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PREPL Gene Curation

PREPL Gene Curation

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

Disease

Congenital myasthenic syndrome, 22

Disease

Congenital myasthenic syndrome, 22

Inheritance

Autosomal recessive

Prevalence

 

Source: Unknown. At least 600 families described in the literature (Congenital myasthenic syndrome: MedlinePlus Genetics )

Rapid or full curation?

Rapid
Full

ClinGen / GenCC / BabySeq / HGMD / OMIM

GenCC (myasthenic syndrome, congenital, 22): Strong- Invitae; Moderate- Illumina, PanelApp Australia, Ambry

OMIM: Myasthenic syndrome, congenital, 22; MIM 616224

Clinical Validity Scoring Notes and points

Variant/Case Evidence:

PMID: 24610330 (Regal 2014): One proband, with myasthenic syndrome with paternally inherited deletion involving the PREPL gene and a maternally inherited frameshift variant (c.807delT) (4 points)

PMID: 34693706 (Sayol-Torres 2023): One proband with myasthenic syndrome with maternally inherited deletion involving the PREPL gene and a paternally inherited nonsense variant (c.1528C>T p.(Arg510Ter)) (4 points)

PMID: 28726805 (Regal 2018): Series of 5 new probands with isolated PREPL deficiency (congential myasthenic syndrome) (Maxed out Points - >12)

Proband 1: HOM (PREPL) 2p21(44559541-44571008) Hg19 (PREPL exon 10-5)

Proband 2: HET (PREPL) 2p21(44562458-44568223) Hg19/HET (c.358_361delTTTG; p.Val121Ilefs*121)

Proband 3: HET (SLC3A1, PREPL) 2p21(44545015-44556286) Hg19/HET (c.1604T > G; p.Leu535*)

Proband 4: HET (PREPL, CAMKMT) 2p21 (PREPL exon 12-CAMKMT exon 2)/HET (c.883 C > T; p.Arg295*)

Proband 5:HET (SLC3A1, PREPL, CAMKMT) (SLC3A1 exon 7-CAMKMT exon 2)/HET (c.1156-1 G > A; p.L386_K451del)

PMID: 33233562- One paper reports homozygous missense variant in proband. (p.Arg647Gln)

Segregation Evidence:

Case/Control Evidence:

Experimental Evidence:

Source:

Clinical Validity Points Total

 

Source:

Clinical Validity Classification

Definitive (12pts)

Strong (12pts)

Moderate (7-11pts)

Limited (0.1-6pts)

No genetic evidence

Refuted

Disputed

Definitive (12 pts)

Source:

Molecular Mechanism

Loss of function

Gain of function

Dominant negative

Unknown

Other

Loss of function

 

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)

 

Severity

 

Clinical Features

 

Sources:

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

 

Case ID, Curator name, Date, Jira ticket link