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Arthrogryposis v5.15 KIF21A Sarah Leigh Tag Q1_23_promote_green was removed from gene: KIF21A.
Tag Q1_23_NHS_review was removed from gene: KIF21A.
Arthrogryposis v5.15 KIF21A Sarah Leigh reviewed gene: KIF21A: Rating: GREEN; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Arthrogryposis v5.14 KIF21A Sarah Leigh Source Expert Review Green was added to KIF21A.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Arthrogryposis v5.4 KIF21A Arina Puzriakova Tag Q1_23_NHS_review tag was added to gene: KIF21A.
Arthrogryposis v4.8 KIF21A Achchuthan Shanmugasundram edited their review of gene: KIF21A: Changed phenotypes to: arthrogryposis, MONDO:0008779, fetal akinesia
Arthrogryposis v4.8 KIF21A Achchuthan Shanmugasundram Phenotypes for gene: KIF21A were changed from Arthrogryposis; fetal akinesia to arthrogryposis, MONDO:0008779; fetal akinesia
Arthrogryposis v4.7 KIF21A Achchuthan Shanmugasundram Publications for gene: KIF21A were set to 34740919
Arthrogryposis v4.6 KIF21A Achchuthan Shanmugasundram Classified gene: KIF21A as Amber List (moderate evidence)
Arthrogryposis v4.6 KIF21A Achchuthan Shanmugasundram Gene: kif21a has been classified as Amber List (Moderate Evidence).
Arthrogryposis v4.5 KIF21A Achchuthan Shanmugasundram Tag Q1_23_promote_green tag was added to gene: KIF21A.
Arthrogryposis v4.5 KIF21A Achchuthan Shanmugasundram reviewed gene: KIF21A: Rating: GREEN; Mode of pathogenicity: None; Publications: 32686171, 34740919; Phenotypes: arthrogryposis, MONDO:0008779; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Arthrogryposis v4.3 KIF21A Hannah Robinson gene: KIF21A was added
gene: KIF21A was added to Arthrogryposis. Sources: Literature,NHS GMS
Mode of inheritance for gene: KIF21A was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: KIF21A were set to 34740919
Phenotypes for gene: KIF21A were set to Arthrogryposis; fetal akinesia
Penetrance for gene: KIF21A were set to unknown
Review for gene: KIF21A was set to GREEN
gene: KIF21A was marked as current diagnostic
Added comment: Falb et al 2023 (PMID: 34740919) describe two unrelated families in which biallelic loss of function variants segregated with a severe form of fetal akinesia characterised by arthrogryposis multiplex, pulmonary hypoplasia and variable facial dysmorphisms.

Exeter Genomics Laboratory has identified an unrelated third case homozygous for a nonsense variant in KIF21A. The patient had an antenatal diagnosis of talipes, arthrogryposis, polyhydramnios and lack of fetal movements. At birth, all joints displayed fixed flexion deformities, no primitive reflexes, poor muscle bulk and care was re-oriented shortly after birth.

Taken together, three unrelated cases including segregation evidence in the published families provides sufficient evidence for the gene-disease association.
Sources: Literature, NHS GMS