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WDR73 Gene Curation

WDR73 Gene Curation

Gene-disease assertions not curated here (add link or write note):

Disease

Galloway-Mowat syndrome

Disease

Galloway-Mowat syndrome

Inheritance

Autosomal recessive

Prevalence

 

Source:

Rapid or full curation?

Rapid
Full

ClinGen / GenCC / BabySeq / HGMD / OMIM

ClinGen - none. GenCC - Strong (Invitae). Babyseq - none. HGMD - curated select variants below.

Clinical Validity Scoring Notes and points

c.703C>T p.Q235* - 0.0006% (13/1177596) Eur gnomAD, NMD+. PMID:25873735 (2015) - two siblings from a consanguineous family with severe global developmental delay, intellectual disability, hypoplasia of the cerebellum and biochemical findings suggestive of nephrotic disease. Variants found via WES and Parents confirmed het, 1 unaffected sib het. Zebrafish knockdown showed brain growth and morphogenesis defects. Segregations, ANIMAL MODEL 2 POINT, 2 VARIANT POINTS

C.129T>G TYR42* (aka Tyr43*) - 1 allele gnomAD, NMD+. PMID: 25466283 (2014): Family A - two homozygous sibs, parents are both het. Clinical features include nephrotic syndrome, FSGS, ESKD at 5 years, secondary microcephaly, peripheral hypertonia, axial hypotonia, nystagmus, epileptic spasms, ID, cerebellar atrophy, thin corpus callosum, facial dysmorphism, optic atrophy. Cultured fibroblasts from patient A showed abnormal nuclear morphology, low cell viability, and alterations of the microtubule network. FUNCTIONAL ALTERATION PATIENT CELLS 1 POINT, 1 seg, 2 VARIANT POINTS

c.766dupC p.Arg256Profs*18 - NMD+, 0.0006% (13/1178688) Eur gAD v4. PMID: 25466283 (2014) in family B, hom in affected individual, parents and unaffected sib are het. Nephrotic syndrome, FSGS, microcpharly, hypertonia, ID, spasticity, cerebellar atrophy, thin corpus callosum, facial dysmorphism, optic atrophy. IHC staining showed expression in human fetal kidney and brain. 1 POINT EXPRESSION, 2 VARIANT POINTS

c.400_401delAG p.(Trp136Alafs*2). 3 alleles gnomAD, NMD+. FROM PMID: 26123727 (2015): In family 1, HOM in two sibs with cerebellar atrophy, ID, axial hypotonia, ataxia, dystonia, microcephaly, irregular sleep pattern, feeding problems, brain atrophy, optic atrophy, retinopathy, no renal involvement at age 11y. 2 VARIANT POINTS, 1 seg.

total segregations: 3 affected, 2 unaffected - eLOD 2.056, 1 POINT SEG

Replication over 3 years (first paper scored in 2014). PMID: 30315938 from 2018 reports c.767G>A R256Q (10 alleles gnomAD). All variants in this section are rare enough for a rare AR disease.

 

Clinical Validity Points Total

13

 

Clinical Validity Classification

Definitive (12pts)

Strong (12pts)

Moderate (7-11pts)

Limited (0.1-6pts)

No genetic evidence

Refuted

Disputed

Definitive.

Source: 25873735, 25466283, 25466283, 26123727, 30315938

Molecular Mechanism

Loss of function

Gain of function

Dominant negative

Unknown

Other

Loss of function

See clinical validity scoring. PMID: 25873735, 25466283, 25466283, 26123727

 

Penetrance

Complete (100%)

High (≥80%)

Moderate  (<80% and >20%)

Low (≤20%)

(list source/PMID)

 

Source:

Age of Onset

Congenital

Pediatric

Adolescent

Adulthood

Late adulthood

(list source/PMID)

Pediatric

Severity

Severe

Clinical Features

neurodegenerative disorder characterized by infantile onset of microcephaly and central nervous system abnormalities resulting in severely delayed psychomotor development. Brain imaging shows cerebellar atrophy and sometimes cerebral atrophy. More variable features include optic atrophy, movement disorders, seizures, and nephrotic syndrome

Sources: 26123727

HPO Terms

https://hpo.jax.org/app/

 

Gene SOPs & Notes

 LINK if SOP is a long document. Short notes if it is easy to digest. eg. Last known truncating variant

Curation Summary

The WDR73 gene is associated with autosomal recessive Galloway-Mowat syndrome, which is characterized by microcephaly with brain anomalies such as cerebellar atrophy, intellectual disability, and early-onset nephrotic syndrome. Additional features may include optic atrophy, seizures, strabismus, and short stature.

Case ID, Curator name, Date, Jira ticket link

Andrea Oza D-210811480-BH-4021-P-A 01.02.2024