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Severe microcephaly v2.288 AP4B1 Eleanor Williams Tag for-review was removed from gene: AP4B1.
Severe microcephaly v2.282 AP4B1 Sarah Leigh commented on gene: AP4B1: Comment from NHS Genomic Medicine Service: primary presentation is ID/DD/spasticity/hypotonia: green on ID and HSP and hypotonic infant panels - not clear if severe microephaly exists in absence of these
Severe microcephaly v2.282 AP4B1 Sarah Leigh commented on gene: AP4B1
Severe microcephaly v2.62 AP4B1 Arina Puzriakova Phenotypes for gene: AP4B1 were changed from Spastic paraplegia 47, autosomal recessive, MIM# 614066 to Spastic paraplegia 47, autosomal recessive, OMIM:614066; Hereditary spastic paraplegia 47, MONDO:0013551
Severe microcephaly v2.61 AP4B1 Arina Puzriakova Publications for gene: AP4B1 were set to 21620353; 22290197; 24700674; 24781758
Severe microcephaly v2.60 AP4B1 Arina Puzriakova Classified gene: AP4B1 as Amber List (moderate evidence)
Severe microcephaly v2.60 AP4B1 Arina Puzriakova Added comment: Comment on list classification: New gene added by Zornitza Stark. Rating Amber but will be flagged for review at the next GMS panel update to assess whether clinical utility is sufficient for inclusion as Green (added 'for-review' tag).

Literature search revealed at least 24 unrelated published cases with biallelic variants in this gene. Microcephaly is commonly reported but often mild, and particularly in the context of other more prominent/universal features (ID, HSP, etc) this disorder may be better represented by other panels.

Nonetheless, microcephaly of relevant severity to this panel (OFC ≤ -3 SD) has been recorded in at least 8 unrelated families which reaches the threshold for inclusion (PMIDs: 21620353; 29193663; 30337681; 32166732)
Severe microcephaly v2.60 AP4B1 Arina Puzriakova Gene: ap4b1 has been classified as Amber List (Moderate Evidence).
Severe microcephaly v2.59 AP4B1 Arina Puzriakova Tag for-review tag was added to gene: AP4B1.
Severe microcephaly v2.19 AP4B1 Zornitza Stark gene: AP4B1 was added
gene: AP4B1 was added to Severe microcephaly. Sources: Expert list
Mode of inheritance for gene: AP4B1 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: AP4B1 were set to 21620353; 22290197; 24700674; 24781758
Phenotypes for gene: AP4B1 were set to Spastic paraplegia 47, autosomal recessive, MIM# 614066
Review for gene: AP4B1 was set to GREEN
gene: AP4B1 was marked as current diagnostic
Added comment: Microcephaly is an early, prominent presenting feature of this progressive neurological disorder. At least 4 unrelated families reported.
Sources: Expert list