Skip to main content

Table 4 Patient’s final diagnosis and phenotypic/genotypic correlation

From: Shedding light on the phenotypic–genotypic correlation of rare treatable and potentially treatable pediatric movement disorders

Patient

Phenomenology

Diagnosis

Gene

Zygosity (variant type)

NM number

Nucleotide and protein changes

Type of variant change and its class

In silico prediction

MAF

P1

1-BFIC

2-PKC

3-EA

ICCA

PRRT2

Homozygous

NM_001256442.1

c.880-34G>A; p.(?)

Substitution

Pathogenic

(class I)

PolyPhen-2: N/A

Align-GVGD: N/A

SIFT: N/A

MutationTaster: N/A

LRT: N/A

Conservation: Conserved across mammals

gnomAD: N/R

ESP: N/R

1000 G: N/R

P2

Exercise induced dyskinesia

GLUT-1 deficiency

SLC2A1

Heterozygous

NM_006516

c.457C>T; p.Arg153Cys

Missense

Pathogenic (class I)

PolyPhen-2: Probably damaging

SIFT: Damaging

MutationTaster: Disease causing

LRT: Deleterious

REVEL: pathogenic

PROVEAN: Damaging

Conservation: Conserved across species

gnomAD: N/R

ESP: N/R

1000 G: N/R

P3

Dystonia (facial and whole body)

AADCD

DDC

Homozygous

 

c.242C>T; p.Pro81Leu

Missense

Pathogenic (class I)

PolyPhen-2: Possibly damaging

SIFT: Damaging

MutationTaster: Disease causing

LRT: Deleterious

REVEL: pathogenic

PROVEAN: Damaging

Conservation: Conserved across species

gnomAD: N/R

ESP: N/R

1000 G: N/R

P4

Dystonia

MPXPS

MICU 1

Homozygous

NM_006077.3

c.553C>T; p.Gln185*

Nonsense likely pathogenic (class II)

MutationTaster: Disease causing

LRT: Deleterious

Conservation: Conserved across species

gnomAD: 0.00002

0.002% (4/204610 alleles)

ESP: N/R

1000 G: N/R

P5

Exercise induced dyskinesia, muscle cramps and pain

MTP

HADHB

Homozygous

NM_000183.2

c.397A>G; p.Thr133Ala

Missense

VUS (class III)

PolyPhen-2: Possibly damaging

SIFT: Damaging

MutationTaster: Disease causing

LRT: Deleterious

REVEL: pathogenic

PROVEAN: Damaging

Conservation: Conserved across species

gnomAD: 0.0001061

0.011% (30/282798 alleles)

ESP: 0.0116%

1000 G: N/R

P6a

Ataxia

Refractory seizures

Psychomotor regression

GA-II

Serine deficiency

ETFDH

PHGDH

Homozygous

Homozygous

NM_004453.2

NM_00662303

c.679C>A;

p.Pro227Thr

c.1219T>C; p. Ser407Pro

Missense

VUS (class III)

Missense

VUS (class III)

PolyPhen-2: Probably damaging

SIFT: Damaging

MutationTaster: Disease causing

LRT: Deleterious

REVEL: pathogenic

PROVEAN: Damaging

Conservation: Conserved across species

PolyPhen-2: Possible damaging

SIFT: Damaging

MutationTaster: Polymorphism

LRT: Tolerated

PROVEAN: Neutral

Conservation: Conserved across mammals

gnomAD: 0.00001193

0.0012% (3/251428 alleles)

ESP: 0.0116%

1000 G: N/R

gnomAD: N/R

ESP: N/R

1000 G: N/R

  1. AADCD, Aromatic L amino acid decarboxylase deficiency; BFIC, benign familial convulsions; EA, episodic ataxia; GA-II, glutaric aciduria type II; GLUT-1, glucose transporter type 1 deficiency; ICCA, infantile convulsions and paroxysmal choreoathetosis syndrome; MAF, minor allele frequency; MPXPS, myopathy with extrapyramidal signs; MTP, mitochondrial trifunctional protein deficiency; N/R, Not Reported; PKC, paroxysmal kinesigenic choreoathetosis; VUS, variant of uncertain significance
  2. aPublished in Ali A. et al. Genes[10]