Genotypic-phenotypic characterization and in silico predication of novel variants in the index cases with VWD type 2
Family . | Nucleotide change, amino acid change . | Exon . | FVIII:C, IU/dL−1 . | VWF:Ag, IU/dL−1 . | VWF activity, IU/dL−1 . | VWF:CB, IU/dL−1 . | VWF activity/VWF:Ag ratio . | Diagnosis . | In silico analysis* . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PolyPhen . | SIFT . | CADD . | M-CAP . | PROVEAN . | VarSome . | |||||||||
I | c.2678T>G, p.Leu893Arg | 20 | 28 | 30 | 29 | 27 | 0.96 | 2N; compound with p.R854Q in trans | 1 | 0 | 31 | 0.435 | −5.78 | VUS |
II | c.3377G>A, p.Cys1126Tyr | 25 | 40 | 19 | 10 | 10 | 0.52 | 2A(IIE) | 0.89 | 0 | 25.3 | 0.89 | −10.8 | VUS |
III | c.3425G>T, p.Cys1142Phe | 26 | 71 | 105 | 42 | 34 | 0.4 | 2A(IIE) | 1 | 0 | 27.3 | 0.18 | −10.54 | VUS |
IV | c.3842T>G, p.Leu1281Arg | 28 | 26 | 14 | 6 | 9 | 0.42 | 2A(IIE) | 1 | 0 | 27.5 | 0.75 | −2.08 | Likely pathogenic |
V | c.4277G>C, p.Arg1426Phe | 28 | 64 | 39 | 12 | 31 | 0.31 | 2M | 0.81 | 0 | 23.6 | 0.72 | −1.35 | Likely pathogenic |
VI | c.4970T>C, p.Leu1657Phe | 28 | 51 | 35 | 8 | 2 | 0.22 | 2A(IIA) | 1 | 0 | 24.7 | 0.84 | −2.82 | Likely pathogenic |
VII | c.5192C>T, p.Ser1731Leu | 30 | 74 | 67 | 41 | 12 | 0.61 | 2MCB | 0.78 | 0 | 28.4 | 0.67 | −3.2 | Likely pathogenic |
VIII | c.7670G>A, p.Cys2557Tyr | 45 | 58 | 21 | 10 | 7 | 0.47 | 2B NY: compound with p.S1263S-P1266L in trans | 1 | 0 | 24.2 | 0.22 | −4.94 | VUS |
Family . | Nucleotide change, amino acid change . | Exon . | FVIII:C, IU/dL−1 . | VWF:Ag, IU/dL−1 . | VWF activity, IU/dL−1 . | VWF:CB, IU/dL−1 . | VWF activity/VWF:Ag ratio . | Diagnosis . | In silico analysis* . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PolyPhen . | SIFT . | CADD . | M-CAP . | PROVEAN . | VarSome . | |||||||||
I | c.2678T>G, p.Leu893Arg | 20 | 28 | 30 | 29 | 27 | 0.96 | 2N; compound with p.R854Q in trans | 1 | 0 | 31 | 0.435 | −5.78 | VUS |
II | c.3377G>A, p.Cys1126Tyr | 25 | 40 | 19 | 10 | 10 | 0.52 | 2A(IIE) | 0.89 | 0 | 25.3 | 0.89 | −10.8 | VUS |
III | c.3425G>T, p.Cys1142Phe | 26 | 71 | 105 | 42 | 34 | 0.4 | 2A(IIE) | 1 | 0 | 27.3 | 0.18 | −10.54 | VUS |
IV | c.3842T>G, p.Leu1281Arg | 28 | 26 | 14 | 6 | 9 | 0.42 | 2A(IIE) | 1 | 0 | 27.5 | 0.75 | −2.08 | Likely pathogenic |
V | c.4277G>C, p.Arg1426Phe | 28 | 64 | 39 | 12 | 31 | 0.31 | 2M | 0.81 | 0 | 23.6 | 0.72 | −1.35 | Likely pathogenic |
VI | c.4970T>C, p.Leu1657Phe | 28 | 51 | 35 | 8 | 2 | 0.22 | 2A(IIA) | 1 | 0 | 24.7 | 0.84 | −2.82 | Likely pathogenic |
VII | c.5192C>T, p.Ser1731Leu | 30 | 74 | 67 | 41 | 12 | 0.61 | 2MCB | 0.78 | 0 | 28.4 | 0.67 | −3.2 | Likely pathogenic |
VIII | c.7670G>A, p.Cys2557Tyr | 45 | 58 | 21 | 10 | 7 | 0.47 | 2B NY: compound with p.S1263S-P1266L in trans | 1 | 0 | 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.