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Table 1 Genetic findings in investigated families with HMSN

From: Expanding the genetic spectrum of hereditary motor sensory neuropathies in Pakistan

S. No.

Gene

(OMIM accession #): associated disease

Variant

gnomAD(V4.0) frequency

Revel score

PhyloP score

Pathogenicity ACMG class

Novelty status

Family 1

GDAP1

(OMIM: 214400):

Charcot-Marie-Tooth disease, type 4 A

c.310 + 4 A > G, p.?

0.00000006.238

 

3.808

Uncertain significance

(PM2, PM3: supporting, PP3)

Novel

Family 2

SETX

(OMIM: 606002):

Spinocerebellar ataxia, autosomal recessive, with axonal neuropathy 2

c.5948_5949del, p.(Asn1984Profs*30)

0.00

 

5.828

Pathogenic

(PVS1, PM2, PM3: supporting, PP1: moderate)

Novel

Family 3 &

4

IGHMBP2

(OMIM: 616155):

Charcot-Marie-Tooth disease, axonal, type 2 S

c.1591 C > A,

p.(Pro531Thr)

0.00001736

0.678

2.743

Pathogenic

(PS3, PP3, PM2, PP2, PP1, PM3)

PMID: 25,439,726

PMID: 37,366,078

Reported in Clinvar with conflicting interpretation

Family 5

NARS1

(OMIM: 619091):

Neurodevelopmental disorder with microcephaly, impaired language, and gait abnormalities, autosomal recessive

c.1633 C > T,

p.(Arg545Cys)

0.00001363

0.814

9.491

Likely Pathogenic

(PP1, PM3, PM2, PP3, PP2, PP5)

PMID: 32,788,587

PMID: 32,738,225

Reported in Clinvar as pathogenic

  1. REVEL score A prediction tool assessing variant pathogenicity based on multiple features. Scores range from 0 to 1, with ≥ 0.7 suggesting likely pathogenicity
  2. PhyloP—a score measuring evolutionary conservation at a particular position. Positive scores indicate the site is evolutionarily conserved and negative scores indicated the site is evolutionarily accelerated