Table 1 Diagnoses from genomic autopsy. All ACMG-classified likely pathogenic (LP) and pathogenic (P) variants identified in the cohort, including follow-up investigations to confirm causality of eight VUS and two GUS. AR, autosomal recessive; AD, autosomal dominant; XLR, X-linked recessive; hom, homozygous; ch, compound heterozygous; dn, de novo; mat, maternal; pat, paternal; (2), two variants with the same inheritance model

From: Genomic autopsy to identify underlying causes of pregnancy loss and perinatal death

PED ID

Proband, major organ system

Inheritance

Gene symbol, amino acid or cDNA change(s) (ACMG classification) and follow-up to reclassify VUS

001

Skeletal

AR-hom

FGFR2 p.R255Q (LP) in vitro

002

Urogenital

AR-hom

DNAJB11 c.853-10 G > A (LP) RNA

005

Neurological, urogenital

AR-ch

MKS1 c.1024 + 1 G > T (P)/c.1408-34_6del29 (P) RNA

007

Lymphatic

AR-ch

MDFIC p.M131fs* (P)/p.F244L (LP) RNA, in vitro, in vivo, kindreds

008

Metabolic, endocrine

AD-pat

ABCC8 p.L1543P (P)

012

Skeletal

AR-ch

B3GAT3 p.R169W (P)/p.R225*(P) in vitro

013

Neurological

AR-ch

PIBF1 c.954 G > A (LP)/p.K353fs* (P) RNA

014

Lymphatic, skeletal

AD-dn

RIT1 p.A57G (P)

017

Hematopoietic, immune

AR-ch

TPI1 p.E105D (P)/c.544-1 G > C (P) RNA

018

Neurological

AD-dn

ARID1B p.W1499* (P)

023

Neurological

AR-ch

NDE1 p.T243Pfs* (P)/p.L245Pfs* (P)

024

Neurological

AR-ch

EIF2B2 c.284 + 5 G > T (P)/p.R172* (P) RNA

031

(Neuro-)Muscular

AR-ch

NEB p.M4377Kfs* (P)/p.H6907Ifs* (P)

033

(Neuro-)Muscular

AD-dn

NALCN p.L1324F (LP)

042

Skeletal

AR-hom

CANT1 p.E215K (LP) in vitro

043

Urogenital

AD-pat10–20%

PBX1 p.R107W (LP)

044

Cardiovascular

AD-dn

GNB2 p.K89E (P) kindreds

046

Cardiovascular

AD-dn (2)

KMT2D p.L2331* (P); SOS2 p.T295A (LP)

053

Urogenital

AD-dn

HNF1B c.344 + 2_5delTAGG (P)

054

Global

AD-dn

ARID1A p.A1136S (LP)

056

No abnormality detected

XLR

ARSL p.R403* (LP)

057

Skeletal

AD-dn

NIPBL p.Y2430C (P)

063

Metabolic, endocrine

AD-dn

SAMD9 p.R824Q (P)

069

Skeletal

XLR-dn

HUWE1 p.L2176R (LP)

074

Global

AD-dn

SMARCB1 p.R377H (P)

084

Neurological

AD-pat2–3%

TUBA1A p.R64W (P)

085

Global

AD-dn

RAF1 p.L613V (P)

086

Urogenital

AD-dn

GREB1L p.T1872Nfs* (P)

091

Respiratory

AD-dn

MAP2K2 p.E207A (LP)

093

Hematopoietic, immune

AD-dn

PTPN11 p.T73I (P)

098

Global

AR-ch

POLG p.R309H (P)/p.A467T (P)

103

Neurological

AD-dn

DDX3X p.P568L (P)

104

Hematopoietic, immune

AD-mat (2)

MECOM c.2208 + 4 A > T (LP) RNA; RYR2 p.V4176M (LP)

116

Skeletal, cardiovascular

AR-ch

ADAMTSL2 p.R113H (P)/p.G354Afs* (P)

119

Skeletal, lymphatic

AD-dn

LZTR1 p.G301V (LP)

121

Pulmonary, cardiovascular

AD-mat

FOXF1 p.G302Pfs* (P)

138

Urogenital

AR-hom

PKHD1 p.R564* (P)

156

(Neuro-)Muscular

AD-dn

ACTA1 p.E272K (LP)

157

Neurological

AD-dn

USP9X p.F208Cfs* (P)

158

Neurological

AD-dn

ACTA1 p.G199D (LP)

165

Urogenital

AD-dn

USP9X p.Q2246* (P)

169

Neurological

AR-hom

TRAPPC12 p.Q149* (P)

176

Urogenital

AD-dn

GATA3 p.C285Y (LP)

178

Urogenital

AD-dn

ARCN1 p.R170* (P)

187

Neurological

AD-dn

TUBA1A p.R79C[P]

189

Skeletal

AD-dn

NIPBL p.D1991N (LP)

199

Cardiovascular

AD-dn

PRKACB p.H135L (LP)

200

Neurological

XLR

ARSL p.E407* (LP)

207

Global

AD-dn

KMT2D p.Q2014* (P)

226

Cardiovascular

AD-dn

FGFR2 p.P253R (P)

231

Neurological

AR-ch

OSGEP p.R186* (LP)/p.R247Q (P)

233

Other

AD-mat

COL2A1 p.C1289Pfs* (LP)