Table 1 Copy number variants (CNVs) used to test the three different classification systems

From: Adapting ACMG/AMP sequence variant classification guidelines for single-gene copy number variants

#

Type (CN) ISCN

Gene

Inheritance

Variant description

Hypothetical clinical information

1

Del (×1)

ACTN2

AD

Intragenic, gene lacks established LOF mechanism

Cardiomyopathy

 

arr[GRCh37] 1q43(236900784 × 2, 236902335_236903093 × 1, 236905916 × 2)

 

2

Del (×1)

CLN3

AR

Intragenic, published20

History of seizures

 

arr[GRCh37] 16p11.2(28497100 × 2, 28497674_28498122 × 1, 28498500 × 2)

 

3

Del (×0)

DMD

XL

Predicted in-frame, published, exons 48-4921

Male with dilated cardiomyopathy

 

arr[GRCh37] Xp21.1(31838419 × 1, 31854531_31916869 × 0, 31947426 × 1)

 

4

Del (×1)

SCN1A

AD

Predicted in-frame, exons 12–16, similar published del22

No clinical information provided

 

arr[GRCh37] 2q24.3(166872652 × 2, 166892537_166898952 × 1, 166898963 × 2)

 

5

Del (×1)

BRCA1

AD

Involving last exon and stop codon, published23

Family history of breast cancer

 

arr[GRCh37] 17q21.31(41184507 × 2, 41197252_41197790 × 1, 41197794 × 2)

 

6

Del (×1)

MECP2

XL

Involving part of the last exon (excluding stop codon)

Female with epilepsy and DD

 

arr[GRCh37] Xq28(153295905 × 2, 153295993_153296345 × 1, 153296809 × 2)

 

7

Del (×0)

DMD

XL

Deeply intronic, ~half of one intron

10-year-old male with ASD

 

arr[GRCh37] Xp21.1(32878477 × 1, 32895663_32967974 × 0, 32984401 × 1)

 

8

Dup (×3)

DMD

XL

Involving 3’ end of gene, published24

Female with DD

 

arr[GRCh37] Xp21.2(31107479 × 2, 31138211_31241488 × 3, 31241306 × 2)

 

9

Dup (×2)

DMD

XL

Presumed intragenic, exon 42, published25

Male with proximal weakness, elevated CK, and phenotype consistent with dystrophinopathy;26 mother negative (maternity confirmed)

 

arr[GRCh37] Xp21.1(32306090 × 1, 32318495_32328670 × 2, 32339798 × 1)

 

10

Dup (×3)

TSC2

AD

Presumed intragenic, 5 exons

Skin, brain, kidney, heart findings consistent with TSC;26 family studies: affected mother and affected sibling positive, two unaffected siblings negative

 

arr[GRCh37] 16p13.3(2111829 × 2, 2111948_2120422 × 3, 2120766 × 2)

 

11

Del (×1)

CLN3

AR

Includes entire gene

Seizures, no other CLN3 variant detected

 

arr[GRCh37] 16p11.2(28485855 × 2, 28488533_28503629 × 1, 28505126 × 2)

 

12

Del (×1)

PRDM16

AD

Includes entire gene

Cardiomyopathy

 

arr[GRCh37] 1p36.32(2984478 × 2, 2985600_3350610 × 1, 3365000 × 2)

 
  1. AD autosomal dominant, AR autosomal recessive, ASD autism spectrum disorder, CK creatine kinase, CN copy number, DD developmental delay, del deletion, dup duplication, ISCN International System of Human Cytogenomic Nomenclature, LOF loss of function, negative relative negative for identified CNV, positive relative positive for identified CNV, TSC tuberous sclerosis complex, XL X-linked.