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Structural eye disease v3.57 GDF3 Sarah Leigh changed review comment from: A total of GDF3 variants have been reported in PMID: 19864492, 24281366 & 29260090 in patients with ocular phenotypes. It has been noted, that some of the variants have been found in gnomAD v4.0.0 at a high frequency and in unaffected relatives of the patients. A summary of the allele frequencies and other information is presented below.
NM_020634.3(GDF3):c.796C>T (p.Arg266Cys)
• rs140926412
• https://gnomad.broadinstitute.org/variant/12-7690177-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 4046/1614130 = allele frequency of 0.002507 which could be considered as scoring BS1 depending on the frequency of the disease
• PMID: 19864492; 29260090
NM_020634.3(GDF3):c.584G>A (p.Arg195Gln)
• rs146973734
• https://gnomad.broadinstitute.org/variant/12-7690389-C-T?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 239/1614062 = allele frequency 0.0001481 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia
NM_020634.3(GDF3):c.820C>T (p.Arg274Trp)
• rs387906946
• https://gnomad.broadinstitute.org/variant/12-7690153-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 156/1614148 = allele frequency 0.00009665 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia and coloboma
NM_020634.3(GDF3):c.914T>C (p.Leu305Pro)
• rs387906945
• https://gnomad.broadinstitute.org/variant/12-7690059-A-G?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 349/1614130 = allele frequency 0.0002162 which could be considered slightly too frequent to score PM2 depending on the frequency of the disease
• PMID: 19864492 three cases:
o 1 patient (2.1) with Unilateral microphthalmia and incomplete penetrance.
o 1 patient (2.2) unaffected father of 2.1
o 1 patient with Bilateral iris coloboma
NM_020634.3(GDF3):c.974C>T (p.Pro325Leu)
• rs566697767
• https://gnomad.broadinstitute.org/variant/12-7689999-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 77/1613890 = allele frequency 0.00004771 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 24281366
o 1 patient 11 with microphthalmia and coloboma, also compound heterozygote for two missense mutations in CYP1B1, c.1103G>A, p.(Arg368His), and c.685G>A, p.(Glu229Lys), which is associated with ocular phenotypes (OMIM: 231300 & OMIM: 617315) and is Green on Structural eye disease panel
o 1 patient unaffected father of the patient above

As a result of this analysis, it seems unlikely that c.796C>T (p.Arg266Cys) is disease causing, due to its high frequency in gnomAD v4.0.0. The contribution of c.974C>T (p.Pro325Leu) to the disease is unknown, as it has only been seen in a patient who was also compound heterozygous for CYP1B1 variants. Plus, c.974C>T (p.Pro325Leu) was also seen in the unaffected father of the patient, as was c.914T>C (p.Leu305Pro); leading to the assertion that the effects of GDF3 variants of is subject to reduced penetrance. The variants c.584G>A (p.Arg195Gln) and c.820C>T (p.Arg274Trp) were found at low frequency in gnomAD v4.0.0. and there were no reports of unaffected carriers of these variants in the cited publications.; to: A total of five GDF3 variants have been reported in PMID: 19864492, 24281366 & 29260090 in patients with ocular phenotypes. It has been noted, that some of the variants have been found in gnomAD v4.0.0 at a high frequency and in unaffected relatives of the patients. A summary of the allele frequencies and other information is presented below.
NM_020634.3(GDF3):c.796C>T (p.Arg266Cys)
• rs140926412
• https://gnomad.broadinstitute.org/variant/12-7690177-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 4046/1614130 = allele frequency of 0.002507 which could be considered as scoring BS1 depending on the frequency of the disease
• PMID: 19864492; 29260090
NM_020634.3(GDF3):c.584G>A (p.Arg195Gln)
• rs146973734
• https://gnomad.broadinstitute.org/variant/12-7690389-C-T?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 239/1614062 = allele frequency 0.0001481 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia
NM_020634.3(GDF3):c.820C>T (p.Arg274Trp)
• rs387906946
• https://gnomad.broadinstitute.org/variant/12-7690153-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 156/1614148 = allele frequency 0.00009665 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia and coloboma
NM_020634.3(GDF3):c.914T>C (p.Leu305Pro)
• rs387906945
• https://gnomad.broadinstitute.org/variant/12-7690059-A-G?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 349/1614130 = allele frequency 0.0002162 which could be considered slightly too frequent to score PM2 depending on the frequency of the disease
• PMID: 19864492 three cases:
o 1 patient (2.1) with Unilateral microphthalmia and incomplete penetrance.
o 1 patient (2.2) unaffected father of 2.1
o 1 patient with Bilateral iris coloboma
NM_020634.3(GDF3):c.974C>T (p.Pro325Leu)
• rs566697767
• https://gnomad.broadinstitute.org/variant/12-7689999-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 77/1613890 = allele frequency 0.00004771 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 24281366
o 1 patient 11 with microphthalmia and coloboma, also compound heterozygote for two missense mutations in CYP1B1, c.1103G>A, p.(Arg368His), and c.685G>A, p.(Glu229Lys), which is associated with ocular phenotypes (OMIM: 231300 & OMIM: 617315) and is Green on Structural eye disease panel
o 1 patient unaffected father of the patient above

As a result of this analysis, it seems unlikely that c.796C>T (p.Arg266Cys) is disease causing, due to its high frequency in gnomAD v4.0.0. The contribution of c.974C>T (p.Pro325Leu) to the disease is unknown, as it has only been seen in a patient who was also compound heterozygous for CYP1B1 variants. Plus, c.974C>T (p.Pro325Leu) was also seen in the unaffected father of the patient, as was c.914T>C (p.Leu305Pro); leading to the assertion that the effects of GDF3 variants of is subject to reduced penetrance. The variants c.584G>A (p.Arg195Gln) and c.820C>T (p.Arg274Trp) were found at low frequency in gnomAD v4.0.0. and there were no reports of unaffected carriers of these variants in the cited publications.
Structural eye disease v3.57 GDF3 Sarah Leigh changed review comment from: A total of GDF3 variants have been reported in PMID: 19864492, 24281366 & 29260090 in patients with ocular phenotypes. It has been noted, that some of the variants have been found in gnomAD v4.0.0 at a high frequency and in unaffected relatives of the patients. A summary of the allele frequencies and other information is presented below.
NM_020634.3(GDF3):c.796C>T (p.Arg266Cys)
• rs140926412
• https://gnomad.broadinstitute.org/variant/12-7690177-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 4046/1614130 = allele frequency of 0.002507 which could be considered as scoring BS1 depending on the frequency of the disease
• PMID: 19864492; 29260090
NM_020634.3(GDF3):c.584G>A (p.Arg195Gln)
• rs146973734
• https://gnomad.broadinstitute.org/variant/12-7690389-C-T?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 239/1614062 = allele frequency 0.0001481 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia
NM_020634.3(GDF3):c.820C>T (p.Arg274Trp)
• rs387906946
• https://gnomad.broadinstitute.org/variant/12-7690153-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 156/1614148 = allele frequency 0.00009665 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia and coloboma
NM_020634.3(GDF3):c.914T>C (p.Leu305Pro)
• rs387906945
• https://gnomad.broadinstitute.org/variant/12-7690059-A-G?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 349/1614130 = allele frequency 0.0002162 which could be considered slightly too frequent to score PM2 depending on the frequency of the disease
• PMID: 19864492 three cases:
o 1 patient (2.1) with Unilateral microphthalmia and incomplete penetrance.
o 1 patient (2.2) unaffected father of 2.1
o 1 patient with Bilateral iris coloboma
NM_020634.3(GDF3):c.974C>T (p.Pro325Leu)
• rs566697767
• https://gnomad.broadinstitute.org/variant/12-7689999-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 77/1613890 = allele frequency 0.00004771 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 24281366
o 1 patient 11 with microphthalmia and coloboma, also compound heterozygote for two missense mutations in CYP1B1, c.1103G>A, p.(Arg368His), and c.685G>A, p.(Glu229Lys), which is associated with ocular phenotypes (OMIM: 231300 & OMIM: 617315) and is Green on Structural eye disease panel
o 1 patient unaffected father of the patient above

As a result of this analysis, it seems unlikely that c.796C>T (p.Arg266Cys) is disease causing, due to its high frequency in gnomAD v4.0.0. The contribution of c.974C>T (p.Pro325Leu) to the disease is unknown, as it has only been seen in a patient who was also compound heterozygous for CYP1B1 variants. Plus, c.974C>T (p.Pro325Leu) was also seen in the unaffected father of the patient, as was c.914T>C (p.Leu305Pro), leading to the assertion the effects of GDF3 variants of is subject to reduced penetrance. The variants c.584G>A (p.Arg195Gln) and c.820C>T (p.Arg274Trp) were found at low frequency in gnomAD v4.0.0. and there were no reports of unaffected carriers in these publications.; to: A total of GDF3 variants have been reported in PMID: 19864492, 24281366 & 29260090 in patients with ocular phenotypes. It has been noted, that some of the variants have been found in gnomAD v4.0.0 at a high frequency and in unaffected relatives of the patients. A summary of the allele frequencies and other information is presented below.
NM_020634.3(GDF3):c.796C>T (p.Arg266Cys)
• rs140926412
• https://gnomad.broadinstitute.org/variant/12-7690177-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 4046/1614130 = allele frequency of 0.002507 which could be considered as scoring BS1 depending on the frequency of the disease
• PMID: 19864492; 29260090
NM_020634.3(GDF3):c.584G>A (p.Arg195Gln)
• rs146973734
• https://gnomad.broadinstitute.org/variant/12-7690389-C-T?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 239/1614062 = allele frequency 0.0001481 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia
NM_020634.3(GDF3):c.820C>T (p.Arg274Trp)
• rs387906946
• https://gnomad.broadinstitute.org/variant/12-7690153-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 156/1614148 = allele frequency 0.00009665 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia and coloboma
NM_020634.3(GDF3):c.914T>C (p.Leu305Pro)
• rs387906945
• https://gnomad.broadinstitute.org/variant/12-7690059-A-G?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 349/1614130 = allele frequency 0.0002162 which could be considered slightly too frequent to score PM2 depending on the frequency of the disease
• PMID: 19864492 three cases:
o 1 patient (2.1) with Unilateral microphthalmia and incomplete penetrance.
o 1 patient (2.2) unaffected father of 2.1
o 1 patient with Bilateral iris coloboma
NM_020634.3(GDF3):c.974C>T (p.Pro325Leu)
• rs566697767
• https://gnomad.broadinstitute.org/variant/12-7689999-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 77/1613890 = allele frequency 0.00004771 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 24281366
o 1 patient 11 with microphthalmia and coloboma, also compound heterozygote for two missense mutations in CYP1B1, c.1103G>A, p.(Arg368His), and c.685G>A, p.(Glu229Lys), which is associated with ocular phenotypes (OMIM: 231300 & OMIM: 617315) and is Green on Structural eye disease panel
o 1 patient unaffected father of the patient above

As a result of this analysis, it seems unlikely that c.796C>T (p.Arg266Cys) is disease causing, due to its high frequency in gnomAD v4.0.0. The contribution of c.974C>T (p.Pro325Leu) to the disease is unknown, as it has only been seen in a patient who was also compound heterozygous for CYP1B1 variants. Plus, c.974C>T (p.Pro325Leu) was also seen in the unaffected father of the patient, as was c.914T>C (p.Leu305Pro); leading to the assertion that the effects of GDF3 variants of is subject to reduced penetrance. The variants c.584G>A (p.Arg195Gln) and c.820C>T (p.Arg274Trp) were found at low frequency in gnomAD v4.0.0. and there were no reports of unaffected carriers of these variants in the cited publications.
Structural eye disease v3.57 GDF3 Sarah Leigh edited their review of gene: GDF3: Added comment: A total of GDF3 variants have been reported in PMID: 19864492, 24281366 & 29260090 in patients with ocular phenotypes. It has been noted, that some of the variants have been found in gnomAD v4.0.0 at a high frequency and in unaffected relatives of the patients. A summary of the allele frequencies and other information is presented below.
NM_020634.3(GDF3):c.796C>T (p.Arg266Cys)
• rs140926412
• https://gnomad.broadinstitute.org/variant/12-7690177-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 4046/1614130 = allele frequency of 0.002507 which could be considered as scoring BS1 depending on the frequency of the disease
• PMID: 19864492; 29260090
NM_020634.3(GDF3):c.584G>A (p.Arg195Gln)
• rs146973734
• https://gnomad.broadinstitute.org/variant/12-7690389-C-T?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 239/1614062 = allele frequency 0.0001481 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia
NM_020634.3(GDF3):c.820C>T (p.Arg274Trp)
• rs387906946
• https://gnomad.broadinstitute.org/variant/12-7690153-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 156/1614148 = allele frequency 0.00009665 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 19864492 one patient with Unilateral microphthalmia and coloboma
NM_020634.3(GDF3):c.914T>C (p.Leu305Pro)
• rs387906945
• https://gnomad.broadinstitute.org/variant/12-7690059-A-G?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 349/1614130 = allele frequency 0.0002162 which could be considered slightly too frequent to score PM2 depending on the frequency of the disease
• PMID: 19864492 three cases:
o 1 patient (2.1) with Unilateral microphthalmia and incomplete penetrance.
o 1 patient (2.2) unaffected father of 2.1
o 1 patient with Bilateral iris coloboma
NM_020634.3(GDF3):c.974C>T (p.Pro325Leu)
• rs566697767
• https://gnomad.broadinstitute.org/variant/12-7689999-G-A?dataset=gnomad_r4
• gnomAD v4.0.0 exomes & genomes: 77/1613890 = allele frequency 0.00004771 which could be considered as scoring PM2 depending on the frequency of the disease
• PMID: 24281366
o 1 patient 11 with microphthalmia and coloboma, also compound heterozygote for two missense mutations in CYP1B1, c.1103G>A, p.(Arg368His), and c.685G>A, p.(Glu229Lys), which is associated with ocular phenotypes (OMIM: 231300 & OMIM: 617315) and is Green on Structural eye disease panel
o 1 patient unaffected father of the patient above

As a result of this analysis, it seems unlikely that c.796C>T (p.Arg266Cys) is disease causing, due to its high frequency in gnomAD v4.0.0. The contribution of c.974C>T (p.Pro325Leu) to the disease is unknown, as it has only been seen in a patient who was also compound heterozygous for CYP1B1 variants. Plus, c.974C>T (p.Pro325Leu) was also seen in the unaffected father of the patient, as was c.914T>C (p.Leu305Pro), leading to the assertion the effects of GDF3 variants of is subject to reduced penetrance. The variants c.584G>A (p.Arg195Gln) and c.820C>T (p.Arg274Trp) were found at low frequency in gnomAD v4.0.0. and there were no reports of unaffected carriers in these publications.; Changed rating: AMBER
Structural eye disease v0.76 CYP1B1 Nicola Ragge reviewed gene: CYP1B1: Rating: GREEN; Mode of pathogenicity: ; Publications: 9463332, 9097971, 9497261, 12372064; Phenotypes: Glaucoma 3, Primary Congenital, A, GLC3A, 231300, Peters anomaly, 604229, Glaucoma 3A, primary open angle, congenital, juvenile, or adult onset, primary congenital glaucoma, Primary Congenital Glaucoma; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal
Structural eye disease v0.38 CYP1B1 Ivone Leong reviewed gene: CYP1B1: Rating: GREEN; Mode of pathogenicity: ; Publications: 9463332, 9097971, 9497261, 12372064; Phenotypes: Glaucoma 3, Primary Congenital, A, GLC3A, 231300, Peters anomaly, 604229, Glaucoma 3A, primary open angle, congenital, juvenile, or adult onset, primary congenital glaucoma, Primary Congenital Glaucoma; Mode of inheritance: BIALLELIC, autosomal or pseudoautosomal; Current diagnostic: yes
Structural eye disease v0.15 CYP1B1 Ivone Leong Source NHS GMS was added to CYP1B1.
Added phenotypes Peters anomaly, 604229; Glaucoma 3, Primary Congenital, A, GLC3A, 231300; primary congenital glaucoma; Primary Congenital Glaucoma; Glaucoma 3A, primary open angle, congenital, juvenile, or adult onset for gene: CYP1B1
Publications for gene CYP1B1 were changed from 9463332; 9097971; 9497261; 12372064 to 12372064; 9463332; 9097971; 9497261
Structural eye disease v0.2 CYP1B1 Ellen McDonagh gene: CYP1B1 was added
gene: CYP1B1 was added to Structural eye disease. Sources: Expert Review Green
Mode of inheritance for gene: CYP1B1 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: CYP1B1 were set to 9463332; 9097971; 9497261; 12372064
Phenotypes for gene: CYP1B1 were set to Glaucoma 3, Primary Congenital, A; GLC3A; 231300; Peters anomaly, 604229; Glaucoma 3A, primary open angle, congenital, juvenile, or adult onset; primary congenital glaucoma; Primary Congenital Glaucoma