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Growth failure in early childhood v3.42 NHLRC2 Arina Puzriakova Phenotypes for gene: NHLRC2 were changed from FINCA syndrome OMIM:618278 to FINCA syndrome, OMIM:618278
Growth failure in early childhood v1.105 NHLRC2 Eleanor Williams Tag gene-checked tag was added to gene: NHLRC2.
Growth failure in early childhood v1.100 NHLRC2 Ivone Leong Tag for-review was removed from gene: NHLRC2.
Growth failure in early childhood v1.100 NHLRC2 Ivone Leong commented on gene: NHLRC2
Growth failure in early childhood v1.99 NHLRC2 Ivone Leong Source Expert Review Green was added to NHLRC2.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Growth failure in early childhood v1.28 NHLRC2 Eleanor Williams Classified gene: NHLRC2 as Amber List (moderate evidence)
Growth failure in early childhood v1.28 NHLRC2 Eleanor Williams Added comment: Comment on list classification: On recommendation of Genomics England clinical team, changing rating from red to amber with recommendation of review by the GMS with regards to phenotypic fit for this panel. Sufficient cases to make green if appropriate.
Growth failure in early childhood v1.28 NHLRC2 Eleanor Williams Gene: nhlrc2 has been classified as Amber List (Moderate Evidence).
Growth failure in early childhood v1.27 NHLRC2 Eleanor Williams Tag for-review tag was added to gene: NHLRC2.
Growth failure in early childhood v1.27 NHLRC2 Eleanor Williams gene: NHLRC2 was added
gene: NHLRC2 was added to Growth failure in early childhood. Sources: Literature
Mode of inheritance for gene: NHLRC2 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: NHLRC2 were set to 29423877; 32435055
Phenotypes for gene: NHLRC2 were set to FINCA syndrome OMIM:618278
Review for gene: NHLRC2 was set to GREEN
Added comment: PMID: 29423877 Uusimaa et al 2018 - report 3 patients from 2 unrelated non-consanguineous Finnish families in which the children were born asymptomatic but by 2 months of age they had developed a progressive multi-organ disorder. The main clinical features included progressive cerebropulmonary symptoms, malabsorption, progressive growth failure, recurrent infections, chronic haemolytic anaemia and transient liver dysfunction. All three patients were found using WES to be compound heterozygous for NM_198514:c.442G>T, p.Asp148Tyr and c.601_602delAG, p.Arg201GlyfsTer6. Segregation data for both families is provided. The family history of the two families, traced back 7–9 generations, showed that they did not have common ancestors. Both variants are rare in both Finnish (Sequencing Initiative Suomi - 0.003 and 0.0001 respectively) and non-Finnish populations (Exac). Patient fibroblasts expressed only mRNA with the c.442G>T missense variant, and at low levels. Development of Nhlrc2 null mice stalled before the morula stage. Morpholino knockdown of nhlrc2 in zebrafish embryos showed that nhlrc2 has a role in cellular integrity of the central nervous system during development.

PMID: 32435055 - Brodsky et al 2020 - report a 2 year old Ukranian patient with FINCA syndrome who was found by WES to have compound heterozygous variants in NHLRC2 (c.442T>G, p.D148Y and c.428C>A, p.H143P). The c.428C>A variant is not found in the gnomAD database. Each parent was a carrier for one of the variants.
Sources: Literature