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Early onset or syndromic epilepsy v1.191 TELO2 Rebecca Foulger Source Wessex and West Midlands GLH was added to TELO2.
Early onset or syndromic epilepsy v1.190 TELO2 Rebecca Foulger Source NHS GMS was added to TELO2.
Early onset or syndromic epilepsy v1.189 TELO2 Rebecca Foulger reviewed gene: TELO2: Rating: AMBER; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance:
Early onset or syndromic epilepsy v1.188 TELO2 Tracy Lester reviewed gene: TELO2: Rating: AMBER; Mode of pathogenicity: ; Publications: 28944240; Phenotypes: You-Hoover-Fong syndrome, 616954; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Early onset or syndromic epilepsy v0.1178 TELO2 Sarah Leigh Marked gene: TELO2 as ready
Early onset or syndromic epilepsy v0.1178 TELO2 Sarah Leigh Added comment: Comment when marking as ready: Associated with relevant phenotype in OMIM and as probable Gen2Phen gene. At least 7 variants reported in 7 unrelated cases, two of whome had seizures.
Early onset or syndromic epilepsy v0.1178 TELO2 Sarah Leigh Gene: telo2 has been classified as Amber List (Moderate Evidence).
Early onset or syndromic epilepsy v0.1178 TELO2 Sarah Leigh Classified gene: TELO2 as Amber List (moderate evidence)
Early onset or syndromic epilepsy v0.1178 TELO2 Sarah Leigh Gene: telo2 has been classified as Amber List (Moderate Evidence).
Early onset or syndromic epilepsy v0.1177 TELO2 Sarah Leigh Publications for gene: TELO2 were set to
Early onset or syndromic epilepsy v0.1176 TELO2 Sarah Leigh Phenotypes for gene: TELO2 were changed from to You-Hoover-Fong syndrome 616954
Early onset or syndromic epilepsy v0.1111 TELO2 Konstantinos Varvagiannis reviewed gene: TELO2: Rating: AMBER; Mode of pathogenicity: None; Publications: 27132593, 28944240; Phenotypes: You-Hoover-Fong syndrome, MIM 616954; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Early onset or syndromic epilepsy v0.1111 TELO2 Konstantinos Varvagiannis Deleted their review
Early onset or syndromic epilepsy v0.1111 TELO2 Konstantinos Varvagiannis gene: TELO2 was added
gene: TELO2 was added to Genetic epilepsy syndromes. Sources: Literature,Expert Review
Mode of inheritance for gene: TELO2 was set to BIALLELIC, autosomal or pseudoautosomal
Penetrance for gene: TELO2 were set to Complete
Added comment: Biallelic mutations in TELO2 cause You-Hoover-Fong syndrome (MIM 616954). //

PMID: 27132593 reports on 6 patients (from 4 non-consanguineous families) with biallelic TELO2 variants and a similar phenotype.

Intellectual disability and microcephaly were universal features (6/6). Abnormal hearing (3/6), cortical visual impairment (3/6), abnormality of the cardiovascular system (3/6), behavioral problems (laughter outbursts in 3/6) and abnormal balance and movement disorder (6/6) were part of the phenotype. One individual had seizures.

5 missense variants and a complex allele with a stopgain variant localized in cis with a splice-site variant (NM_016111.3:c.514C>T or p.Gln172* in cis with c.2034+1G>A) are reported.

As a result heterozygosity for the complex variant may be confounded with compound heterozygous state until segregation studies are performed.

Functional studies support pathogenicity of the missense variants (reduced protein steady-state levels of TELO2 as well as TTI1 and TTI2 - the 2 other members of the TTT complex) suggesting loss of function.

PMID: 28944240 reports on 2 sisters born to non-consanguineous parents. Both were compound heterozygous for 2 novel variants, a missense and a frameshift one. Severe microcephaly (-8.5 SD and -10.7 SD) and seizures were noted in both. The first sister passed away at the age of 2 months due to a respiratory infection. The other sister demonstrated a compatible, though much more severe phenotype (ID and microcephaly) with additional features (dwarfism, renal anomalies, retinitis pigmentosa, etc) compared to previously reported patients. //

As a result this gene could possibly be considered for inclusion in this panel as amber (seizures in 3/8 patients reported to date - these individuals belonged to 2 different families) .
Sources: Literature, Expert Review