Table 3.

Genotypic-phenotypic characterization and in silico predication of novel variants in the index cases with VWD type 2

FamilyNucleotide change, amino acid changeExonFVIII:C, IU/dL−1VWF:Ag, IU/dL−1VWF activity, IU/dL−1VWF:CB, IU/dL−1VWF activity/VWF:Ag ratioDiagnosisIn silico analysis*
PolyPhenSIFTCADDM-CAPPROVEANVarSome
c.2678T>G, p.Leu893Arg 20 28 30 29 27 0.96 2N; compound with p.R854Q in trans 31 0.435 −5.78 VUS 
II c.3377G>A, p.Cys1126Tyr 25 40 19 10 10 0.52 2A(IIE) 0.89 25.3 0.89 −10.8 VUS 
III c.3425G>T, p.Cys1142Phe 26 71 105 42 34 0.4 2A(IIE) 27.3 0.18 −10.54 VUS 
IV c.3842T>G, p.Leu1281Arg 28 26 14 0.42 2A(IIE) 27.5 0.75 −2.08 Likely pathogenic 
c.4277G>C, p.Arg1426Phe 28 64 39 12 31 0.31 2M 0.81 23.6 0.72 −1.35 Likely pathogenic 
VI c.4970T>C, p.Leu1657Phe 28 51 35 0.22 2A(IIA) 24.7 0.84 −2.82 Likely pathogenic 
VII c.5192C>T, p.Ser1731Leu 30 74 67 41 12 0.61 2MCB 0.78 28.4 0.67 −3.2 Likely pathogenic 
VIII c.7670G>A, p.Cys2557Tyr 45 58 21 10 0.47 2B NY: compound with p.S1263S-P1266L in trans 24.2 0.22 −4.94 VUS 
FamilyNucleotide change, amino acid changeExonFVIII:C, IU/dL−1VWF:Ag, IU/dL−1VWF activity, IU/dL−1VWF:CB, IU/dL−1VWF activity/VWF:Ag ratioDiagnosisIn silico analysis*
PolyPhenSIFTCADDM-CAPPROVEANVarSome
c.2678T>G, p.Leu893Arg 20 28 30 29 27 0.96 2N; compound with p.R854Q in trans 31 0.435 −5.78 VUS 
II c.3377G>A, p.Cys1126Tyr 25 40 19 10 10 0.52 2A(IIE) 0.89 25.3 0.89 −10.8 VUS 
III c.3425G>T, p.Cys1142Phe 26 71 105 42 34 0.4 2A(IIE) 27.3 0.18 −10.54 VUS 
IV c.3842T>G, p.Leu1281Arg 28 26 14 0.42 2A(IIE) 27.5 0.75 −2.08 Likely pathogenic 
c.4277G>C, p.Arg1426Phe 28 64 39 12 31 0.31 2M 0.81 23.6 0.72 −1.35 Likely pathogenic 
VI c.4970T>C, p.Leu1657Phe 28 51 35 0.22 2A(IIA) 24.7 0.84 −2.82 Likely pathogenic 
VII c.5192C>T, p.Ser1731Leu 30 74 67 41 12 0.61 2MCB 0.78 28.4 0.67 −3.2 Likely pathogenic 
VIII c.7670G>A, p.Cys2557Tyr 45 58 21 10 0.47 2B NY: compound with p.S1263S-P1266L in trans 24.2 0.22 −4.94 VUS 

VUS, variant of uncertain (or unknown) significance.

*

Polyphen score: >0.908, probably damaging; >0.446 and ≤0.908, possibly damaging; ≤0.446, benign. SIFT score: <0.05, deleterious; ≥0.05, tolerated. CADD score: >20, deleterious. M-CAP: >0.025, pathogenic. PROVEAN: ≤−2.5, deleterious; >−2.5, neutral.

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