, HP:0000256, HP:0000943, HP:0001263, HP:0002240, HP:0001387, HP:0001744, HP:0002205, HP:0001537)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1855C>T (p.R619X)
Variant1ClinVarID: 280976
Variant1CAID: CA2802455
Variant2: c.1855C>T (p.R619X)
Variant2ClinVarID: 280976
Variant2CAID: CA2802455
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
11
Case#: Patient 11, female, 1 year and 2 months (age at presentation).
DiseaseAssertion: MPS1-H/S
FamilyInfo: Consanguinity in the family present for this patient.
CasePresentingHPOs: Corneal clouding, coarse facial features, dystosis multiplex, hepatomegaly, joint stiffness, extensive Mongolian spots, splenomegaly, umbilical hernia (HP:0007957, HP:0000256, HP:0000943, HP:0002240, HP:0001387,HP:0011369, HP:0001744, HP:0001537)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.757G>T (p.G253C)
Variant1ClinVarID: 554213
Variant1CAID: CA2802076
Variant2: c.757G>T (p.G253C)
Variant2ClinVarID: 554213
Variant2CAID: CA2802076
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
24
Case#: Patient 24, female, 15 months (age at presentation).
DiseaseAssertion: MPS1-H
FamilyInfo: Consanguinity in the family present for this patient.
CasePresentingHPOs: Coarse facial features, global developmental delay, joint contractures (HP:0000256, HP:0001263, HP:0100790)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1759C>T (p.Q587X)
Variant1ClinVarID: 2630132
Variant1CAID: CA355965402
Variant2: c.1759C>T (p.Q587X)
Variant2ClinVarID: 2630132
Variant2CAID: CA355965402
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
8
Case#: Patient 8, female, 5 months (age at presentation).
DiseaseAssertion: MPS1-H
FamilyInfo: Consanguinity in the family not present for this patient.
CasePresentingHPOs: Corneal clouding, coarse facial features, dysostosis multiplex, global developmental delay, hepatomegaly, joint stiffness, splenomegaly (HP:0007957, HP:0000256, HP:0000943, HP:0001263, HP:0002240, HP:0001387, HP:0001744)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.362T>C (p.L121P)
Variant1ClinVarID: 1343382
Variant1CAID: CA355961174
Variant2: c.362T>C (p.L121P)
Variant2ClinVarID: 1343382
Variant2CAID: CA355961174
AdditionalVariants: N/A
ParentalGenotype: Mother and father are both carriers
PreviouslyPublished N/A
17
Case#: Patient 17, male, 4 years (age at presentation).
DiseaseAssertion: MPS1-H
FamilyInfo: Consanguinity in the family not present for this patient.
CasePresentingHPOs: Corneal clouding, coarse facial features, dystosis multiplex, global developmental delay, hepatomegaly, joint stiffness, splenomegaly, recurrent respiratory infection, umbilical hernia (HP:0007957, HP:0000256, HP:0000943, HP:0001263, HP:0002240, HP:0001387, HP:0001744, HP:0002205, HP:0001537)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1115A>G (p.N372S)
Variant1ClinVarID: 554765
Variant1CAID: CA355963365
Variant2: c.1160T>C (p.L387P)
Variant2ClinVarID: 556106
Variant2CAID: CA355963451
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
1
Case#: Patient 1, female, 2 years (age at presentation)
DiseaseAssertion: MPS1-H
FamilyInfo: Consanguinity in the family not present for this patient.
CasePresentingHPOs: Corneal clouding, coarse facial features, dysostosis multiplex, intellectual disability (HP:0007957, HP:0000256, HP:0000943, HP:0010864)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1A>G (p.M1?)
Variant1ClinVarID: 1323098
Variant1CAID: CA355945206
Variant2: c.1A>G (p.1M?)
Variant2ClinVarID: 1323098
Variant2CAID: CA355945206
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
rs121965023
This SNP is mentioned as clinically relevant for MPS I, but no patient data is reported.
Molecular genetic defect underlying alpha-L-iduronidase pseudodeficiency.
PMID: 8554071
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
CASE SERIES OF PATIENTS UNDER BIWEEKLYTREATMENT WITH LARONIDASE: A REPORTOF A SINGLE CENTER EXPERIENCE
PMID: 31090850 Gene: IDUA Disease: MPS1 Inheritance: Autosomal recessive
3 a
Case#: Patient 3: Enrolled in study at 6.5 years, female, onset at 2 years, diagnosed at 2.6 years, ERT started 4.6 years DiseaseAssertion:MPS1 H-S FamilyInfo:No consanguinity, Sister similarly affected CasePresentingHPOs:Corneal opacity (HP:0007957), Joint stiffness (HP:0001387), Macrocephaly (HP:0000256), CaseHPOFreeText: CaseNotHPOs: Hepatosplenomegaly (HP:0001433) CaseNotHPOFreeText: CaseEnzymeAssay: CaseUrineGAGs: 0.74(min)-4.46(max) mg GAG/mmol creatinine while on ERT CaseERT: Laronidase dose-optimization trial : standard regimen – 0.58 mg/kg/week; biweekly regimen – 1.2 mg/kg every two weeks CaseBMT:Nil Variant1:P533R Variant1ClinVarID:11910 Variant1CAID:CA256112 Variant2:P533R Variant2ClinVarID:11910 Variant2CAID:CA256112 AdditionalVariants:Nil ParentalGenotype:NA PreviouslyPublishedNA
Obstructive sleep apnea and craniofacial appearance in MPS type I-Hurler children after hematopoietic stem cell transplantation
PMID:31332621 Gene: IDUA Disease: MPS1 Inheritance: Autosomal recessive
3F51.54.7
Case#:Patient Sample unique ID 2
DiseaseAssertion:MPS type I-Hurler children
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:None
CaseNotHPOs:Obstructive sleep apnea, HP:0002870
CaseNotHPOFreeText:None
CaseEnzymeAssay:None
CaseUrineGAGs: Tested but amounts not reported
CaseERT:No
CaseBMT:Hematopoietic stem cell transplantation
Variant1:c.606c>A
Variant1ClinVarID:979011
Variant1CAID:CA370987409
Variant2:c.979G>C
Variant2ClinVarID:167190
Variant2CAID:CA234128
AdditionalVariants:None
ParentalGenotype:None provided
PreviouslyPublished:N/A
5F81.53.5
Case#:Patient Sample unique ID 2
DiseaseAssertion:MPS type I-Hurler children
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:None
CaseNotHPOs:Obstructive sleep apnea, HP:0002870
CaseNotHPOFreeText:None
CaseEnzymeAssay:None
CaseUrineGAGs: Tested but amounts not reported
CaseERT:No
CaseBMT:Hematopoietic stem cell transplantation
Variant1:c.1205G>A
Variant1ClinVarID:11908
Variant1CAID:CA220498
Variant2:c.1205G>A
Variant2ClinVarID:11908
Variant2CAID:CA220498
AdditionalVariants:None
ParentalGenotype:None provided
PreviouslyPublished:N/A
Patient iPSC-derived neural stem cells exhibit phenotypes in concordance with the clinical severity of mucopolysaccharidosis I
PMID: 30052969
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Mutation Analysis of the IDUA Gene in Iranian Patients with Mucopolysaccharidosis Type 1: Identification of Four Novel Mutations
PMID: 31298590
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Case#: Patient 9, 4 years old, Iranian
DiseaseAssertion: MPS1-S (Attenuated)
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.19 µmol/g.h (Normal ranges: 10-50 µmol/g.h)
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.903C>G (p.D301E)
Variant1ClinVarID: 1458511
Variant1CAID: CA355962528
Variant2: c.903C>G (p.D301E)
Variant2ClinVarID: 1458511
Variant2CAID: CA355962528
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Molecular Analysis of Vietnamese Patients with Mucopolysaccharidosis Type I
PMID: 34833038
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Pt4
Case#: Pt4, Male, 9 months (diagnosis), 9 months (onset)
DiseaseAssertion: Hurler Syndrome
FamilyInfo: N/A Pedigree (Figure 4Pt4)
CasePresentingHPOs: HP:0000280, HP:0000365, HP:0100814, (Coarse face, Hearing Loss, Dermal melanocytosis)
CaseHPOFreeText: Spinal Deformation, Inguinal or Umbilical hernia
CaseNotHPOs: HP:0007957, HP:0001387, HP:0001654, HP:0001433, (Cornea clouding, Joint stiffness, Valvular heart disease, Hepatosplenomegaly)
CaseNotHPOFreeText: Long bone deformation
CaseEnzymeAssay: α-L-iduronidase 0.01 (leukocytes, normal 15.9–41.8 nmol/mg prot/h)
CaseUrineGAGs: Urine glycosaminoglycans 1106.4 (mg/g creatinine) {10.7-112}
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Not Provided.
Variant1: c.1862G>C
Variant1ClinVarID: 1038439
Variant1CAID: CA355965939
Variant2: c.1862G>C
Variant2ClinVarID: 1038439
Variant2CAID: CA355965939
AdditionalVariants: N/A
ParentalGenotype: Both parents are heterozygous for c.1862G>C variant (figure 4 Pt 4)
PreviouslyPublished: N/A
M2)
Case#: Patient M2, Muslim religious group, located in lower Galilee.
DiseaseAssertion: MPS1-H
FamilyInfo: Parents of M2 were found to be heterozygous for this mutation.
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1096A>C (p.T366P)
Variant1ClinVarID: 11916
Variant1CAID: CA:256117
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
distinct mutant IDUA alleles
Case#: Patient 73, Spain
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.574delT (p.Ser192ProfsTer2)
Variant1ClinVarID: N/A
Variant1CAID: CA2586973521
Variant2: c.574delT (p.Ser192ProfsTer2)
Variant2ClinVarID: N/A
Variant2CAID: CA2586973521
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
splicing mutations
Case#: Patient 83, Turkey
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.493+1G>A
Variant1ClinVarID: 558143
Variant1CAID: CA355961625
Variant2: c.493+1G>A
Variant2ClinVarID: 558143
Variant2CAID: CA355961625
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
missense mutations
Case#: Patient 69, Spain
DiseaseAssertion: N/A
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1187T>C (p.L396P)
Variant2ClinVarID: 4689688
Variant2CAID: CA355963499
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
distinct mutant IDUA alleles
Case#: Patient 91, Turkey
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1727+6T>A
Variant1ClinVarID: 2203499
Variant1CAID: CA2580070698
Variant2: c.208C>T (p.Q70X)
Variant2ClinVarID: 11909
Variant2CAID: CA204563
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
distinct mutant IDUA alleles
Case#: Patient 93, Turkey
DiseaseAssertion: MPS1-S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.826G>A (p.E276K)
Variant1ClinVarID: 3233261
Variant1CAID: CA355962355
Variant2: c.826G>A (p.E276K)
Variant2ClinVarID: 3233261
Variant2CAID: CA355962355
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
distinct mutant IDUA alleles
Case#: Patient 71, Spain
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.1190-1delG
Variant2ClinVarID: 2734639
Variant2CAID: CA2586965967
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
distinct mutant IDUA alleles
Case#: Patient 99, Turkey
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1650+5G>C
Variant1ClinVarID: N/A
Variant1CAID: CA913187450
Variant2: c.1893delC
Variant2ClinVarID: 495733
Variant2CAID: CA658683377
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Scheie
Case#: Patient 16 (group 2), Poland, male 32 years old (age at diagnosis), 32 years old (age at baseline), 35 years old (current age)
DiseaseAssertion: MPS1-S
FamilyInfo: N/A
CasePresentingHPOs: Limitation of join mobility, joint stiffness (HP:0001376, HP:0001387)
CaseHPOFreeText: Patients in group 2 had normal mental development or only slightly delayed mental development and, therefore, could undergo active physical rehabilitation.
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Diagnosis of MPS I was confirmed by the biochemical determination of α-L-iduronidase activity deficiency in leukocytes and by molecular analysis.
CaseUrineGAGs: N/A
CaseERT: Yes, weekly infusions for 52-208 weeks (depending on the patient)
CaseBMT: N/A
Variant1: There are multiple variants listed for this patient (974-975ins12/L118, N181,IVS5(1486)C>T, IVS8(2537)insC,T410, V4541,R489, IVS10(3013)G>T, IVS12(3512)T>G) all of which have old, difficult nomenclature. Therefore, we cannot determine what the current nomenclature is.
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: See above.
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
2
Case#: Patient 2, female
DiseaseAssertion: MPS I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Low IDUA enzyme activity 21.60 (Ref. 4.87 ~ 54.70 μmol/g protein/h)
CaseUrineGAGs: Negative GAG tests
CaseERT: N/A
CaseBMT: N/A
Variant1: c.76G>A (p.A26T)
Variant1ClinVarID: 712785
Variant1CAID: CA280110
Variant2: c.911delT (p.V304Gfs*13)
Variant2ClinVarID: 1184991
Variant2CAID: CA2573052265
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Status of newborn screening and follow up investigations for Mucopolysaccharidoses I and II in Taiwan
PMID: 29801497
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Intrathecal enzyme replacement for cognitive decline in mucopolysaccharidosis type I, a randomized, open-label, controlled pilot study
PMID:PMC7813548
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Table 2.
Case#:Not assigned
DiseaseAssertion:MPS type I with evidence of cognitive impairment defined as a score of at least 1 SD below mean on IQ testing or in one domain of neuropsychological function; attenuated MPS I
FamilyInfo:No information
CasePresentingHPOs:HP:0100543
CaseHPOFreeText:
CaseNotHPOs:HP:0032557
CaseNotHPOFreeText:Subjects were excluded if they had undergone hematopoietic stem cell transplantation, were unable to comply with study procedures, had significant lumbar pathology precluding access to the intrathecal space via lumbar puncture, or significantly impaired spinal CSF flow as detected on a nuclear medicine flow study as part of screening.
CaseEnzymeAssay:No information
CaseUrineGAGs:No information
CaseERT:Yes
CaseBMT:No (exclusion criterion)
Variant1:L238Q
Variant1ClinVarID:
Variant1CAID:
Variant2:W402X
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants:N/A
ParentalGenotype:Not specified
PreviouslyPublished
Table 2.
Case#:Not assigned
DiseaseAssertion:MPS type I with evidence of cognitive impairment defined as a score of at least 1 SD below mean on IQ testing or in one domain of neuropsychological function; attenuated MPS I
FamilyInfo:No information
CasePresentingHPOs:HP:0100543
CaseHPOFreeText:
CaseNotHPOs:HP:0032557
CaseNotHPOFreeText:Subjects were excluded if they had undergone hematopoietic stem cell transplantation, were unable to comply with study procedures, had significant lumbar pathology precluding access to the intrathecal space via lumbar puncture, or significantly impaired spinal CSF flow as detected on a nuclear medicine flow study as part of screening.
CaseEnzymeAssay:No information
CaseUrineGAGs:No information
CaseERT:Yes
CaseBMT:No (exclusion criterion)
Variant1:int3 425a>g
Variant1ClinVarID:
Variant1CAID:
Variant2:int5 1487g>a
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants:N/A
ParentalGenotype:Not specified
PreviouslyPublished
Table 2.
Case#:Not assigned
DiseaseAssertion:MPS type I with evidence of cognitive impairment defined as a score of at least 1 SD below mean on IQ testing or in one domain of neuropsychological function; attenuated MPS I
FamilyInfo:No information
CasePresentingHPOs:HP:0100543
CaseHPOFreeText:
CaseNotHPOs:HP:0032557
CaseNotHPOFreeText:Subjects were excluded if they had undergone hematopoietic stem cell transplantation, were unable to comply with study procedures, had significant lumbar pathology precluding access to the intrathecal space via lumbar puncture, or significantly impaired spinal CSF flow as detected on a nuclear medicine flow study as part of screening.
CaseEnzymeAssay:No information
CaseUrineGAGs:No information
CaseERT:Yes
CaseBMT:No (exclusion criterion)
Variant1:W402X
Variant1ClinVarID:
Variant1CAID:
Variant2:int11 -7c>t
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants:N/A
ParentalGenotype:Not specified
PreviouslyPublished
group of patients
Case#: Patient A
DiseaseAssertion: N/A
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.1651-1G>T
Variant2ClinVarID: N/A
Variant2CAID: CA355965149
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Hurler
Case#: 0.6% residual activity at 37 °C
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 1.6 ± 0.2 nmol/mg/h IDUA activity at 37 °C
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.653T>C (p.L238Q)
Variant1ClinVarID: 222995
Variant1CAID: CA356986
Variant2: c.653T>C (p.L238Q)
ClinVarID: 222995
Variant2CAID: CA356986
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Ultrastructural analysis of dermal fibroblasts in mucopolysaccharidosis type I: Effects of enzyme replacement therapy and hematopoietic cell transplantation
PMID: 20455661
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
3
Case#: Patient 3 (see Table 1), female, 9 months (age at report and onset), height of 51 cm, weight of 19 kg, location at Sfax: Industrial region.
DiseaseAssertion: MPS1 - severe
FamilyInfo: Two affected siblings (Patients 1 and Patient 2), three other familial relations (deceased), parents were 3rd cousins (see Table 2) aged 38 yrs (M) and 40 yrs (F).
CasePresentingHPOs: HP:0001999, HP:0002652 (Abnormal facial shape, skeletal dysplasia)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: (p.F602X)
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: (p.F602X)
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
6
Case#: Patient 6 (see Table 1), 25 years old - deceased (age at report), 9 months old (age at onset), male, height of 120 cm, weight of 20 kg, location at Djerba: Land
DiseaseAssertion: MPS1 - intermediate
FamilyInfo: One affected siblings (Patient 7), parents were 1st cousins (see Table 2), parents have the same grandfather but with a different wife (see Table 4), aged 40 yrs (M) and 49 yrs (F).
CasePresentingHPOs: HP:0004322, HP:0007957, HP:0000924, HP:0001387 (Short stature, corneal clouding, moderate skeletal abnormalities, joint stiffness)
CaseHPOFreeText: Valgus deformity
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity: 0.030 μKat/kg
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1598C>G (p.P533R)
Variant1ClinVarID: 11910
Variant1CAID: CA:236112
Variant2: c.1598C>G (p.P533R)
Variant2ClinVarID: 11910
Variant2CAID: CA:256112
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
1
Case#: Patient 1 (see Table 1), 5 years and 6 months - deceased (age at report), 2 months (age of onset), male, height of 103 cm, weight of 13 kg, located in the Sfax: Industrial region.
DiseaseAssertion: MPS1 - severe
FamilyInfo: Two affected siblings (Patients 2 and Patient 3), three other familial relations (deceased), parents were 3rd cousins (see Table 2) aged 38 yrs (M) and 40 yrs (F).
CasePresentingHPOs: HP:0000023, HP:0000280, HP:0000365, HP:0000389 (Inguinal hernia, coarse facial feature, hearing impairment, chronic otitis)
CaseHPOFreeText: Pulmonary and cardiac deficiency
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: (p.F602X)
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: (p.F602X)
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
12
Case#: Patient 12 (see Table 1), 5 years old (age at report), 9 months old (age at onset), female, height of 120 cm, weight of 18 kg, located at Tunis: Industrial region
DiseaseAssertion: MPS1 - severe
FamilyInfo: Parents were 2nd cousins (see Table 2), aged 38 yrs (M) and 46 yrs (F).
CasePresentingHPOs: HP:0004322, HP:0001999, HP:0001537, HP:0007957, HP:0000924, HP:0010864 (Short stature, facial dysmorphia, umbilical hernia, corneal clouding, skeletal abnormalities, severe intellectual disability)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA Activity - 0
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1743C>G (p.Y581X)
Variant1ClinVarID: 550883
Variant1CAID: CA220498
Variant2: c.1743C>G (p.Y581X)
Variant2ClinVarID: 550883
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
101
Case#: Pt 101 , Age 28 years, Female, DiseaseAssertion: MPS1 Scheie syndrome. FamilyInfo: NA CasePresentingHPOs: NA CaseHPOFreeText: NA CaseNotHPOs: NA CaseNotHPOFreeText: NA
CaseEnzymeAssay: Low leukocyte IDUA enzyme activity CaseUrineGAGs: NA CaseERT: No CaseBMT: No Variant1: p.R89Q Variant1ClinVarID: 11922 Variant1CAID:CA256124 Variant2:p.W402X Variant2ClinVarID:11910 Variant2CAID:CA256112 AdditionalVariants: NA ParentalGenotype: NA PreviouslyPublished:NA
216
Case#: 216 7.8 yrs male, age at initial diagnosis 0.7 yrs DiseaseAssertion: MPS IH FamilyInfo:Nil CasePresentingHPOs: CaseHPOFreeText: CaseNotHPOs: CaseNotHPOFreeText: CaseEnzymeAssay: IDUA activity: low leukocyte IDUA enzyme activity CaseUrineGAGs: CaseERT: 5.6 yrs, then study drug, valanafusp alpha, also called AGT-181 for 12 months
CaseBMT: No PreviouslyPublished Don't know Variant1:p.P533R Variant1ClinVarID: 11910 Variant1CAID: CA256112 Variant2:p.G208D Variant2ClinVarID: 554590 Variant2CAID:
214
Case#: 214 2 yrs male, age at initial diagnosis 1.8 yrs DiseaseAssertion: MPS IH FamilyInfo:Nil CasePresentingHPOs: CaseHPOFreeText: CaseNotHPOs: CaseNotHPOFreeText: CaseEnzymeAssay: IDUA activity: low leukocyte IDUA enzyme activity CaseUrineGAGs: CaseERT: 12 yrs, then study drug, valanafusp alpha, also called AGT-181 for 12 months Variant1: p.W402X Variant1ClinVarID: 11908 Variant1CAID: CA220498 Variant2:p.W402X Variant2ClinVarID: 11908 Variant2CAID: CA220498 AdditionalVariants: NA ParentalGenotype: NA PreviouslyPublished:NA
5
Case#: Patient 5 (see Table 2), female, 17.8 years old (age at report), 0.3 years (duration of treatment), 7 surgeries
DiseaseAssertion: MPS1-HS
FamilyInfo: N/A
CasePresentingHPOs: HP:0000238, HP:0002176, HP:0002360 (Hydrocephalus, spinal cord compression, sleep abnormality)
CaseHPOFreeText: Shunt placement, psychiatric problems
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.712T>A (p.L238Q) CDNA and protein change do not match. Known variant p.L238Q has a CDNA change of c.713T>A.
Variant1ClinVarID: 265418
Variant1CAID: CA2802065
Variant2: c.1208G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
11
Case#: Patient 11 (see Table 2), male, 19 years old (age at report), 9.4 years (duration of treatment), 8 surgeries
DiseaseAssertion: MPS1-HS
FamilyInfo: N/A
CasePresentingHPOs: HP:0000238, HP:0002176 (Hydrocephalus, Spinal cord compression)
CaseHPOFreeText:
CaseNotHPOs: HP:0002360 (sleep abnormality)
CaseNotHPOFreeText: Shunt placement, psychiatric problems
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.265C>T (p.R89W)
Variant1ClinVarID: 580286
Variant1CAID: CA2801156
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
9
Case#: Patient 9 (see Table 2), male, 12.7 years old (age at report), 7 years (duration of treatment), 7 surgeries
DiseaseAssertion: MPS1-HS
FamilyInfo: N/A
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs: HP:0000238, HP:0002176, HP:0002360 (Hydrocephalus, spinal cord compression, sleep abnormality)
CaseNotHPOFreeText: Shunt placement, psychiatric problems
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes
CaseBMT: N/A
Variant1: c.1139A>G (p.Q380R)
Variant1ClinVarID: 550799
Variant1CAID: CA2802202
Variant2: c.208C>T (p.Q70X)
Variant2ClinVarID: 11909
Variant2CAID: CA204563
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
4
Case#: Infant #4, male.
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 3.88 IDUA enzyme activity (Ref. 5.9–27.8 μmol/g protein/h)
CaseUrineGAGs: DMB/Cre. Ratio - 24.89, DS - 0.05, HS - 0.29, KS - 0.16 GAG quantifications (DMB/Cre ratio) and the normal reference values based on the age groups: <6 mos: <70.68 mg /mmol cre.; 6 mos–2 yrs: <46.80 mg /mmol cre.; 2–17 yrs: <20.98 mg /mmol cre.; and >18 yrs: <12.62 mg /mmol cre. Quantitative analyses of GAG-derived disaccharides (DS, S, or KS) by tandem mass spectrometry assay. The normal cut-off values: DS < 0.80 μg/mL; HS < 0.78 μg/mL; and KS < 7.90 μg/mL.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.179A>C (p.Q60P) Assuming that this variant is homozygous but it does not specifically say
Variant1ClinVarID: 1714580
Variant1CAID: CA355946101
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
1
Case#: Infant #1, female
DiseaseAssertion: MPS-I
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 1.20 IDUA enzyme activity (Ref. 5.9–27.8 μmol/g protein/h)
CaseUrineGAGs: DMB/Cre. Ratio - 37.86, DS - 0.27, HS - 0.10, KS - 5.69 GAG quantifications (DMB/Cre ratio) and the normal reference values based on the age groups: <6 mos: <70.68 mg /mmol cre.; 6 mos–2 yrs: <46.80 mg /mmol cre.; 2–17 yrs: <20.98 mg /mmol cre.; and >18 yrs: <12.62 mg /mmol cre. Quantitative analyses of GAG-derived disaccharides (DS, S, or KS) by tandem mass spectrometry assay. The normal cut-off values: DS < 0.80 μg/mL; HS < 0.78 μg/mL; and KS < 7.90 μg/mL.
CaseERT: N/A
CaseBMT: N/A
Variant1: c.343G>A (p.Asp115Asn)
Variant1ClinVarID: N/A
Variant1CAID: CA355961124
Variant2: c.2T>C (p.M1?)
Variant2ClinVarID: 639529
Variant2CAID: CA2801095
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
590.330 (4.3)7.9DS 4.5homozygous PD: c.235G>A; p.A79TNormal examinationHS 4.9homozygous PD: c.296C>T; p.T99I
Case#:Patient Sample unique ID 59, Infant screened positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
DiseaseAssertion:None
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:None
CaseNotHPOs:None
CaseNotHPOFreeText: Normal examination at follow up after screening positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
CaseEnzymeAssay: IDUA activity 0.330 (4.3) umol/L/h (%DMA) during new born screening through dried blood spot (plasma) and 7.9 pmol/punch/h Confirmatory IDUA enzyme
CaseUrineGAGs: DS 4.5 g/mol creatinine and HS 4.9 g/mol creatinine (Normal)
CaseERT:No
CaseBMT:No
Variant1:homozygous PD: c.235G>A; p.A79T (Normal examination)
Variant1ClinVarID:41682
Variant1CAID: CA000358
Variant2: homozygous PD: c.296C>T; p.T99I
Variant2ClinVarID:53610
Variant2CAID:CA326991
AdditionalVariants:None
ParentalGenotype:None provided
PreviouslyPublished:N/A
460.598 (7.7)8.1DS 4.0homozygous PD: c.235G>A; p.A79TNormal examinationHS 4.4homozygous PD: c.296C>T; p.T99I
Case#:Patient Sample unique ID 46, Infant screened positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
DiseaseAssertion:None
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:None
CaseNotHPOs:None
CaseNotHPOFreeText: Normal examination at follow up after screening positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
CaseEnzymeAssay: IDUA activity 0.598 (7.7) umol/L/h (%DMA) during new born screening through dried blood spot (plasma) and 8.1 pmol/punch/h Confirmatory IDUA enzyme
CaseUrineGAGs: DS 4.0 g/mol creatinine and HS 2.7 g/mol creatinine (Normal)
CaseERT:No
CaseBMT:No
Variant1:homozygous PD: c.235G>A; p.A79T (Normal examination)
Variant1ClinVarID:41682
Variant1CAID: CA000358
Variant2: homozygous PD: c.296C>T; p.T99I
Variant2ClinVarID:53610
Variant2CAID:CA326991
AdditionalVariants:None
ParentalGenotype:None provided
PreviouslyPublished:N/A
540.309 (3.7)N/A‡DS 3.4heterozygous PD: c.235G>A; p.A79TNot examined at UNC-CHHS 2.8heterozygous PD: c.296C>T; p.T99Iheterozygous PD: c.667G>A; p.D223N
Case#:Patient Sample unique ID 54, Infant screened positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
DiseaseAssertion:None
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:None
CaseNotHPOs:None
CaseNotHPOFreeText: Normal examination at follow up after screening positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
CaseEnzymeAssay: IDUA activity 0.309 (3.7) umol/L/h (%DMA) during new born screening through dried blood spot (plasma) and N/A pmol/punch/h Confirmatory IDUA enzyme
CaseUrineGAGs: DS 3.4 g/mol creatinine and HS 2.8 g/mol creatinine (Normal)
CaseERT:No
CaseBMT:No
Variant1:homozygous PD: c.235G>A; p.A79T (Normal examination)
Variant1ClinVarID:41682
Variant1CAID: CA000358
Variant2: homozygous PD: c.296C>T; p.T99I
Variant2ClinVarID:53610
Variant2CAID:CA326991
AdditionalVariants: heterozygous PD: c.667G>A; p.D223N (ClinVarID: 2220838, CAID: CA363422841)
ParentalGenotype:None provided
PreviouslyPublished:N/A
680.454 (5.9)7.3DS 7.2homozygous PD: c.235G>A; p.A79TLung disease of prematurity, inguinal hernia, dolichocephalyHS 4.1heterozygous PD: c.296C>T; p.T99I
Case#:Patient Sample unique ID 68, Infant screened positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
DiseaseAssertion:None
FamilyInfo:None
CasePresentingHPOs:None
CaseHPOFreeText:Presented with HPOs related to being born premature.
CaseNotHPOs:None
CaseNotHPOFreeText: Normal examination at follow up after screening positive at birth (specimens with activity ≤15% of the DMA for enzyme activity and a CLIR screening algorithm result of indeterminate or MPS I)
CaseEnzymeAssay: IDUA activity 0.454 (5.9) umol/L/h (%DMA) during new born screening through dried blood spot (plasma) and 7.3 pmol/punch/h Confirmatory IDUA enzyme
CaseUrineGAGs: DS 7.2 g/mol creatinine and HS 4.1 g/mol creatinine (Normal)
CaseERT:No
CaseBMT:No
Variant1:homozygous PD: c.235G>A; p.A79T (Normal examination)
Variant1ClinVarID:41682
Variant1CAID: CA000358
Variant2: homozygous PD: c.296C>T; p.T99I
Variant2ClinVarID:53610
Variant2CAID:CA326991
AdditionalVariants:None
ParentalGenotype:None provided
PreviouslyPublished:N/A
Combined Hurler and Sanfilippo syndrome in a sibling pair
PMID: 21393040
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
19
Case#: 19, Male, 0.5 years (diagnosed), 2.2 years (report), 8.0 kg (weight), 7.6 cm (height), Iranian
DiseaseAssertion: Scheie Syndrome
FamilyInfo: Parents are consanguineous
CasePresentingHPOs: HP:0001249, HP:0001999, HP:0100790 (Mental Retardation, Facial Dysmorphic Features, Hernia)
CaseHPOFreeText: HM/HSM
CaseNotHPOs: HP:0000943, HP:0001387, HP:0000365, HP:0007957, HP:0000238 (Multiple Dysostosis, Joint Stiffness, Deafness, Corneal Opacity, Hydrocephalus)
CaseNotHPOFreeText: Chronic Rhinorrhea, Cardiac Manifestations
CaseEnzymeAssay: IDUA activity 3.72 (μmol/spot.20h)
CaseUrineGAGs: Quantitative urinary GAG 8.4 (mg/gCr)
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Sanger Sequencing
Variant1: p.S157P
Variant2: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
5
Case#: 5, Female, 1.2 years (diagnosed), 10.5 years (report), 10.5 kg (weight), 87 cm (height), Iranian
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Parents are consanguineous
CasePresentingHPOs: HP:0001249, HP:0001999, HP:0000943, HP:0001387, HP:0100790, HP:0000365, HP:0000238 (Mental Retardation, Facial Dysmorphic Features, Multiple Dysostosis, Joint Stiffness, Hernia, Deafness, Hydrocephalus)
CaseHPOFreeText: HM/HSM, Chronic Rhinorrhea, Cardiac Manifestations (Mitral stenosis/ Aortic insufficiency)
CaseNotHPOs: HP:0007957 (Corneal Opacity)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity 1.69 (μmol/spot.20h)
CaseUrineGAGs: Quantitative urinary GAG 14.80 (mg/gCr)
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Sanger Sequencing
Variant1: p.D257G
Variant2: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished: N/A
20026495
Case#: Patient M (male) is an Italian boy who was diagnosed with MPS I by enzyme assay at 3 days of age. His weight was 7.5 kg (75th percentile), length was 67.0 cm (90th percentile), and head circumference was 43.0 cm (75th percentile).
DiseaseAssertion: MPS1-H/S
FamilyInfo: The patient is a younger asymptomatic sibling who was diagnosed with the disease because of his older affected sister. Two months before patient M birth, his 4.5-year-old sister, patient F, had been diagnosed with the Hurler-Scheie form of MPS I on the basis of clinical findings, an elevated urinary glycosaminoglycan level, and low α-l-iduronidase activity in leukocytes.
CasePresentingHPOs: Corneal clouding (HP:0007957)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: He did not develop coarse facial features, joint disease, or organomegaly, and he has shown no evidence of cardiac disease or skeletal abnormalities. He has shown no signs of dysostosis multiplex on radiographs, and his heart valves functioned normally and were not thickened or dysplastic.
CaseEnzymeAssay: N/A
CaseUrineGAGs: 651.7 μg/mg creatinine (normal value for age: 30–200 μg/mg); predominance of heparan sulfate and dermatan sulfate. Urinary glycosaminoglycan excretion decreased to normal levels for age within 4 months of therapy, with complete disappearance of dermatan and heparan sulfate bands on electrophoresis.
CaseERT: Yes - started laronidase at the age of 5 months. Weekly intravenous infusions of laronidase, at the standard dose of 100 U/kg of body weight. Over the following 5 years, treatment was administered regularly (only 3 infusions were missed), and it was well tolerated without any significant adverse effects.
CaseBMT: N/A
Variant1: c.12205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1603C>T (p.L535F)
Variant2ClinVarID: 638076
Variant2CAID: CA355965038
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
c.854delC
Case#: Patient 1, Egyptian, female, 1.5 years old
DiseaseAssertion: MPS1-H
FamilyInfo: Parents were 1st cousins
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.766del (c.854delC is the nomenclature in the literature but it is not current)
Variant1ClinVarID: N/A
Variant1CAID: CA2499922676
Variant2: c.766del (c.854delC is the nomenclature in the literature but it is not current)
Variant2ClinVarID: N/A
Variant2CAID: CA2499922676
AdditionalVariants: IVS5 (1486)C>T - this is not the current nomenclature but it is identified as a polymorphism in the article. c.1398C>T seems to be the current nomenclature for this variant.
ParentalGenotype: All mutations were confirmed in the parental DNA
PreviouslyPublished N/A
Case#: Patient 7, 6 years old, Iranian
DiseaseAssertion: MPS1-H (Severe)
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: IDUA activity not detected
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
5
Case#: Subject 5, female in her 20s (age at enrollment)
DiseaseAssertion: MPS1-HS
FamilyInfo: N/A
CasePresentingHPOs: HP:0002176 (Spinal cord compression)
CaseHPOFreeText: Improved balance, decreased spasticity
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - Enzyme replacement therapy with laronidase, showed no worsening in symptoms of spinal cord compression or neurologic findings.
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.396insAC - variant not known; an option could be c.397_398insCA
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
14 patients
Case#: Patient 11 in Group 2 (patients who were at least 3 years of age at the time of introduction of ERT), 2 years old (age of diagnosis), 3 years old (baseline age), 6 years old (current age), male, Polish
DiseaseAssertion: MPS1-S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: Anthropometric features
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: Diagnosis of MPS I confirmed by the biochemical determination of α-l-iduronidase deficiency in leukocytes
CaseUrineGAGs: Baseline urinary GAG values ranged from 450 to 1330 mg/g of creatinine. For treated patients the reductions of urinary GAG ranged from 30% to 80% with a mean reduction of 55%, but it never approached the normal range for age.
CaseERT: Yes - for 156 weeks he received weekly intravenous infusions of 100 U/kg (0.58 mg/kg) laronidase
CaseBMT: No
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.227A>G (p.Y76C)
Variant2ClinVarID: 552686
Variant2CAID: CA2801140
AdditionalVariants: c.1345C>A (p.H449N); ClinVarID:350230, CAID:CA2802233
ParentalGenotype: N/A
PreviouslyPublished N/A
Chinese mucopolysaccharidosis type IH/S patient
Case#: Chinese. 12 years old (age at report)
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: Short stature, macrocephaly, coarse face, corneal clouding, skeletal deformities, hepatosplenomegaly, hearing impairment, tracheal stenosis, hypertrophic cardiomyopathy, obstructive sleep apnea, umbilical hernia, anemia, ichthyosis (HP:0004322, HP:0000256, HP:0000280, HP:0007957, HP:0000924, HP:0001433, HP:0000365, HP:0002777, HP:0001639, HP:0002870, HP:0001537, HP:0001903, HP:0008064
CaseHPOFreeText: Normal intelligence, adenoid hyperplasia, tonsil hypertrophy
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: A very low level of IDUA activity (1.8%) was detected in the patient's fibroblast cells (data not shown).
The effects of both mutations on IDUA activity and/or splicing were examined by transfection into COS-7 cells of the IDUA cDNA construct. When compared to that of wild-type cDNA, 87.5, 1.6, and 0.4% IDUA activity was observed with the IDUA cDNA containing the wild-type acceptor splice site (388-3c), the mutated acceptor splice site (388-3g), or L346R.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1037T>G (p.Leu346Arg)
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.300-3C>G; c.388-3C>G in the paper (old nomenclature)
Variant2ClinVarID: 551563
Variant2CAID: CA549265042
AdditionalVariants: p.Q33H (polymorphism)
ParentalGenotype: Maternal: c.1037T>G (p.L346R); Paternal: c.300-3C>G (c.388-3C>G in the paper, old nomenclature)
PreviouslyPublished N/A
1
Case#: Patient No. 1 (Table 1), White race, male, 1.97 years old (age at time of gene therapy), 75 IQ score. 2.9 years since gene therapy, 2 years since latest visit.
DiseaseAssertion: MPS-IH
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: Yes
Variant1: c.603C>G
Variant1ClinVarID: 1323100
Variant1CAID: CA355961899
Variant2: c.603C>G (p.Y603X)
Variant2ClinVarID: 1323100
Variant2CAID: CA355961899
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
II
Case#: Patient II, origin of proband is Germany
DiseaseAssertion: Hurler syndrome (H)
FamilyInfo: No family information stated in this paper
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: 0.01mU IDUA enzyme activity in proband. Paper states that the reference range for this proband is the control sample.
CaseUrineGAGs: Information not stated in this paper
CaseERT: Don't know
CaseBMT: Don't know
Variant1: c.979G>C, p.A327P
Variant1ClinVarID: 167190
Variant1CAID: CA234128
Variant2: Not identified in this study
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: No additional variants mentioned
ParentalGenotype: No parental information provided
PreviouslyPublished: I do not believe this proband was previously published. The paper states that variant "c.979G>C have been found in patients previously." It does not link the variant to a specific paper but instead references a list of papers. Here are the PMIDs of those paper: 7951228, 1301196, 1301941, and 7550232
Five unrelated patients
Case#: 3 (Thai, male, diagnosed at age 3y8m)
DiseaseAssertion: MPS1
FamilyInfo: Thai, no consanguinity
CasePresentingHPOs: 0007759 (cloudy cornea), 0034337 (claw hand), 0002240 (hepatomegaly)
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText: no neurological symptoms detected
CaseEnzymeAssay: not determined
CaseUrineGAGs:
CaseERT:
CaseBMT:
Variant1:IDUA c.265G>A (p.R89Q)
Variant1ClinVarID: 11922
Variant1CAID:
Variant2: IDUA c.*1T>C: Ex14 (p.X654Rext38)
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants:
ParentalGenotype:
PreviouslyPublished
Five unrelated patients
Case#: 2 (Thai, male, diagnosed at 9years 6months)
DiseaseAssertion: MPS1
FamilyInfo: Thai, Parental consanguinity (relationship not defined)
CasePresentingHPOs: 0007759 (cloudy cornea); 0034337 (claw hand); 0002240 (hepatomegaly)
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText: no neurological symptoms noted
CaseEnzymeAssay: 3.03 nmole/18 h/mg protein
CaseUrineGAGs:
CaseERT:
CaseBMT:
Variant1:IDUA c;*1T>C: Ex14 (p.X654Rext38)
Variant1ClinVarID:
Variant1CAID:
Variant2: *IDUA c;1T>C: Ex14 (p.X654Rext38)
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants:
ParentalGenotype:
PreviouslyPublished
1
Case#: One patient from Egypt
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.964delC in paper but correct nomenclature is c.876delC (p.Asp292GlufsTer25)
Variant1ClinVarID: 456720
Variant1CAID: CA658657370
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: c.1360G>A (p.V454I) and c.1467C>T (p.R489=)
ParentalGenotype: N/A
PreviouslyPublished N/A
4 missense mutations
Case#: One patient from The Netherlands
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1466G>C (p.R489P)
Variant1ClinVarID: 1518214
Variant1CAID: CA355964650
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Comment on “report of 5 novel mutations of the α-L-iduronidase gene and comparison of Korean mutations in relation with those of Japan or China in patients with mucopolysaccharidosis I”
PMID: 30286738
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
IV-1
Case#: IV-1, Female, Yemeni, deceased at age 2 years
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Parents are consanguineous first cousins (Pedigree figure #1)
CasePresentingHPOs: HP:0001640, HP:0000280, HP:0002516 (Cardiomegaly, Coarse Facial Features, Intracranial hypertension)
CaseHPOFreeText: Dysplasia
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Sanger Sequencing
Variant1: N/A
Variant1ClinVarID: N/A
Variant1CAID: N/A
Variant2: N/A
Variant2ClinVarID: N/A
Variant2CAID: N/A
AdditionalVariants: N/A
ParentalGenotype: Both parents are heterozygous for the c.657delA variant of the gene (see pedigree @ figure#1)
PreviouslyPublished N/A
11/M
Case#: 11, Male, 20 months (onset), 3 years (diagnosed), 9 years (report)
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Not Provided
CasePresentingHPOs: HP:0000256, HP:0001387, HP:0002240, HP:0001744, HP:0001537, HP:0000407, HP:0000280, HP:0000943, HP:0007957 (Macrocephaly, Joint Stiffness, Hepatomegaly (moderate before HSCT and none at 9y), Splenomegaly (moderate before HSCT and none at 9y), Umbilical Hernia, Sensorineural hearing loss, Coarse Facial Features, Dysostosis Multiplex, Corneal Clouding)
CaseHPOFreeText: (Mental Development (Delayed since 2nd year; Developmental Quotient 73 before HSCT; mental regress after HSCT, Developmental Quotient 45 at 5y), Severe Acute graft versus host disease)
CaseNotHPOs: HP:0004322 (Short stature)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: normal IDUA activity
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: Hematopoietic Stem Cell Transplantation at 3y
GenotypingMethod: Not Provided
Variant1: p.Q70X
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: p.Y167X
Variant2ClinVarID: N/A
Variant2CAID: CA355961650
AdditionalVariants: p.Q33H/Q33H, p.R105Q, p.N181, p.A314, p.T410, p.V454I, p.R489
ParentalGenotype: N/A
PreviouslyPublished N/A
17/F
Case#: 17, Female, 9 years (onset), 10 years (diagnosed), 10 years (report)
DiseaseAssertion: Scheie Syndrome
FamilyInfo: Patients 17 and 18 are siblings
CasePresentingHPOs: HP:0004322, HP:0002240, HP:0001537, HP:0000280, HP:0000943, HP:0007957 (Short Stature, Hepatomegaly (moderate), Umbilical Hernia, Coarse Facial Features (mild), Dysostosis Multiplex, Corneal Clouding)
CaseHPOFreeText: (Mental Development (Verbal IQ 92; Performance IQ 84; CIQ 86), Mild septal hypertrophy; mitral valve dysplasia)
CaseNotHPOs: HP:0000256, HP:0001387, HP:0001744 (Macrocephaly, Joint Stiffness, Splenomegaly)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Not Provided
Variant1: p.Q380R
Variant1ClinVarID: 550799
Variant1CAID: CA2802202
Variant2: p.Q380R
Variant2ClinVarID: 550799
Variant2CAID: CA2802202
AdditionalVariants: p.A8/A8, p.A20/A20
ParentalGenotype: N/A
PreviouslyPublished N/A
1/M
Case#: 1, Male, 4 months (onset), 2 years (diagnosed), 2 years (report), deceased
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Not Provided
CasePresentingHPOs: HP:0004322, HP:0000256, HP:0001387, HP:0002240, HP:0001744, HP:0001639, HP:0001537, HP:0011947, HP:0000158, HP:0000280, HP:0000943, HP:0007957 (Short Stature, Macrocephaly, Joint Stiffness, Hepatomegaly (severe), Splenomegaly (severe), Hypertrophic Cardiomyopathy, Umbilical Hernia, Respiratory Infections, Large Tongue, Coarse Facial Features, Dysostosis Multiplex, Corneal Clouding)
CaseHPOFreeText: Mental Development (Developmental Quotient 54-62 at 2y), Systolic Murmur (3/6),
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
GenotypingMethod: Not Provided
Variant1: p.W402X
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: p.W402X
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
2/M
Case#: 2, Male, 1 year (onset), 13 months (diagnosed), 5 years (report)
DiseaseAssertion: Hurler Syndrome
FamilyInfo: Not Provided
CasePresentingHPOs: HP:0001387, HP:0002240, HP:0001744, HP:0001537, HP:0000023, HP:0000365, HP:0000158, HP:0000280, HP:0000943, HP:0007957 (Joint Stiffness, Hepatomegaly (moderate before HSCT, mild after HSCT), Splenomegaly (mild), Umbilical Hernia, Inguinal Hernia, Deafness, Large Tongue, Coarse Facial Features, Dysostosis Multiplex, Corneal Clouding)
CaseHPOFreeText: Mental Development (Normal development till 1y, developmental quotient 79 at 2y), Systolic Murmur (1/6; Ejection fraction of 68% at 4 years old)
CaseNotHPOs: HP:0004322, HP:0000256 (Short Stature, Macrocephaly)
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: Hematopoietic Stem Cell Transplantation in 2 years (chimerism)
GenotypingMethod: Not Provided
Variant1: p.W402X
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: p.W402X
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
10 MPS I patients
Case#: MPS 1 patient
DiseaseAssertion: N/A
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.1882C>T (p.R628X)
Variant2ClinVarID: 550421
Variant2CAID: CA2802462
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Identifying the genetic causes of phenotypically diagnosed Pakistani mucopolysaccharidoses patients by whole genome sequencing
PMID: 37091798
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
MPS I_Case 04
Case#: MPS I_Case 04, male newborn
DiseaseAssertion: MPS type I, MPS I, MPS-I, attenuated MPS I
FamilyInfo: No family information provided
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText: This proband is believed to be an affected MPS-patient however, the proband did not have any obvious clinical symptoms to date (up to two years of age). The paper states that this attenuated MPS I case will need a long term follow up.
CaseEnzymeAssay: Proband identified by newborn screening. alpha-L-iduronidase activity in dried blood spot sample is 0.54 umole/L/Hr; this is below the study's DBS enzyme activity cutoff value of 3 umol/L/h
CaseUrineGAGs: Urine DMB GAG ratio, dermatan sulfate amount, heparan sulfate amount, and keratan sulfate amount was not calculated for this proband because their parents refused further analysis
CaseERT: Don't know (would assume no since the proband is a newborn)
CaseBMT: Don't know (would assume no since the proband is a newborn)
Variant1: c.1079T>G, p.F360C
Variant1ClinVarID:
Variant1CAID: CA355963276
Variant2: c.1359_1384del, p.S453Rfs*47
Variant2ClinVarID:
Variant2CAID: CA3051384105
AdditionalVariants: No additional variants mentioned
ParentalGenotype: No parental testing results are available
PreviouslyPublished No statement from the author indicating the proband is previously published. Since this is a newborn study, I strongly believe this is the proband’s first time being published.
MPS I_Case 03
Case#: MPS I_Case 03, female newborn
DiseaseAssertion: MPS type I, MPS I, MPS-I, attenuated MPS I
FamilyInfo: MPS I_Case 03 and MPS I_Case 02 are twins
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText: This proband is believed to be an affected MPS-patient however, the proband did not have any obvious clinical symptoms to date (up to two years of age). The paper states that this attenuated MPS I case will need a long term follow up.
CaseEnzymeAssay: Proband identified by newborn screening. alpha-L-iduronidase activity in dried blood spot sample is 0.51 umole/L/Hr; this is below the study's DBS enzyme activity cutoff value of 3 umol/L/h
CaseUrineGAGs: Urine DMB GAG ratio is 239.3 mg/mmol creatinine. 41.04 ug/ml dermatan sulfate in urine (<0.41 ug/ml is the reference cutoff for dermatan sulfate in this study). 2.93 ug/ml ug/ml heparan sulfate in urine (<0.8 ug/ml is the reference cutoff for heparan sulfate in this study). 0.00 ug/ml keratan sulfate in urine.
CaseERT: Don't know (would assume no since the proband is a newborn)
CaseBMT: Don't know (would assume no since the proband is a newborn)
Variant1: c.1037T>G, p.L346R
Variant1ClinVarID: 11927
Variant1CAID: CA256128
Variant2: c.1091C>T, p.T364M
Variant2ClinVarID: 11925
Variant2CAID: CA256126
AdditionalVariants: No additional variants mentioned
ParentalGenotype: No parental testing results are available
PreviouslyPublished No statement from the author indicating the proband is previously published. Since this is a newborn study, I strongly believe this is the proband’s first time being published.
Whole exome sequencing unravels disease-causing genes in consanguineous families in Qatar
PMID: 24102521
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Newborn screening for lysosomal storage disorders by tandem mass spectrometry in North East Italy
PMID: 29143201
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Three samples were confirmed to have nucleotide changes consistent with MPS-I (Table II).
Case#:Table II, MPS-1, Enzyme activity=1.06*
DiseaseAssertion: MPS1
FamilyInfo:
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: 1.06 umol/hr/L blood, newborn blood spot
CaseUrineGAGs:
CaseERT:
CaseBMT:
Variant1:c.355G>T (p.Asp119Tyr)
Variant1ClinVarID: 2432701
Variant1CAID: CA2801882
Variant2: c.250G>A (p.Gly84Ser)
Variant2ClinVarID: 726495
Variant2CAID: CA2801152
AdditionalVariants:
ParentalGenotype:
PreviouslyPublished
R619X
Case#: Family 15, Guernsey
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: The paper states that "Hurler form is characterized by skeletal abnormalities, hepatosplenomegaly and severe mental retardation" but is not specific to this patient.
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: The α-L-iduronidase enzyme activities in leucocytes from all patients in the study was measured using the artificial substrate 4-methylumbelliferyl α-L iduronide (Sigma). Values ranged from 0 to 2.47 nmol/h/mg protein (reference range: 28–92 nmol/h/mg protein) and did not correlate to the clinical phenotype.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.1855C>T (p.R619X)
Variant2ClinVarID: 280976
Variant2CAID: CA2802455
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
5 Hurler/Scheie
Case#: Family 22, Pakistan
DiseaseAssertion: MPS1-H/S
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: The α-L-iduronidase enzyme activities in leucocytes from all patients in the study was measured using the artificial substrate 4-methylumbelliferyl α-L iduronide (Sigma). Values ranged from 0 to 2.47 nmol/h/mg protein (reference range: 28–92 nmol/h/mg protein) and did not correlate to the clinical phenotype.
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: N/A
Variant1: c.1469T>C (p.L490P)
Variant1ClinVarID: 11919
Variant1CAID: CA220503
Variant2: c.1469T>C (p.L490P)
Variant2ClinVarID: 11919
Variant2CAID: CA220503
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Mutation identification of Fabry disease in families with other lysosomal storage disorders
PMID: 23210910
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Does early use of enzyme replacement therapy alter the natural history of mucopolysaccharidosis I? Experience in three siblings
PMID: 23721889 Gene: IDUA Disease: MPS1 Inheritance: Autosomal recessive
Case#: 11 years old (age of onset). The patient became pregnant at 30 years of age and had one miscarriage at 17 weeks. 7 months later, she went on to deliver a healthy male at 37 weeks. The boy, now 2.5 years old, has continued to develop normally.
DiseaseAssertion: MPS1-S
FamilyInfo: N/A
CasePresentingHPOs: Carpal tunnel syndrome, joint stiffness, limitation of joint mobility (HP:0012185, HP:0001387, HP:0001376)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: Yes - initiation of ERT with laronidase (100 U/kg/week) when she was 30-years-old
CaseBMT: N/A
Variant1: c.979G>C (p.A327P)
Variant1ClinVarID: 167190
Variant1CAID: CA234128
Variant2:
Variant2ClinVarID:
Variant2CAID:
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Case#: Pt 6, age is 18 months (proband can be found in Table 1)
DiseaseAssertion: Hurler syndrome, mucopolysaccharidosis type IH, MPS IH, MPS type I
FamilyInfo: No family information provided
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: In methods it is stated that an IDUA activity assay was conducted on cartilaginous pellets generated from patient-derived bone marrow stromal cells at 5 weeks. However, results of the IDUA activity assays are not stated.
CaseUrineGAGs: "Significantly higher levels of GAGs in MPS IH compared with HD pellets at.1 week of chondrogenic differentiation, thus indicating that GAG accumulation in MPS IH can be seen during cell condensation and early differentiation stages." Total GAG content for each sample in ug GAG/ug DNA shown in Figure 4 graphs.
CaseERT: Don't know
CaseBMT: Don't know
Variant1: p.W402X
Variant1ClinVarID:
Variant1CAID: PA3051368272
Variant2: c.1163delC
Variant2ClinVarID: 828094
Variant2CAID: CA915942984
AdditionalVariants: No additional variants mentioned
ParentalGenotype: No parental information provided
PreviouslyPublished: No mention of being previously published
Case#: Pt 2, age is 12 months (proband can be found in Table 1)
DiseaseAssertion: Hurler syndrome, mucopolysaccharidosis type IH, MPS IH, MPS type I
FamilyInfo: No family information provided
CasePresentingHPOs:
CaseHPOFreeText:
CaseNotHPOs:
CaseNotHPOFreeText:
CaseEnzymeAssay: In methods it is stated that an IDUA activity assay was conducted on cartilaginous pellets generated from patient-derived bone marrow stromal cells at 5 weeks. However, results of the IDUA activity assays are not stated.
CaseUrineGAGs: "Significantly higher levels of GAGs in MPS IH compared with HD pellets at.1 week of chondrogenic differentiation, thus indicating that GAG accumulation in MPS IH can be seen during cell condensation and early differentiation stages." Total GAG content for each sample in ug GAG/ug DNA shown in Figure 4 graphs.
CaseERT: Don't know
CaseBMT: Don't know
Variant1: p.Q70X
Variant1ClinVarID:
Variant1CAID: PA3044620172
Variant2: p.P496R
Variant2ClinVarID: 496861
Variant2CAID: CA2802275
AdditionalVariants: No additional variants mentioned
ParentalGenotype: No parental information provided
PreviouslyPublished: No mention of previously being published
2 f 2010 1.5 2.0 3.5 94 c.606c > A p.Y202X c.979G > C p.A327P
Case#: Patient 2, female, German, 1.5yo at HSCT, 3.5yo at report
DiseaseAssertion: MPS I, Hurler
FamilyInfo: n/a
CasePresentingHPOs:
CaseHPOFreeText: diagnosis of MPS I confirmed by enzyme activity determination and/or genetic testing, Hurler phenotype, hematopoietic stem cell transplantation (HSCT) and a minimum of two orthopedic evaluations. enzyme replacement therapy (ERT) prior to HSCT. severely limited shoulder abduction (deficit ≥90°), mild flexion joint contractures of elbows, hips and knees (5–15°). normal odontoid process and increased soft tissue mass surrounding the odontoid. Flattened and beaked vertebrae and paddle shaped ribs.
CaseNotHPOs:
CaseNotHPOFreeText: thoracolumbar kyphosis was absent at an average age of 1.6 years
GenotypingMethod: n/a
PreviouslyPublished: n/a
Variant: c.606C > A p.Y202X; c.979G > C p.A327P
CAID: CA355961907
SupplementalData: n/a
Variant 2 of 11
Variant1:NM_000203.3: c.1324_1330del p.(Ala442Thrfs*13)
Variant1CAID: CA2586965979
Clinical, biochemical and molecular features of Iranian families with mucopolysaccharidosis: A case series
PMID: 28844463
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
5/F
Case#: Patient 5, female, Russian
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: Severe intellectual disability, corneal clouding, skeletal deformities, hepatosplenomegaly (HP:0010864, HP:0007957, HP:0000924, HP:0001433)
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 0.7 nmol/mg/h (reference range 135 ± 57 nmol/mg/h)
CaseUrineGAGs: 27.57 mg GAG/mmol/creatinine (reference range 6.17 ± 3.79 mg GAG/mmol creatinine)
CaseERT: No
CaseBMT: No
Variant1: c.208C>T (p.Q70X)
Variant1ClinVarID: 11909
Variant1CAID: CA204563
Variant2: c.1139A>G (p.Q380R)
Variant2ClinVarID: 550779
Variant2CAID: CA2802202
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Patient W3 has heterozygous mutations; the maternal allele has M1I (G to A transition in the initiation codon ATG) and the paternal allele has Y343X (C to G transversion in exon 8 leading to in frame deletion of codons 325-343 from the mRNA owing to false splicing)
This paper is cited on the ClinVar page for this variant, but this is actually the c.1029C>G (p.Tyr343Ter) variant which causes the same amino acid change
PMID: 9391892
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
Novel splice site IDUA gene mutation in Tunisian pedigrees with hurler syndrome
PMID: 29843745
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
The patient is a 13-year-old female,
Case#:13-year-old female
DiseaseAssertion: MPS1
FamilyInfo: Healthy, unrelated parents with no family history of MPS ..
ParentalTesting: NR
CasePresentingHPOs:HP:0004322, HP:0002970, HP:0000316, HP:0000286, HP:0007481, HP:0002967, HP:0034337, HP:0001634
CaseHPOFreeText: Inability to extend fingers in both hands, restricted extension of both upper limbs, hyperopia, small jaw, widened intercostal spaces, limited abduction of both upper limbs, Breasts: Tanner stage I. Pubic hair: Tanner stage I, ’’paddle-shaped” sternum, bone age consistently with approximately 8 years,
CaseNotHPOs: HP:0011369,
CaseNotHPOFreeText: Physical examination of the heart, lungs, and abdomen revealed no significant abnormalities. Neurological examinations showed no positive findings.Cortisol, total type I collagen N-terminal propeptide, and adrenocorticotropic hormone (ACTH) levels were all within normal ranges, peripheral blood chromosome karyotype analysis 46, XX.Transabdominal ultrasound of the uterus and bilateral adnexa showed no uterine structure visible. No significant abnormalities in thoracic vertebral bodies.
CasePreviousTesting: NR
Genotyping Method: Whole-exome sequencing and Sanger sequencing
FunctionalAnalysis: Reduced α-L-iduronidase activity - 0.3 nmol/(g·min).
CaseUrineGAGs: NR
CaseERT: No
CaseBMT: No
Variant 1: NM_000203.5(IDUA):c.612_615dup (p.Ser206fs)
Variant 1 ClinVar : 226413
Variant 1 CAID 1: CA10576338
Variant 1 gnomAD : NR
two boys
Case#: Boy 1, male, 10 years old, born at full-term with a birth weight of 3,400 grams.
DiseaseAssertion: MPS-I H/S
FamilyInfo: Boy 1 was born to a Chinese family of five members, with a total of 3 boys. Genetic testing was conducted on all 5 family members. The first and third child (boy 1 and boy 3) have MPS I. The second son had a normal phenotype and genotype.
CasePresentingHPOs: Claw hands, limitation of joint mobility, corneal clouding (HP:0034337, HP:0001376, HP:0007957)
CaseHPOFreeText: Swollen knee, lesions (noted at 3 years old)
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: 3.84 nmol/h/mg (reference range >21)
CaseUrineGAGs: Positive for urinary polysaccharide toluidine blue staining test
CaseERT: N/A
CaseBMT: N/A
Variant1: c.265C>T (p.R89W)
Variant1ClinVarID: 580286
Variant1CAID: CA2801156
Variant2: c.1633G>T (p.E545X)
Variant2ClinVarID: N/A
Variant2CAID: CA355965099
AdditionalVariants: N/A
ParentalGenotype: Mother carries c.265C>T and father carries c.1633G>T.
PreviouslyPublished N/A
Pilot study of newborn screening for six lysosomal storage diseases using Tandem Mass Spectrometry
PMID: 27238910
Gene: IDUA
Disease: MPS1
Inheritance: Autosomal recessive
P2
Case#: P2, male, 1.8 years (age at HCT - hematopoietic cell transplantation), 14 iPS colonies per 100,000 cells (KC), 4 iPS colonies per 100,000 cells (MSC).
DiseaseAssertion: MPS1-H
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CaseEnzymeAssay: N/A
CaseUrineGAGs: N/A
CaseERT: N/A
CaseBMT: Yes - Donor cells were received from KC, keratinocytes, and MSC, mesenchymal stromal cells.
Variant1: c.1205G>A (p.W402X)
Variant1ClinVarID: 11908
Variant1CAID: CA220498
Variant2: c.1205G>A (p.W402X)
Variant2ClinVarID: 11908
Variant2CAID: CA220498
AdditionalVariants: N/A
ParentalGenotype: N/A
PreviouslyPublished N/A
Generation of human induced pluripotent stem cell line UNIGEi001-A from a 2-years old patient with Mucopolysaccharidosis type IH disease
PMID:31678774 Gene: IDUA Disease: MPS1 Inheritance: Autosomal recessive
Supplementary Data, Table 2
Variant noted to be present in 4 individuals
Variant: NM_000257.3(MYH7):c.2156G>A (p.Arg719Gln)
ClinVar: 14107, https://www.ncbi.nlm.nih.gov/clinvar/variation/14107/
gnomAD: n/a
Supplementary Data: S2 Table
Case 82: Spanish, 28yo, Female
DiseaseAssertion: Hypertrophic Cardiomyopathy
CasePreviousTesting: Full Testing (MYBPC3, TNNT2, TNNI3, MYL2, MYL3, TPM1, ACTC1), additional testing listed in supplementary data table S1
CaseGenotypingMethod: genomic DNA obtained from blood or saliva, Next-gen sequencing panels of 55 or 78 genes
Variant: NM_000257.3(MYH7):c.745C>G (p.Arg249Gly)
ClinVar: 181322, https://www.ncbi.nlm.nih.gov/clinvar/variation/181322/
gnomAD: n/a
Table 1 and 4
Case A37: Female, 40yo
DiseaseAssertion: DCM
FamilyInfo: positive family history
CaseHPOFreeText: interventricular septum thickness = 7.9mm, left ventricular end diastolic diameter = 61.3mm, left ventricular end systolic diameter = 42mm, left ventricular posterior wall thickness = 6.8mm, left atrium = 32.6mm, left ventricular ejection fraction = 48%
CasePreviousTesting: 12-lead ECG, echocardiography, full testing (MYBPC3, TNNT2, TNNI3, MYL2, MYL3, TPM1, ACTC1), additional testing (LMNA, PRKAG2, SCN5A, MYH6)
CaseGenotypingMethod: genomic DNA collected from peripheral whole blood samples, PCR, high-throughput sequencing using PGM Sequencing 400 kit, variants verified via Sanger Sequencing
Variant: NM_000257.3(MYH7):c.77C>T (p.Ala26Val)
ClinVar: 37375, https://www.ncbi.nlm.nih.gov/clinvar/variation/37375/
gnomAD: 0.0005233, https://gnomad.broadinstitute.org/variant/14-23902865-G-A
2.01
Case 2.01: Family 2, Male, 35yo at follow-up
DiseaseAssertion: Hypertrophic cardiomyopathy
CaseHPOFreeText: maximum left ventricular wall thickness ≥ 13 mm, follow-up echo = 9mm, longitudinal stain follow-up = -17.5%
CaseNotHPOs: HP:0001712, HP:0011675, HP:0002094, HP:0100749 (left ventricular hypertrophy, arrhythmia, dyspnea, chest pain)
CasePreviousTesting: 2D and M mode echocardiographic measurements, electrocardiography, cardiac MRI, Holter monitoring, measurements of left ventricular wall thickness, cavity dimensions, structural abnormalities, systolic anterior movement of mitral leaflets, outflow gradients, and Doppler inflow parameters.
CaseGenotypingMethod: method not described
Variant: NM_000257.3(MYH7):c.1357C>T (p.Arg453Cys)
ClinVar: 14089, https://www.ncbi.nlm.nih.gov/clinvar/variation/14089/
gnomAD: n/a
Mechanical stretch via transforming growth factor-β1 activates microRNA-208a to regulate hypertrophy in cultured rat cardiac myocytes
PMID: 24120154
Gene: MYH7
HGNC: 7577
This study investigated whether miR208a is a critical regulator in cardiomyocyte hypertrophy under mechanical stretch.
We describe a family with coexisting TIA1 and MYH7 variants. The proband is a 67-year-old woman with easy tripping since childhood and progressive asymmetric distal limb weakness, but no cardiac involvement.
CaseII.1: 67 year old female, proband
DiseaseAssertion: progressive asymmetric distal limb weakness - Welander distal myopathy
FamilyInfo: 66-year-old sister has a mild distal myopathy, supraventricular tachycardia and hypertrophic cardiomyopathy. Both sisters carry the only known pathogenic TIA1 mutation and a heterozygous MYH7 variant (c.5459G > A; p.Arg1820Gln). Another sibling with isolated distal myopathy carries only the TIA1 mutation.
CasePresentingHPOs: HP:0002460, HP:0003805
"distal limb weakness, rimmed vacuoles"
CaseHPOFreeText: congophilic inclusions
CaseNotHPOFreeText: cardiac involvement
CasePreviousTesting: Electromyography - showed myopathic changes in distal upper and lower limb muscles with fibrillation potentials and rare myotonic discharges. Neurological examination - asymmetric weakness limited to distal muscles.
ANO5, BAG3, CAV3, CRYAB, DES, DNAJB6, DYSF, FHL1, FLNC, GNE, LDB3, MATR3, MYH7, MYOT, TCAP, TIA1, TTN and VCP were tested, all coding regions plus 20 bp flanking non-coding regions were analyzed through a combination of targeted next generation sequencing and Sanger sequencing
MultipleGeneVariants:
(1) MYH7Variant: NM_000257.4:c.5459G>A
ClinVar: 419278
CAID: CA046848
gnomAD:https://gnomad.broadinstitute.org/variant/14-23884304-C-T
Allele Frequency: East Asian 0.00005437
(2) TIA1Variant: NM_022173.4:c.1150G>A
ClinVar: 41480
CAID: CA1697383
gnomAD: https://gnomad.broadinstitute.org/variant/2-70439862-C-T?dataset=gnomad_r2_1
Total Allele Frequency: Other 0.0001629
GenotypingMethod: Targeted next generation sequencing and Sanger sequencing
HCM456
Case#: HCM456, male, 28 years, not a smoker
DiseaseAssertion: HCM
FamilyInfo: None
CasePresentingHPOs: 51mm LAD, 15mm LVST, 45mm LVEDD, 69% LVEF, 20mm Maxi LVWT, 90mmHg Maxi LVOTG, 124188740 raw RNA-seq reads, 116826920 HQ reads (94.07%), 96.65% mapping rate, 793088 total variant, 35368 exonic variant
CaseHPOFreeText: N/A
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: N/A
CaseGenotypingMethod: RNA-seq, read mapping, variant calling, identify functional variants, differential expression analysis, miRWalk miRNA target prediction, LncRNA annotation, Co-expression network analysis, PPI network analysis, gene over-representation analysis,
Variant: NM_000257.4(MYH7):c.1207C>T (p.Arg403Trp)
ClinVar: 14102 https://www.ncbi.nlm.nih.gov/clinvar/variation/14102/
CAID: N/A
gnomAD: absent
CasePT-92: United States
CasePresentingHPOs: HP:0001639 (Hypertrophic cardiomyopathy)
HPOsFreeText: N/A
CaseNotHPOs: HP:0001650, HP:0001658 (Aortic valve stenosis, Myocardial infarction)
NotHPOsFreeText: N/A
CaseAddInfo:
CaseGenotypingMethod: DNA was collected from the participants using blood samples. 18 genes suspected on contributing to HCM were targeted and sequenced. The variants were then located and filtered for pathogenicity.
Variant: NM_000257.3:c.2782G>A (p.Asp928Asn)
ClinVar: 164313 https://www.ncbi.nlm.nih.gov/clinvar/variation/164313/
gnomAD: Not in gnomAD
27
Case#: 27
DiseaseAssertion: LVNC
FamilyInfo: N/A
CasePresentingHPOs: N/A
CaseHPOFreeText: 1.96 Fathmm, 0 sift, 0.997 polyphen2, C65 GVGD, mutation taster 1, -4.85 provean, -5.29 CADD
CaseNotHPOs: N/A
CaseNotHPOFreeText: N/A
CasePreviousTesting: N/A
CaseGenotypingMethod: physical examination, ECG, variant screening and classification, genic collapsing test, group statistical analysis
Variant: NM_000257.3:c.2078T>G
ClinVar: absent
CAID: CA389049168
gnomAD: absent