Cerebral vascular malformations

Gene: DIAPH1

Amber List (moderate evidence)

DIAPH1 (diaphanous related formin 1)
EnsemblGeneIds (GRCh38): ENSG00000131504
EnsemblGeneIds (GRCh37): ENSG00000131504
OMIM: 602121, Gene2Phenotype
DIAPH1 is in 12 panels

2 reviews

Sarah Leigh (Genomics England Curator)

I don't know

Kundishora et al (PMID: 34125151) reports seven DIAPH1 variants in six patients from two cohorts containing a total of 108 patients with features of Moyamoya disease (MMD). The authors suggest that DIAPH1 variants may be associated with MMD risk gene and impaired vascular cell actin remodeling in MMD pathogenesis. In PMID: 37400591 the authors report that MMD patients with DIAPH1 variants were more likely to have posterior circulation involvement (7/9, 78%) than those without DIAPH1 variants (5/41, 12%). No variant functional studies were presented in these studies.
Created: 8 Apr 2025, 4:49 p.m. | Last Modified: 8 Apr 2025, 4:49 p.m.
Panel Version: 3.25

Alexandra Njegic (Leeds Teaching Hospital Trust)

I don't know

34125151: Authors suggest MMD risk gene, haploinsufficiency mechanism. Discovery cohort of patients with sporadic, bilateral MMD associated with transfusion dependent thrombocytopenia, found 3/24 variants (2 de novo, 1 transmitted); 4/84 further MMD validation cohort (2 unphased, 1 transmitted). In silico predictions only, no phenotyping of parents. No probands had deafness – AD truncating DIAPH1 associated with deafness 1 with or without thrombocytopenia OMIM: 124900 and AR truncating variants are associated with seizures, cortical blindness, microcephaly syndrome OMIM: 616632.
37400591: 2/50 missense variants (7 synonymous) in an Asian MMD population, authors suggest an association between DIAPH1 mutation and PCA involvement in MMD.
37012328: 3 patients with MMA, DIAPH1 variants identified through WES filtering, no evidence of pathogenicity provided.
Sources: Literature
Created: 4 Apr 2025, 3:48 p.m.

Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown

Phenotypes
Moyamoya disease

Publications

Mode of pathogenicity
Other

Details

Mode of Inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Sources
  • Expert Review Amber
Phenotypes
  • Seizures, cortical blindness, microcephaly syndrome, OMIM:616632
  • progressive microcephaly-seizures-cortical blindness-developmental delay syndrome, MONDO:0014714
Tags
watchlist
OMIM
602121
Clinvar variants
Variants in DIAPH1
Penetrance
Incomplete
Publications
Mode of Pathogenicity
Other
Panels with this gene

History Filter Activity

8 Apr 2025, Gel status: 2

Added Tag

Sarah Leigh (Genomics England Curator)

Tag watchlist tag was added to gene: DIAPH1.

8 Apr 2025, Gel status: 2

Set publications

Sarah Leigh (Genomics England Curator)

Publications for gene: DIAPH1 were set to 34125151; 37400591

8 Apr 2025, Gel status: 2

Set publications

Sarah Leigh (Genomics England Curator)

Publications for gene: DIAPH1 were set to 34125151; 37400591; 37012328

8 Apr 2025, Gel status: 2

Set Phenotypes

Sarah Leigh (Genomics England Curator)

Phenotypes for gene: DIAPH1 were changed from Moyamoya disease to Seizures, cortical blindness, microcephaly syndrome, OMIM:616632; progressive microcephaly-seizures-cortical blindness-developmental delay syndrome, MONDO:0014714

8 Apr 2025, Gel status: 2

Entity classified by Genomics England curator

Sarah Leigh (Genomics England Curator)

Gene: diaph1 has been classified as Amber List (Moderate Evidence).

4 Apr 2025, Gel status: 0

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes, Set penetrance, Set mode of pathogenicity

Alexandra Njegic (Leeds Teaching Hospital Trust)

gene: DIAPH1 was added gene: DIAPH1 was added to Cerebral vascular malformations. Sources: Literature Mode of inheritance for gene: DIAPH1 was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown Publications for gene: DIAPH1 were set to 34125151; 37400591; 37012328 Phenotypes for gene: DIAPH1 were set to Moyamoya disease Penetrance for gene: DIAPH1 were set to Incomplete Mode of pathogenicity for gene: DIAPH1 was set to Other Review for gene: DIAPH1 was set to AMBER