Description
This panel is used for clinical indication 'R438 Paediatric pseudo-obstruction syndrome' in the NHS Genomic Medicine Service.

Further information on the testing criteria and any overlapping clinical indications can be found within (https://www.england.nhs.uk/publication/national-genomic-test-directories/) under 'R438 Paediatric pseudo-obstruction syndrome'.

A version of this panel has been signed off under NHS Genomic Medicine Service governance (see 'Latest signed off version' in the panel header information).

This panel will continue to be curated based on external reviews and Genomics England curation. New changes will be reflected in an increase to the minor version of the panel and details of these can be viewed in the 'Panel Activity' page. Periodically, these changes will be reviewed by a NHS Genomic Medicine Service evaluation process. The content that is agreed for the GMS panels will be reflected in an updated signed off version number.

CNVs, STRs and genes encoded by the mitochondrial genome may not be routinely included in the analysis where the panel is NOT delivered by WGS. Please contact your Genomic Laboratory Hub for information regarding specific queries.

4 reviewers

  • Sarah Leigh (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Eleanor Williams (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Arina Puzriakova (Genomics England Curator)

    Group: Other
    Workplace: Other

  • Achchuthan Shanmugasundram (Genomics England Curator)

    Group: Other
    Workplace: Other

55 Entities

55 reviewed, 23 green

List Entity Reviews Mode of inheritance Details
55 Entitiess
Green Green List (high evidence)
ACTA2
3 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Multisystemic smooth muscle dysfunction syndrome, OMIM:613834
Tags
Green Green List (high evidence)
ACTG2
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome 5, OMIM:619431
  • Visceral myopathy 1, OMIM:155310
Tags
Green Green List (high evidence)
EDN3
3 reviews
1 green
BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Waardenburg syndrome, type 4B, OMIM:613265
  • {Hirschsprung disease, susceptibility to, 4}, OMIM:613712
Tags
  • monogenic-polygenic
Green Green List (high evidence)
EDNRB
3 reviews
1 green
BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Waardenburg syndrome, type 4A, OMIM:277580
  • {Hirschsprung disease, susceptibility to, 2}, OMIM:600155
  • ?ABCD syndrome, OMIM:600501
Tags
  • monogenic-polygenic
Green Green List (high evidence)
ERBB3
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Visceral neuropathy, familial, 1, autosomal recessive, OMIM:243180
Tags
Green Green List (high evidence)
FLNA
2 reviews
1 green
X-LINKED: hemizygous mutation in males, biallelic mutations in females
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Congenital short bowel syndrome, OMIM:300048
  • Intestinal pseudoobstruction, neuronal, OMIM:300048
Tags
Green Green List (high evidence)
L1CAM
2 reviews
1 green
X-LINKED: hemizygous mutation in males, biallelic mutations in females
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hydrocephalus with congenital idiopathic intestinal pseudoobstruction, OMIM:307000
Tags
  • monogenic-polygenic
Green Green List (high evidence)
LIG3
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial DNA depletion syndrome 20 (MNGIE type), OMIM:619780
Tags
Green Green List (high evidence)
LMOD1
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome 3, OMIM:619362
Tags
Green Green List (high evidence)
MPV17
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial DNA depletion syndrome 6 (hepatocerebral type), OMIM:256810
Tags
Green Green List (high evidence)
MYH11
2 reviews
1 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome 2, OMIM:619351
  • Visceral myopathy 2, OMIM:619350
Tags
Green Green List (high evidence)
MYLK
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome 1, OMIM:249210
Tags
Green Green List (high evidence)
PHOX2B
3 reviews
2 green
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Central hypoventilation syndrome, congenital, 1, with or without Hirschsprung disease, OMIM:209880
  • central hypoventilation syndrome, congenital, MONDO:0800031
  • Neuroblastoma with Hirschsprung disease, OMIM:613013
  • neuroblastoma, susceptibility to, 2, MONDO:0700041
Tags
  • STR
Green Green List (high evidence)
POLG
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial DNA depletion syndrome 4B (MNGIE type), OMIM:613662
Tags
Green Green List (high evidence)
PROK1
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hirschsprung disease, MONDO:0018309
Tags
  • gene-checked
Green Green List (high evidence)
PROKR1
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hirschsprung disease, MONDO:0018309
Tags
  • gene-checked
Green Green List (high evidence)
PROKR2
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Hirschsprung disease, MONDO:0018309
Tags
Green Green List (high evidence)
RET
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • {Hirschsprung disease, susceptibility to, 1}, 142623
  • {Hirschsprung disease, protection against}, 142623
Tags
Green Green List (high evidence)
SGO1
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Chronic atrial and intestinal dysrhythmia, OMIM:616201
Tags
Green Green List (high evidence)
SOX10
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • PCWH syndrome, OMIM:609136
  • Waardenburg syndrome, type 4C, OMIM:613266
Tags
Green Green List (high evidence)
TTC7A
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Gastrointestinal defects and immunodeficiency syndrome, OMIM:243150
Tags
Green Green List (high evidence)
TYMP
2 reviews
1 green
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mitochondrial DNA depletion syndrome 1 (MNGIE type), OMIM:603041
Tags
Green Green List (high evidence)
ZEB2
2 reviews
1 green
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Green
Phenotypes
  • Mowat-Wilson syndrome, OMIM:235730
Tags
Amber Amber List (moderate evidence)
ECE1
3 reviews
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Amber
Phenotypes
  • ?Hirschsprung disease, cardiac defects, and autonomic dysfunction, OMIM:613870
Tags
Amber Amber List (moderate evidence)
GFRA1
2 reviews
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Sources
  • Expert list
  • Expert Review Amber
Phenotypes
  • Susceptibility to Hirschsprung disease, MONDO:0100179
Tags
  • watchlist
Amber Amber List (moderate evidence)
MYL9
3 reviews
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Amber
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome 4, OMIM:619365
Tags
  • Q2_23_promote_green
Amber Amber List (moderate evidence)
RAD21
2 reviews
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Amber
Phenotypes
  • Mungan syndrome, OMIM:611376
Tags
Red Red List (low evidence)
BCR
3 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Paediatric intestinal pseudo-obstruction
Tags
Red Red List (low evidence)
BCS1L
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial complex III deficiency, nuclear type 1, OMIM:124000
Tags
Red Red List (low evidence)
C17orf107
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Myasthenic syndrome, congenital, 4A, slow-channel, OMIM:605809
  • Myasthenic syndrome, congenital, 4B, fast-channel, OMIM:616324
  • Myasthenic syndrome, congenital, 4C, associated with acetylcholine receptor deficiency, OMIM:608931
Tags
Red Red List (low evidence)
CHRNE
3 reviews
1 red
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Myasthenic syndrome, congenital, 4A, slow-channel, OMIM:605809
  • Myasthenic syndrome, congenital, 4B, fast-channel, OMIM:616324
  • Myasthenic syndrome, congenital, 4C, associated with acetylcholine receptor deficiency, OMIM:608931
Tags
Red Red List (low evidence)
COX10
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial complex IV deficiency, nuclear type 3, OMIM:619046
Tags
Red Red List (low evidence)
COX15
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial complex IV deficiency, nuclear type 6, OMIM:615119
Tags
Red Red List (low evidence)
DDX3X
3 reviews
1 red
X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Intellectual developmental disorder, X-linked syndromic, Snijders Blok type, OMIM:300958
Tags
Red Red List (low evidence)
DGUOK
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial DNA depletion syndrome 3 (hepatocerebral type), OMIM:251880
Tags
Red Red List (low evidence)
DLX1
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Abnormal bowel motility in mice
Tags
Red Red List (low evidence)
DLX2
3 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Abnormal bowel motility in mice
Tags
Red Red List (low evidence)
ERBB2
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Visceral neuropathy, familial, 2, autosomal recessive, OMIM:619465
Tags
Red Red List (low evidence)
FOCAD
2 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
Phenotypes
  • Chronic intestinal pseudoobstruction, MONDO:0017574
Tags
Red Red List (low evidence)
GDNF
2 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
Phenotypes
  • {Hirschsprung disease, susceptibility to, 3}, OMIM:613711
Tags
Red Red List (low evidence)
KIF26A
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • GDNF-Ret in ENS development
Tags
Red Red List (low evidence)
NDUFS1
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Mitochondrial complex I deficiency, nuclear type 5, OMIM:618226
Tags
Red Red List (low evidence)
NKX2-1
2 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
Phenotypes
  • Megacolon, oesophageal atresia
Tags
Red Red List (low evidence)
NRTN
2 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
Phenotypes
  • susceptibility to Hirschsprung disease
Tags
Red Red List (low evidence)
PDCL3
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Megacystis-microcolon-intestinal hypoperistalsis syndrome, MONDO:0025986
Tags
Red Red List (low evidence)
RRM2B
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Mitochondrial DNA depletion syndrome 8A (encephalomyopathic type with renal tubulopathy), OMIM:612075
  • Mitochondrial DNA depletion syndrome 8B (MNGIE type), OMIM:612075
Tags
Red Red List (low evidence)
SCN10A
2 reviews
1 red
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert list
Phenotypes
  • Colon sensory neurons activation
Tags
Red Red List (low evidence)
SDHA
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Mitochondrial complex II deficiency, nuclear type 1, OMIM:252011
Tags
Red Red List (low evidence)
SEMA3F
2 reviews
1 red
Unknown
Sources
  • Expert list
Phenotypes
  • megacolon, MONDO:0001273
Tags
  • gene-checked
Red Red List (low evidence)
SUCLA2
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial DNA depletion syndrome 5 (encephalomyopathic with or without methylmalonic aciduria), OMIM:612073
Tags
Red Red List (low evidence)
SUCLG1
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial DNA depletion syndrome 9 (encephalomyopathic type with methylmalonic aciduria), OMIM:245400
Tags
Red Red List (low evidence)
SURF1
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Mitochondrial complex IV deficiency, nuclear type 1, OMIM:220110
Tags
Red Red List (low evidence)
TK2
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
  • Expert Review Red
Phenotypes
  • Mitochondrial DNA depletion syndrome 2 (myopathic type), OMIM:609560
Tags
Red Red List (low evidence)
TPM3
2 reviews
1 red
BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Megacolon
Tags
Red Red List (low evidence)
TWNK
2 reviews
1 red
BIALLELIC, autosomal or pseudoautosomal
Sources
  • Expert list
Phenotypes
  • Mitochondrial DNA depletion syndrome 7 (hepatocerebral type), OMIM:271245
  • Perrault syndrome 5, OMIM:616138
Tags

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