Table 1 Genetic variants in TBD patients.

From: Telomerase activity in T-cells as a functional test for pathogenicity assessment of novel genetic variants in telomere biology disorders

TBD sample

Age

Gender

Variant

Symptoms

ACMG classification before TA analysis

RTL

SPF

TAadj

SD

Classification after TA analysis

Sample 1

59

F

TERT p.(Leu1017_Leu1019del)

Pulmonary fibrosis, pancytopenia, early graying of hair, osteoporosis

Likely pathogenic

0.88

29.1

0.27

1–3

Likely pathogenic

Sample 2

64

M

TERT

p.(Asp684Gly)

Pulmonary fibrosis

Likely pathogenic

1.07

32.9

0.15

1–3

Likely pathogenic

Sample 3

33

F

TERT

p.(Tyr1002Cys)

Pulmonary fibrosis, pancytopenia, early graying of hair, liver cirrhosis

Likely pathogenic

1.10

35.0

0.04

> 3

Pathogenic

Sample 4

79

F

TERT

p.(Tyr1002Cys)

Cancer, fragile nails, skin lesions, osteoporosis

Likely pathogenic

1.03

33.0

0.07

> 3

Pathogenic

Sample 5

43

M

TERT

p.(Arg865His)

Pulmonary fibrosis

Pathogenic

1.22

22.0

0.05

> 3

Pathogenic

Sample 6

54

M

TERC

n.64G > A

Pulmonary fibrosis, pancytopenia, renal failure

Likely pathogenic

0.61

28.8

0.09

> 3

Pathogenic

  1. TBD = Telomere biology disorder. ACMG = American College of Medical Genetics and Genomics. RTL = relative telomere length of leukocytes. SPF = S-phase fraction of T-cells. TAadj=telomerase activity (TA) adjusted for SPF in T-cells. SD = standard deviation.