Table 1 Cases with VUS and phenotype correlation.

From: Personalised genomic strategies improve diagnostic yield in inherited retinal dystrophies: a stepwise, patient-centred approach

ID

Age

Gender

AO

FamHx

Clinical diagnosis

Proband case

Final result

Gene

Transcript

Inh. pattern

Allele 1

Allele 2

 

Allele Segreg.

cDNA

protein

variant ACMG classification

Criteria applied for VUS reassessment and reclassification

cDNA

protein

variant ACMG classification

Criteria applied for VUS reassessment and reclassification

P377

62

M

50

Yes

Best macular dystrophy

Yes

Resolved

BEST1

NM_004183.4

AD

c.35C>A

p.(Ala12Asp)

LP

PM2_sup, PP3_mod, PM1_mod, PP2_sup

    

P378

67

F

5

Yes

Usher syndrome

Yes

Resolved

CDH23

NM_022124.6

AR

c.7199C>T

p.(Pro2400Leu)

LP

PM2_sup, PM3_strong, PP3_sup

c.7221C>A

p.(Tyr2407*)

P

 

trans

P379

25

F

21

No

Nonsyndromic retinitis pigmentosa

Yes

Resolved

CNGA1

NM_001379270.1

AR

c.1448T>G

p.(Leu483Arg)

LP

PM2_sup, PP3_strong, PM3_mod

c.82C>T

p.(Arg28*)

P

 

trans

P380

71

F

10

Yes

Nonsyndromic retinitis pigmentosa

Yes

Resolved

CNGB1

NM_001297.5

AR

c.1644-3C>G

p.(?)

LP

PM2_sup, PP3_sup, PM3_mod, PP1_strong

c.2868_2869insTA

p.(Val957*)

LP

 

trans

P381

52

F

21

Yes

Nonsyndromic retinitis pigmentosa

Yes

Resolved

CNGB1

NM_001297.5

AR

c.1644-3C>G

p.(?)

LP

PM2_sup, PP3_sup, PM3_mod, PP1_strong

c.2293C>T

p.(Arg765Cys)

LP

 

trans

P382

73

F

30

Yes

Stargardt disease

Yes

Resolved

CRB1

NM_201253.3

AR

c.4154A>C

p.(Glu1385Ala)

LP

PM2_sup,PM3_mod, PP1_mod, PP3_sup

c.498_506del

p.(Ile167_Gly169del)

P

 

trans

P383

70

F

35

Yes

Stargardt disease

No

Resolved

CRB1

NM_201253.3

AR

c.4154A>C

p.(Glu1385Ala)

LP

PM2_sup, PM3_mod, PP1_mod, PP3_sup

c.498_506del

p.(Ile167_Gly169del)

P

 

trans

P384

49

F

43

No

Maculopathy

Yes

Resolved

CRB1

NM_201253.3

AR

c.1760G>A

p.Cys587Tyr

LP

PM2_sup, PP3_sup, PM3_strong

c.613_619del

p.(Ile205Aspfs*13)

P

 

trans

P385

18

M

4

No

Cone-rod dystrophy

Yes

Resolved

GUCY2D

NM_000180.3

AD

c.543G>A

p.(Trp181*)

LP

PM2_sup, PVS1_very strong

    

-

P386

56

F

1

Yes

Leber congenital amaurosis

Yes

Resolved

KCNJ13

NM_002242.4

AR

c.859T>C

p.(Ser287Pro)

LP

PM2_sup, PP1_mod, PP3_strong

c.859T>C

p.(Ser287Pro)

LP

 

trans

P387

55

F

1

Yes

Leber congenital amaurosis

No

Resolved

KCNJ13

NM_002242.4

AR

c.859T>C

p.(Ser287Pro)

LP

PM2_sup, PP1_mod, PP3_strong

c.859T>C

p.(Ser287Pro)

LP

 

trans

P388

39

F

5

No

Albinism

Yes

Resolved

OCA2/TYR

NM_000275.2/NM_000372.4

digenic

c.1327G>A

p.(Val443Ile)

P

PM3_very strong, PP4_mod, PS3_sup

c.1205G>A

p.(Arg402Gln)

Polymorphism

 

Not available

P389

54

F

33

Yes

Nonsyndromic retinitis pigmentosa

Yes

Resolved

PCARE

NM_001029883.3

AR

c.2677C>T

p.(Pro893Ser)

LP

PM2_sup, PM3_strong, PP1_mod

c.2950C>T

p.(Arg984*)

P

 

trans

P390

48

F

14

Yes

Nonsyndromic retinitis pigmentosa

No

Resolved

PCARE

NM_001029883.3

AR

c.2677C>T

p.(Pro893Ser)

LP

PM2_sup, PM3_strong, PP1_mod

c.2950C>T

p.(Arg984*)

P

 

trans

P391

73

F

35

Yes

Nonsyndromic retinitis pigmentosa

Yes

Resolved

PDE6A

NM_000440.2

AR

c.1065+1G>T

p.(?)

P

PM2_sup, PVS1, PM3_mod

c.1957C>T

p.(Arg653*)

P

 

trans

P392

56

M

50

No

Nonsyndromic retinitis pigmentosa

Yes

Resolved

POMGNT1

NM_017739.4

AR

c.629G>T

p.(Trp210Leu)

LP

PM2_sup, PP3_mod, PM5_mod, PM3_sup

c.860T>G

p.(Ile287Ser)

P

 

trans

P393

59

M

55

Yes

Maculopathy

Yes

Resolved

RDH5

NM_002905.5

AD

c.592del

p.(Ile198Tyrfs*15)

LP

PM2_sup, PVS1_very strong

    

-

P394

59

M

22

Yes

Nonsyndromic retinitis pigmentosa

Yes

Resolved

REEP6

NM_138393.4

AR

c.349-4G>T

p.(Cys117Argfs*59)

LP

PM2_sup, PVS1_very strong

c.349-1G>A

p.(Cys117Argfs*59)

P

 

trans

P395

52

F

1

No

Leber congenital amaurosis

Yes

Partially resolved

AIPL1

NM_014336.4

AR

c.767T>G

p.(Ile256Ser)

VUS

PM2_sup, PP3_sup, PM3_mod

c.767T>G

p.(Ile256Ser)

VUS

PM2_sup, PP3_sup, PM3_mod

trans

P396

59

M

50

No

Best macular dystrophy

Yes

Partially resolved

BEST1

NM_004183.4

AD

c.847T>C

p.(Phe283Leu)

VUS

PM2_sup, PP3_mod, PM1_mod

    

ND

P397

32

M

5

No

Usher syndrome

Yes

Partially resolved

CDH23

NM_022124.6

AR

c.8699A>G

p.(Asp2900Gly)

VUS

PM2_sup, BP4_sup, PM3_mod

c.289-1_304del

p.(?)

LP

 

trans

P398

57

M

45

No

Cone-rod dystrophy

Yes

Partially resolved

CDHR1

NM_033100.4

AR

c.151G>A

p.(Gly51Ser)

VUS

PM2_sup, PP3_sup, PM3_mod

c.2522_2528del

p.(Ile841Serfs*119)

LP

 

trans

P399

87

F

50

No

Cone-rod dystrophy

Yes

Partially resolved

CDHR1

NM_033100.4

AR

c.1367C>A

p.(Ala456Glu)

VUS

PM2_sup, PP3_strong

c.1485+2T>G

p.(?)

P

 

trans

P400

52

F

10

No

Cone-rod dystrophy

Yes

Partially resolved

CDHR1

NM_033100.4

AR

c.1367C>A

p.(Ala456Glu)

VUS

PM2_sup, PP3_strong

c.1367C>A

p.(Ala456Glu)

VUS

PM2_sup, PP3_strong

trans

P401

77

F

40

No

Cone-rod dystrophy

Yes

Partially resolved

CFAP410

NM_004928.2

AR

c.140T>C

p.(Leu47Pro)

VUS

PM2_sup

c.140T>C

p.(Leu47Pro)

VUS

PM2_sup

trans

P402

79

F

20

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

CNGB1

NM_001297.5

AR

c.2095G>A

p.(Asp699Asn)

VUS

PM2_sup

c.2095G>A

p.(Asp699Asn)

VUS

PM2_sup

trans

P403

71

M

65

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

EYS

NM_001142800.2

AR

c.8627G>T

p.(Gly2876Val)

VUS

PM2_sup

c.8143C>T

p.(Arg2715*)

P

 

trans

P404

84

M

50

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

FSCN2

NM_001077182.3

AD

c.1444del

p.(Arg482Alafs)

VUS

PM2_sup, PM4_mod

    

-

P405

47

M

10

No

Leber congenital amaurosis

Yes

Partially resolved

GUCY2D

NM_000180.4

AR

c.736A>C

p.(Met246Leu)

VUS

PM2_sup, PM1_mod, PM3_sup

c.3025A>C

p.(Met1009Leu)

P

 

trans

P406

26

M

20

No

Familial exudative vitreoretinopathy

Yes

Partially resolved

LRP5

NM_002335.4

AD

c.3220G>T

p.(Val1074Phe)

VUS

PM2_sup, PP3_mod, PP1_sup

    

ND

P407

20

M

15

Yes

Familial exudative vitreoretinopathy

No

Partially resolved

LRP5

NM_002335.4

AD

c.3220G>T

p.(Val1074Phe)

VUS

PM2_sup, PP3_mod, PP1_sup

    

ND

P408

63

M

40

Yes

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

MERTK

NM_006343.3

AR

c.950G>A

p.(Cys317Tyr)

VUS

PM2_sup

c.2215_2216del

p.(Val739Cysfs*7)

P

 

trans

P409

34

M

10

No

Usher syndrome

Yes

Partially resolved

MYO7A

NM_000260.4

AR

c.5537C>A

p.(Pro1846His)

VUS

PM2_sup, PP3_sup, PM3_mod

c.6025del

p.(Ala2009Profs*32)

P

 

trans

P410

72

F

unknown

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

PDE6B

NM_000283.4

AR

c.1148T>A

p.(Val383Glu)

VUS

PM2_sup, PP3_mod, PM3_sup

c.299G>A

p.(Arg100His)

LP

 

trans

P411

50

F

4

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

PDE6B

NM_000283.4

AR

c.2176T>G

p.(Trp726Gly)

VUS

PM2_sup, PP3_sup

c.1879C>G

p.(Arg627Gly)

VUS

PM2_sup, PP3_sup

trans

P412

25

M

3

No

Achromatopsia

Yes

Partially resolved

PDE6C

NM_006204.4

AR

c.1950C>A

p.(Phe650Leu)

VUS

PM2_sup, PP3_sup

c.712C>T

p.(Arg238*)

P

 

trans

P413

46

F

16

No

Fundus albipunctatus

Yes

Partially resolved

RDH5

NM_002905.5

AD/AR

c.463C>T

p.(Arg155Trp)

VUS

PM2_sup, PP4_sup

c.779A>C

p.(Asp260Ala)

VUS

PM1_sup, PM2_sup, PP3_sup, PP4_sup

ND

P414

40

F

17

Yes

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

USH2A

NM_206933.4

AR

c.12403T>C

p.(Cys4135Arg)

VUS

PM2_sup, PM3_sup

c.2276G>T

p.(Cys759Phe)

P

 

ND

P415

88

F

70

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

USH2A

NM_206933.4

AR

c.7951A>G

p.(Asn2651Asp)

VUS

PM2_sup, BP4_sup, PM3_mod

c.2276G>T

p.(Cys759Phe)

P

 

trans

P416

67

F

35

Yes

Usher syndrome

Yes

Partially resolved

USH2A

NM_206933.4

AR

c.1106T>A

p.(Val369Glu)

VUS

PM2_sup, PP3_sup, PS4_sup, PM3_sup

c.12575G>A

p.(Arg4192His)

LP

 

trans

P417

62

M

58

No

Nonsyndromic retinitis pigmentosa

Yes

Partially resolved

ZNF408

NM_024741.3

AR

c.1342C>T

p.(Arg448Cys)

VUS

PM2_sup, BP4_mod, PM3_mod

c.1342C>T

p.(Arg448Cys)

VUS

PM2_sup, BP4_mod, PM3_mod

ND

  1. AD autosomal dominant, AO age of onset, AR autosomal recessive, FamHx family history of IRDs, F female, LP likely pathogenic, M male, mod moderate, ND not determined, P pathogenic, sup supporting, VUS variant of uncertain significance.