Table 1 Summary of the study cohorts and their molecular findings

From: Molecular autopsy in maternal–fetal medicine

ID

Phenotype

Analysis

Recurrence

Consanguinity

Variant

Zygosity

Mutation effect

Class

ACMG score

ACMG classification

Variant reference

Justification of candidacy (category III)

14DG1255

NIHF

Solo

No

Yes

GUSB:NM_000181:exon9:c.1429C>T:p.ARG477Trp

Homozygous

Missense (Polyphen=probably_damaging(1),SIFT=deleterious(0), CADD=35)

I

PS1,PM2,PP3

Likely pathogenic

CM960803

 

15DG1257

NIHF

Duo

Yes

Yes

MOCS3:NM_014484:exon1:c.1027C>T:p.Arg343*

Homozygous

Protein truncation

III

VUS

VUS

This study

KO is lethal in yeast (PMID: 14551258)

16DG0787

NIHF

Solo

Yes

Yes

MYBPC3:NM_000256.3:c.2449C>T:p.Arg817Trp

Homozygous

Missense mutation (Polyphen=probably_damaging(1),SIFT=deleterious(0), CADD=34)

II

PS1,PM2,PP1,PP3

Likely pathogenic

CM1516385

 

15DG1390

NIHF and CHD

Solo

Yes

Yes

MYBPHL:NM_001010985:exon2:c.212T>G:p.V71G,

Homozygous

Missense (Polyphen=possibly_damaging(0.7),SIFT=deleterious(0),CADD=26)

III

VUS

VUS

This study

KO mouse has defective cardiac function (http://circres.ahajournals.org/content/119/Suppl_1/A391)

15DG1889

NIHF

Solo

Yes

Yes

PRPF19:NM_014502:exon10:c.794A>G:p.Lys265Arg

Homozygous

Missense (Polyphen=probably_damaging(0.934),SIFT=deleterious(0.01),CADD=27.6)

III

VUS

VUS

This study

KO mouse is embryonic lethal (PMID: 27626380)

15DG1117

IUFD

Duo

Yes

Yes

VPS13D:NM_018156:exon17:c.2020C>G:p.Arg674Gly

Homozygous

Missense (Polyphen=probably_damaging (0.936),SIFT=deleterious(0.01),CADD=31)

III

VUS

VUS

This study

KO mouse is embryonic lethal (PMID: 27626380)

KFMC-306

Anhydramnios, cystic hygroma, bilateral renal agenesis, enlarged and cystic liver

Solo

Yes

Yes

TTC21B:NM_024753.4:c.1176_1185+1del

Homozygous

Splicing

II

PVS1,PM2

likely pathogenic

This study

 

13DG0010

Hydrocephalus and holoprosencephaly (terminated pregnancy)

Solo

Yes

Yes

WDR81:NM_001163809:c.845G>A:p.Gly282Glu

Homozygous

Missense (Polyphen=probably_damaging(1),SIFT=deleterious(0), CADD=26)

II

PM2,PP2,PP3,PP4,PP5

likely pathogenic

HGMD CM150814

 

12DG1901

Holoprosencephaly (terminated pregnancy)

Solo

Yes

Yes

No obvious candidate

     

This study

 

14DG1138

Anhydramnios, bilateral echogenic kidneys, stillbirth

Solo

No

Yes

AGT:NM_000029:c.104G>A:p.Arg35Gln

Homozygous

Missense (PolyPhen=probably_damaging(0.999);SIFT=deleterious(0)

II

PM2,PP3,PP4

VUS

This study

 

15DG0174

IUFD, dilated 3rd and lateral ventricles, absent choroid plexus dilated posterior fossa, hypoplastic cerebellum, signs of hydrops fetalis

Solo

Yes

Yes

FKTN:NM_006731:c.78C>G:p.Tyr26*

Homozygous

Protein truncation

II

PVS1,PM2

Likely pathogenic

This study

 

030hc

NIHF

 

Yes

Yes

FEN1:NM_004111.5:c.704G>A:p.Cys235Tyr

Homozygous

Missense (Polyphen=probably_damaging(0.97),deleterious(0), CADD=27)

III

VUS

VUS

This study

KO mouse is embryonic lethal (PMID: 27626380)

603hc

IUFD, unilateral renal agenesis, unilateral polycystic kidney, lung hypoplasia

Solo

Yes

Yes

HSPB11:NM_016126.2:c.183dup:p.(Leu62Alafs*14)

Homozygous

Protein truncation

III

VUS

VUS

This study

KO mouse is embryonic lethal (PMID: 27626380)

15DG1840

IUFD, hypoplastic cerebellum, absent choroid plexus, micrognathia, hydrops fetalis, fixed flexed deformities in upper and lower limbs

Solo

Yes

Yes

No obvious candidate

       

15DG0610

NIHF

Solo

Yes

Yes

CTSA:NM_000308:c.575T>C:p.Leu192Pro

Homozygous

Missense (Polyphen=probably_damaging(0.979),SIFT=deleterious(0), CADD=28.2)

I

PM1,PM2,PP1,PP3

Likely pathogenic

This study

 

17-0409

Recurrent lethal hydrocephalus

Trio

Yes

No

KIF19: NM_153209:c.788G>A: p.Arg263His.KIF19: NM_153209.3: c.1906T>G:p.Tyr636ASP

Comp het

Missense (Polyphen=possibly_damaging(0.80) deleterious(0), CADD=29/ Polyphen=possibly_damaging(0.60) deleterious(0.02), CADD=26.7)

III

VUS

VUS

This study

KO mouse is embryonic lethal (PMID: 27626380)

15DG0877

NIHF

Solo

Yes

Yes

SLC17A5:NM_012434:c.738_741del:p.246_247del

Homozygous

Protein truncation (partial)

I

PVS1,PM2

Likely pathogenic

This study

 

15DG1315

Micromelia, craniofacial dysmorphia

Solo

Yes

Yes

COL11A2:NM_080679:c.1550dupC:p.Pro517fSer

Homozygous

Protein truncation

II

PVS1,PM2

Likely pathogenic

This study

 

14DG1950

IUFD

Solo

Yes

No

MS4A7:NM_206939:c.305C>A:p.Ser102*

Homozygous

Protein truncation

III

VUS

VUS

This study

Gene depleted for deleterious homozygous variants

15DG0599

NIHF

Solo

Yes

Yes

SERPINA11:NM_001080451:c.643+1G>A

Homozygous

Splicing

III

VUS

VUS

This study

Gene depleted for deleterious homozygous variants

16DG1276

NIHF

Solo

Yes

Yes

LZTR1:NM_006767:c.2317G>A:p.Val773Met

Homozygous

Missense (Polyphen=probably_damaging(0.999),SIFT=deleterious(0),CADD=33)

II

PM2,PP2,PP3

VUS

This study

 

15DG0933

NIHF

Solo

Yes

Yes

SLC17A5:NM_012434:c.1111+1G>A

Homozygous

Splicing

I

PVS1,PM2

Likely pathogenic

This study

 

13DG0259

NIHF

Solo

Yes

Yes

FCRL4:NM_031282:c.847+1G>A

Homozygous

Splicing

III

VUS

VUS

This study

Gene depleted for deleterious homozygous variants

15DG0934

NIHF

Duo

Yes

Yes

No obvious candidate

       

SC1319

IUFD, fetal akinesia

Solo

Yes

Yes

ASCC1:NM_001198800:c.710+1G>A

Homozygous

Splicing

II

PVS1,PM2

Likely pathogenic

This study

 

16DG0940

Post fossa malformation (terminated pregnancy)

Solo

Yes

Yes

EXOC3L2:NM_138568:c.122T>A:p.Leu41Gln

Homozygous

Missense (Polyphen=eprobably_damaging(1) SIFT=deleterious(0), CADD=24)

III

PM2,PP1,PP2,PP3,PP4

Likely pathogenic

This study

Previously reported candidate in lethal ciliopathy (PMID: 27894351)

15DG1901

NIHF

Solo

Yes

Yes

THSD1:NM_018676:c.617G>A:p.Cys206Tyr

Homozygous

Missense (Polyphen=probably_damaging(0.999),SIFT=deleterious(0).CADD=27)

I

PS1,PM2

Likely pathogenic

HGMD CM155511

 

16DG1603

NIHF

Solo

Yes

Yes

NEB:NM_001164507:c.20974delA:p.Val6993Serfs*8

Homozygous

Missense (Polyphen=benign(0.365), SIFT=deleterious(0.01),CADD=23)

II

PVS1,PM2

Likely pathogenic

This study

 

15DG0986

NIHF, very short long bones, partial agenesis of the corpus callosum

Duo

No

Yes

MRPS16:NM_016065::c.331C>T:p.Arg111*,

Homozygous

Protein truncation

I

PS1,PS3,PM2

Pathogenic

HGMD CM043302

 

15DG2390

NIHF

Solo

Yes

Yes

KRIT1:NM_194455:c.992A>G:p.Tyr331Cys

Homozygous

Missense (Polyphen=possibly_damaging(0.907SIFT=deleterious(0.02),CADD=25.2)

II

PM1,PM2,PP1,PP3

Likely pathogenic

This study

 

15DG1933

Hydrocephalus, hypoplastic cerebellum, skin edema and bilateral talipes, two previous IUFDs at 6 months of pregnancy with similar presentation of severe hydrocephalus, spina bifida, and polyhydramnios

Solo

Yes

Yes

KIAA1109:NM_015312:c.12067G>T:p.Glu4023*,

Homozygous

Protein truncation

III

VUS

VUS

This study

Previously reported candidate in lethal hydrocephalus (PMID: 25558065)

16DG0291

NIHF

Solo

No

Yes

ASCC1:NM_001198800:c.871+1G>A

Homozygous

Splicing

II

PVS1,PM2

Likely pathogenic

This study

 

16DG0493

NIHF

Solo

No

Yes

PIEZO1:NM_001142864:c.1264C>T:p.Gln422*

Homozygous

Protein truncation

I

PVS1,PM2

Likely pathogenic

This study

 

16DG0673

IUFD, ventriculomegaly, ACC, hypoplastic vermis, thickened cardiac wall, and fixed flexion deformities of the extremities

Solo

Yes

No

No obvious candidate

       

16DG1142

NIHF

Solo

Yes

Yes

SVOPL:NM_174959:c.205delT:p.Phe69Leufs*28

Homozygous

Protein truncation

III

VUS

VUS

This study

SV2 KO mouse is embryonic lethal

15DG0595

Hydrocephalus and limb malformations (terminated pregnancy)

Solo

Yes

Yes

KIAA1109:NM_015312:c.11250-1G>A

Homozygous

Splicing

III

VUS

VUS

This study

Previously reported candidate in lethal hydrocephalus (PMID: 25558065)

15DG2472

IUFD

Duo

Yes

Yes

No obvious candidate

       

14DG1030

Polyhydramnios, talipes, cerebellar hypoplasia (terminated pregnancy)

Solo

Yes

Yes

KLHL41:NM_006063::c.176G>C:p.Arg59Pro

Homozygous

Missense (Polyphen=probably_damaging(0.999),SIFT=deleterious(0),CADD=30)

II

PM1,PM2,PP2,PP3

Likely pathogenic

This study

 

16DG1084

NIHF

Solo

Yes

Yes

GUSB:NM_000181:c.1429C>T:p.Arg477Trp

Homozygous

Missense (Polyphen=probably_damaging(1),SIFT=deleterious(0), CADD=35 /CM960803).

I

PS1,PM2,PP3

Likely pathogenic

HGMD CM960803

 

12DG1042

NIHF

Solo

Yes

Yes

INVS:NM_014425:c.753T>G:p.Try251*

Homozygous

Protein truncation

II

PVS1,PM2

Likely pathogenic

This study

 

15DG2545

IUFD

Duo

Yes

Yes

No obvious candidate

       

15DG1281

NIHF

Solo

Yes

No

No obvious candidate

       

15DG1287

Lethal skeletal dysplasia with severe hypomineralization

Solo

No

Yes

ALPL:NM_001177520:c.1195G>A:p.Glu399Lys

Homozygous

Missense (PolyPhen=probably_damaging(1), SIFT=deleterious(0),CADD=35)

I

PM1,PM2,PP3,PP4

Likely pathogenic

This study

 

16DG1654

Recurrent IUFD and two perinatal deaths with severe hypotonia and arthrogryposis

Duo

yes

Yes

GFPT1:NM_001244710:c.686-1G>A

Homozygous

Splicing

I

PVS1,PM2

Likely pathogenic

This study

 
  1. ACC, agenesis of corpus callosum; ACMG, American College of Medical Genetics and Genomics; CADD, combined annotation-dependent depletion; CHD, congenital heart disease; IUFD, intrauterine fetal death; KO, knockout; NIHF, nonimmune hydrops fetalis; PMID, PubMed ID; SIFT, sorting intolerant from tolerant; VUS, variant of unknown significance.