Table 2 Pathogenic/likely pathogenic variants in autosomal dominant genes or compound heterozygous variants in recessive genes.

From: Enrichment of cancer-predisposing germline variants in adult and pediatric patients with acute lymphoblastic leukemia

Patient

Age

Type

Gene

Inheritance

Germline disease association for gene

ACMG Intervar

ACMG Varsome

Conclusion of pathogenicity

Variant HGVS

gnomAD all MAF

gnomAD Finns MAF

2181

41

B-ALL

BRCA1

AR;AD

Fanconi anemia; Breast cancer

P

P

P

c.4097-2A > G (splicing)

0

0

2150

32

B-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

2149

43

B-ALL

PMS2

AR;AD

CMMRD; HNPCC

P

P

P

c.765C > A (p.Tyr255Ter)

0

0

2307*

53

T-ALL

RET

AD

Multiple endocrine neoplasia

VUS

P

P

c.2410G > A (p.Val804Met)

0.00011

0

2167

54

T-ALL

RUNX1

AD

Familial platelet disorder with predisposition to AML

LP

P

P

c.611G > A (p.Arg204Gln)

0

0

2307*

53

T-ALL

SDHB

AD

Familial paraganglioma-pheochromocytoma

VUS

LP

LP

c.177G > C (p.Gln59His)

0.000004

0

P2220

8

Ph-ALL

BRIP1

AR;AD

FA; Breast cancer

VUS

P

LP

c.3440dup (p.Asn1147LysfsTer2)

0.00009

0.00068

P2206

15

B-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

P2209

15

B-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

P2249*

2

T-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

P2257

14

T-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

P2431

9

T-ALL

CHEK2

AD

Li-Fraumeni syndrome 2

VUS

P

P

c.1100del (p.Thr367MetfsTer15)

0.00205

0.00874

P2249*

2

T-ALL

LZTR1

AR/AD;AD

Noonan syndrome, Schwannomatosis

P

P

LP

c.2407-1G > A (splicing)

0.00002

0.00018

P2216*

8

T-ALL

MUTYH

AR

Familial adenomatous polyposis

LP

P

P

c.1187G > A (p.Gly396Asp)

0.00295

0.0022

P2216*

8

T-ALL

MUTYH

AR

Familial adenomatous polyposis

LP

P

P

c.536A > G (p.Tyr179Cys)

0.00154

0.00153

P2255

0

B-ALL

PMS2

AR;AD

CMMRD; HNPCC

P

P

P

c.325dup (p.Glu109GlyfsTer30)

0.00002

0

P2261

0

B-ALL

SDHC

AD

Familial paraganglioma-pheochromocytoma

LP

P

LP

c.380A > G (p.His127Arg)

0

0

P2224

2

B-ALL

TP53

AD

Li-Fraumeni syndrome

LP

P

P

c.733G > A (p.Gly245Ser)

0

0

      

Total P/LP 10 variants,9 patientsa

Total P/LP 20 variants, 17 patientsa

Total P/LP 18 variants, 15 patients

   
  1. ACMG, American College of Medical Genetics; AD, autosomal dominant; AML, acute myeloid leukemia; AR, autosomal recessive; B-ALL, Ph-negative B-ALL; Ph-ALL, Ph-positive B-ALL; CMMRD, constitutional mismatch repair deficiency; FA, Fanconi anemia; HNPCC, hereditary non-polyposis colorectal cancer; LP, likely pathogenic; MAF, minor allele frequency; P, pathogenic; VUS, variant of uncertain significance.
  2. *Patients with multiple P/LP variants.
  3. Samples with a high blast percentage.
  4. aAll variants classified P/LP by Intervar and Varsome not shown here. Pediatric patients are marked with a P.