Overview of all P/LP confirmed germ line variants detected in this cohort of patients with MDS
ID . | Shared . | Gene . | Inheri-tance . | Variant type . | cDNA . | Protein . | Transcript . | VAF . | ACMG/AMP classifi-cation . | Age at diagnosis (y) . | MDS WHO 2008 classification . | Somatic driver variants . | Outcome . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1R∗ | Yes | BARD1 | AD | Frameshift | c.1935_1954dup | p.Glu652Valfs∗69 | NM_000465.4 | 0.61 | LP | 64 | RAEB-2 | — | Alive |
2R∗ | Yes | BLM | AD | Frameshift | c.2506_2507del | p.Arg836Glyfs∗18 | NM_000057.4 | 0.52 | LP | 71 | CMML | MPL p.Ser204Pro TET2 p.Arg544Ter TET2 p.Gln1053Ter | Relapse, death from infection |
3R∗ | Yes | BLM | AD | Nonsense | c.1642C>T | p.Gln548∗ | NM_000057.4 | 0.43 | LP | 57 | MDS, unclassifiable† | — | Alive |
4R∗ | Yes | BRCA2 | AD | Frameshift | c.5946delT | p.Ser1982Argfs∗22 | NM_000059.4 | 0.51 | P | 52 | RAEB-1† | RAD50 p.Asn934Lysfs TP53 p.Lys132Glu | Relapse, death from primary disease |
5R∗ | Yes | BRCA2 | AD | Frameshift | c.5946delT | p.Ser1982Argfs∗22 | NM_000059.4 | 0.58 | P | 59 | RCMD† | — | Relapse, death from primary disease |
6R∗ | Yes | BRCA2 | AD | Nonsense | c.5217_5223del | p.Tyr1739∗ | NM_000059.4 | 0.61 | P | 56 | RAEB-2 | TP53 c.783-1G>A PPM1D p.Val465Aspfs SMC1A p.Lys752Argfs | Relapse, death from primary disease |
7R∗ | Yes | BRIP1 | AD | Frameshift | c.1236delA | p.Val413Phefs∗10 | NM_032043.3 | 0.53 | LP | 63 | RAEB-2 | — | Relapse, death from infection |
8R∗ | Yes | BRIP1 | AD | Frameshift | c.3196delT | p.Ser1066Hisfs∗12 | NM_032043.3 | 0.45 | LP | 64 | MDS, unclassifiable† | CBL p.Cys404Tyr DNMT3A p.Arg882His NRAS p.Gly12Asp SETBP1 p.Asp868Asn ASXL1 p.Tyr591Ter | Relapse, death from primary disease |
9R∗ | Yes | BRIP1 | AD | Frameshift | c.2392C>T | p.Arg798∗ | NM_032043.3 | 0.69 | LP | 60 | RAEB-2 | NF1 c.3198-1G>T | Relapse, death from primary disease |
10R∗ | Yes | CHEK2 | AD | Frameshift | c.1229del | p.Thr410Metfs∗15 | NM_001005735.2 | 0.39 | P | 49 | MDS, unclassifiable | — | Relapse, alive |
11R∗ | Yes | CHEK2 | AD | Frameshift | c.1392delT | p.Ser465Valfs∗15 | NM_001005735.2 | 0.53 | LP | 54 | MDS associated with isolated del(5q) | NFE2 p.Arg323Alafs CSNK1A1 p.Asp140Ala | Alive |
12R | No | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.43 | P | 66 | MDS, unclassifiable | ASXL1 p.Gly646Trpfs | Alive |
13R | No | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.49 | P | 57 | RAEB-2 | — | Alive |
14R∗ | Yes | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.42 | P | 49 | RAEB-2 | — | Alive |
15R | No | DDX41 | AD | Frameshift | c.155dupA | p.Arg53Alafs∗16 | NM_016222.4 | 0.49 | P | 69 | RAEB-2 | — | Relapse, death from primary disease |
16R | Yes | ERCC6L2 | AR | Nonsense | c.19C>T | p.Gln7∗ | NM_001010895.4 | 1 | LP | 34 | RAEB-1 | SF3B1 p.Arg238Cys TP53 p.Arg175His | Relapse, death from primary disease |
17R | Yes | FANCA | AR | Indel | c.3791_3793del | p.Ser1264del | NM_000135.4 | 1 | P | 11 | RAEB-2 | — | Nonrelapse mortality, cause of death not specified |
18R | Yes | FANCG | AR | Frameshift | c.907_908dup | p.Glu304Trpfs∗4 | NM_004629.2 | 0.93 | LP | 27 | RA | ASXL1 p.Arg693Ter | Alive |
19R∗ | Yes | MRE11 | AD | Nonsense | c.1516G>T | p.Glu506∗ | NM_005591.4 | 0.54 | LP | 54 | RCMD† | — | Death from infection |
20R∗ | Yes | MSH6 | AD | Frameshift | c.1634_1635del | p.Lys545Argfs∗17 | NM_000179.3 | 0.46 | P | 49 | RA† | — | Nonrelapse mortality, death from secondary malignancy |
21R∗ | Yes | NBN | AD | Splicing | c.2071-1G>A | na | NM_002485.5 | 0.62 | P | 55 | CMML | TET2 p.His667Ilefs GATA2 p.Met388_Lys389del RUNX1 p.Leu161_Arg162insSer CBL p.Leu380Pro SRSF2 p.Pro95Leu TET2 p.Lys875Ter | Primary graft failure/rejection, alive |
22R∗ | Yes | PALB2 | AD | Copy number variant | na‡ | na | NC_000016.10 | 0.52 | LP | 65 | RAEB-2 | — | Relapse, death from primary disease |
23R∗ | Yes | PMS2 | AD | Nonsense | c.11C>G | p.Ser4∗ | NM_001322015.2 | 0.41 | LP | 60 | RCMD | — | Nonrelapse mortality, death from GVHD |
24R | Yes/no§ | SBDS | AR | Nonsense/splicing | c.184A>T/c.258+2T>C | p.Lys62∗/na | NM_016038.4 | 0.38/0.43 | P/P | 18 | RAEB-2 | — | Relapse, death from primary disease |
25R | Yes/no§ | SBDS | AR | Splicing/splicing | c.258+1G>C/c.258+2T>C | na/na | NM_016038.4 | 0.7/0.26 | P/P | 19 | MDS associated with isolated del(5q) | TP53 c.559+1G>A | Alive |
26R∗ | Yes | TERT | AD | Nonsense | c.951G>A | p.Trp317∗ | NM_198253.3 | 0.43 | LP | 51 | RAEB-2 | — | Alive |
27R∗ | Yes | TERT | AD | Nonsynonymous | c.193C>G | p.Pro65Ala | NM_198253.3 | 0.63 | LP | 64 | RAEB-2 | TP53 p.Arg248Gln TP53 p.Thr125Thr | Relapse, death from primary disease |
28R∗ | Yes | TNFRSF13B | AD | Frameshift | c.204dupA | p.Leu69Thrfs∗12 | NM_012452.3 | 0.46 | P | 66 | MDS, unclassifiable | — | Relapse, alive |
ID . | Shared . | Gene . | Inheri-tance . | Variant type . | cDNA . | Protein . | Transcript . | VAF . | ACMG/AMP classifi-cation . | Age at diagnosis (y) . | MDS WHO 2008 classification . | Somatic driver variants . | Outcome . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1R∗ | Yes | BARD1 | AD | Frameshift | c.1935_1954dup | p.Glu652Valfs∗69 | NM_000465.4 | 0.61 | LP | 64 | RAEB-2 | — | Alive |
2R∗ | Yes | BLM | AD | Frameshift | c.2506_2507del | p.Arg836Glyfs∗18 | NM_000057.4 | 0.52 | LP | 71 | CMML | MPL p.Ser204Pro TET2 p.Arg544Ter TET2 p.Gln1053Ter | Relapse, death from infection |
3R∗ | Yes | BLM | AD | Nonsense | c.1642C>T | p.Gln548∗ | NM_000057.4 | 0.43 | LP | 57 | MDS, unclassifiable† | — | Alive |
4R∗ | Yes | BRCA2 | AD | Frameshift | c.5946delT | p.Ser1982Argfs∗22 | NM_000059.4 | 0.51 | P | 52 | RAEB-1† | RAD50 p.Asn934Lysfs TP53 p.Lys132Glu | Relapse, death from primary disease |
5R∗ | Yes | BRCA2 | AD | Frameshift | c.5946delT | p.Ser1982Argfs∗22 | NM_000059.4 | 0.58 | P | 59 | RCMD† | — | Relapse, death from primary disease |
6R∗ | Yes | BRCA2 | AD | Nonsense | c.5217_5223del | p.Tyr1739∗ | NM_000059.4 | 0.61 | P | 56 | RAEB-2 | TP53 c.783-1G>A PPM1D p.Val465Aspfs SMC1A p.Lys752Argfs | Relapse, death from primary disease |
7R∗ | Yes | BRIP1 | AD | Frameshift | c.1236delA | p.Val413Phefs∗10 | NM_032043.3 | 0.53 | LP | 63 | RAEB-2 | — | Relapse, death from infection |
8R∗ | Yes | BRIP1 | AD | Frameshift | c.3196delT | p.Ser1066Hisfs∗12 | NM_032043.3 | 0.45 | LP | 64 | MDS, unclassifiable† | CBL p.Cys404Tyr DNMT3A p.Arg882His NRAS p.Gly12Asp SETBP1 p.Asp868Asn ASXL1 p.Tyr591Ter | Relapse, death from primary disease |
9R∗ | Yes | BRIP1 | AD | Frameshift | c.2392C>T | p.Arg798∗ | NM_032043.3 | 0.69 | LP | 60 | RAEB-2 | NF1 c.3198-1G>T | Relapse, death from primary disease |
10R∗ | Yes | CHEK2 | AD | Frameshift | c.1229del | p.Thr410Metfs∗15 | NM_001005735.2 | 0.39 | P | 49 | MDS, unclassifiable | — | Relapse, alive |
11R∗ | Yes | CHEK2 | AD | Frameshift | c.1392delT | p.Ser465Valfs∗15 | NM_001005735.2 | 0.53 | LP | 54 | MDS associated with isolated del(5q) | NFE2 p.Arg323Alafs CSNK1A1 p.Asp140Ala | Alive |
12R | No | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.43 | P | 66 | MDS, unclassifiable | ASXL1 p.Gly646Trpfs | Alive |
13R | No | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.49 | P | 57 | RAEB-2 | — | Alive |
14R∗ | Yes | DDX41 | AD | Nonsense | c.415_418dup | p.Asp140Glyfs∗2 | NM_016222.4 | 0.42 | P | 49 | RAEB-2 | — | Alive |
15R | No | DDX41 | AD | Frameshift | c.155dupA | p.Arg53Alafs∗16 | NM_016222.4 | 0.49 | P | 69 | RAEB-2 | — | Relapse, death from primary disease |
16R | Yes | ERCC6L2 | AR | Nonsense | c.19C>T | p.Gln7∗ | NM_001010895.4 | 1 | LP | 34 | RAEB-1 | SF3B1 p.Arg238Cys TP53 p.Arg175His | Relapse, death from primary disease |
17R | Yes | FANCA | AR | Indel | c.3791_3793del | p.Ser1264del | NM_000135.4 | 1 | P | 11 | RAEB-2 | — | Nonrelapse mortality, cause of death not specified |
18R | Yes | FANCG | AR | Frameshift | c.907_908dup | p.Glu304Trpfs∗4 | NM_004629.2 | 0.93 | LP | 27 | RA | ASXL1 p.Arg693Ter | Alive |
19R∗ | Yes | MRE11 | AD | Nonsense | c.1516G>T | p.Glu506∗ | NM_005591.4 | 0.54 | LP | 54 | RCMD† | — | Death from infection |
20R∗ | Yes | MSH6 | AD | Frameshift | c.1634_1635del | p.Lys545Argfs∗17 | NM_000179.3 | 0.46 | P | 49 | RA† | — | Nonrelapse mortality, death from secondary malignancy |
21R∗ | Yes | NBN | AD | Splicing | c.2071-1G>A | na | NM_002485.5 | 0.62 | P | 55 | CMML | TET2 p.His667Ilefs GATA2 p.Met388_Lys389del RUNX1 p.Leu161_Arg162insSer CBL p.Leu380Pro SRSF2 p.Pro95Leu TET2 p.Lys875Ter | Primary graft failure/rejection, alive |
22R∗ | Yes | PALB2 | AD | Copy number variant | na‡ | na | NC_000016.10 | 0.52 | LP | 65 | RAEB-2 | — | Relapse, death from primary disease |
23R∗ | Yes | PMS2 | AD | Nonsense | c.11C>G | p.Ser4∗ | NM_001322015.2 | 0.41 | LP | 60 | RCMD | — | Nonrelapse mortality, death from GVHD |
24R | Yes/no§ | SBDS | AR | Nonsense/splicing | c.184A>T/c.258+2T>C | p.Lys62∗/na | NM_016038.4 | 0.38/0.43 | P/P | 18 | RAEB-2 | — | Relapse, death from primary disease |
25R | Yes/no§ | SBDS | AR | Splicing/splicing | c.258+1G>C/c.258+2T>C | na/na | NM_016038.4 | 0.7/0.26 | P/P | 19 | MDS associated with isolated del(5q) | TP53 c.559+1G>A | Alive |
26R∗ | Yes | TERT | AD | Nonsense | c.951G>A | p.Trp317∗ | NM_198253.3 | 0.43 | LP | 51 | RAEB-2 | — | Alive |
27R∗ | Yes | TERT | AD | Nonsynonymous | c.193C>G | p.Pro65Ala | NM_198253.3 | 0.63 | LP | 64 | RAEB-2 | TP53 p.Arg248Gln TP53 p.Thr125Thr | Relapse, death from primary disease |
28R∗ | Yes | TNFRSF13B | AD | Frameshift | c.204dupA | p.Leu69Thrfs∗12 | NM_012452.3 | 0.46 | P | 66 | MDS, unclassifiable | — | Relapse, alive |
ACMG, American College of Medical Genetics and Genomics; AD, autosomal dominant; AMP, Association for Molecular Pathology; AR, autosomal recessive; GVHD, graft-versus-host disease; indel, insertion/deletion; na, not applicable; VAF, variant allele frequency; WHO, World Health Organization. Other abbreviations are explained in Table 1.
Donor shares AD germ line variant.
Therapy related.
NC_000016.10:g.(?_23607316)_(23641590_?)del.
Donor only shares 1 of the variants in the heterozygous state.