Table 2 Clinical phenotype and identified variants in positive cases

From: Whole-exome sequencing on deceased fetuses with ultrasound anomalies: expanding our knowledge of genetic disease during fetal development

Main ultrasound findings

Primary molecular diagnosis

Disorder

Other reported variants

Disorder

Hydrops

PIEZO1 (AD/AR)

p.E679X (Homozygous PATH)a

Generalized lymphatic dysplasia

PIEZO1 (AD/AR)

p.A1496V (Homozygous VUS)b

Generalized lymphatic dysplasia

Bilateral enlarged cystic kidneys

BBS4 (AR)

c.1106+2T>A (Homozygous PATH)a

Bardet–Biedl syndrome

ANKS6 (AR)

p.D313N (Heterozygous VUS)b

PKD1 (AD)

p.P4162S (Heterozygous VUS)b

Nephronophthisis 16

Polycystic kidney disease

Hydrops

HRAS (AD)

p.G13D (Heterozygous PATH)a

Costello syndrome

  

Hydrops, diaphragmatic hernia, gracile ribs, contractures

RIPK4 (AR)

p.A10S (Heterozygous LPATH)a

p.V303M (Heterozygous VUS)a

Bartsocas–Papas syndrome

RSAD1 (unknown)

p.W431X (Homozygous VUS)c

PPAP2C (unknown) p.R214Q (Heterozygous VUS)c

Unknown

Frontal bossing, talipes, syndactyly, abducted thumbs

FGFR2 (AD)

c.940-1G>A (Heterozygous PATH) a

FGFR2-related disorder

  

Syndactyly, polydactyly

PTPN11 (AD)

p.N58K (Heterozygous PATH) a

Noonan syndrome

WDR35 (AR)

p.G103V (Heterozygous LPATH)b

Cranioectodermal dysplasia

Brain malformations

PIK3CA (AD)

p.E545K (Heterozygous PATH) a

PIK3CA-related overgrowth syndromes

MYH3 (AD)

p.A1637V (Heterozygous PATH; reclassified to LBEN)d

Distal arthrogryposis

Hydrops, contractures, echogenic kidney, placentalmegaly

FOXP3 (XL)

p.R337X (Hemizygous PATH)a

IPEX syndrome

COL10A1 (AD)

c.1632delG (Heterozygous PATH)b

Schmid metaphyseal chondrodysplasia

Hydrops, CNS malformations, cardiomyopathy

MRPS22 (AR)

c.768_769del (Heterozygous PATH)a

p.R170H (Heterozygous PATH)a

MRPS22-related mitochondrial dysfunction

  

CNS malformations

FLNA (XL)

p.V552I (Hemizygous LPATH)a

FLNA-related disorder

PTPN11 (AD)

p.D61G (Heterozygous PATH) b

Noonan syndrome

Hydrops, cardiomegaly

CYP11A1 (AR)

p.R120X (Homozygous PATH)a

Adrenal insufficiency

  

Ventriculomegaly, cardiac left-axis deviation, absent radii

FANCB (XL)

c.987_990del (Hemizygous PATH) a

Fanconi anemia

  

Macrocephaly, cleft lip and palate, congenital heart defect, bifid thumb, CNS malformation, hydrocephalus

AMER1 (XL)

c.705delT (Hemizygous PATH)a

Osteopathia striata with cranial sclerosis

  

Hydrops, CNS malformation, congenital heart defect

RIT1 (AD)

p.F82C (Heterozygous PATH) a

Noonan syndrome

  

Megalencephaly, neuronal migrational anomaly, congenital heart defect, heterotopias

PIK3R2 (AD)

p.K564E (Heterozygous LPATH) a

Megalencephaly-polymicrogyria-polydactyly-hydrocephalus

  

Hydrocephalus consistent with aqueductal stenosis

L1CAM (XL)

c.2087delG (Hemizygous PATH)a

Hydrocephalus

  

Shortened and bowed long bones, talipes

SOX9 (AD)

c.738delG (Heterozygous PATH)a

Campomelic dysplasia

  
  1. AD, autosomal dominant; AR, autosomal recessive; LBEN, likely benign; LPATH, likely pathogenic; PATH, pathogenic; VUS, variant of uncertain significance; XL, X-linked.
  2. Confirmed de novo variants are shown in bold.
  3. aPositive result.
  4. bPossible result.
  5. cCandidate gene.
  6. dReclassified variant.