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Adult onset dystonia, chorea or related movement disorder v3.2 VPS16 Sarah Leigh changed review comment from: The rating of this gene has been updated followingNHS Genomic Medicine Serviceapproval.; to: The rating of this gene has been updated following NHS Genomic Medicine Serviceapproval.
Adult onset dystonia, chorea or related movement disorder v1.166 VPS16 Ivone Leong Tag Q2_21_rating was removed from gene: VPS16.
Tag Q2_21_NHS_review was removed from gene: VPS16.
Adult onset dystonia, chorea or related movement disorder v1.166 VPS16 Sarah Leigh commented on gene: VPS16
Adult onset dystonia, chorea or related movement disorder v1.165 VPS16 Ivone Leong Source Expert Review Green was added to VPS16.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Adult onset dystonia, chorea or related movement disorder v1.119 VPS16 Arina Puzriakova commented on gene: VPS16: Penetrance for gene VPS16 was set from None to Incomplete - some variants transmitted from an unaffected parent and heterozygous LoF variants are observed in presumably healthy individuals in gnomAD
Adult onset dystonia, chorea or related movement disorder v1.119 VPS16 Arina Puzriakova Penetrance for gene VPS16 was set from to None
Adult onset dystonia, chorea or related movement disorder v1.118 VPS16 Arina Puzriakova edited their review of gene: VPS16: Changed rating: GREEN
Adult onset dystonia, chorea or related movement disorder v1.118 VPS16 Arina Puzriakova Tag Q2_21_NHS_review tag was added to gene: VPS16.
Adult onset dystonia, chorea or related movement disorder v1.118 VPS16 Arina Puzriakova Publications for gene: VPS16 were set to 32808683
Adult onset dystonia, chorea or related movement disorder v1.117 VPS16 Arina Puzriakova Phenotypes for gene: VPS16 were changed from Dystonia; Dystonia Associated with Lysosomal Abnormalities; Dystonia 30; OMIM #619291 to Dystonia 30, OMIM:619291; Dystonia Associated with Lysosomal Abnormalities
Adult onset dystonia, chorea or related movement disorder v1.116 VPS16 Arina Puzriakova Tag Q2_21_rating tag was added to gene: VPS16.
Adult onset dystonia, chorea or related movement disorder v1.116 VPS16 Arina Puzriakova Classified gene: VPS16 as Amber List (moderate evidence)
Adult onset dystonia, chorea or related movement disorder v1.116 VPS16 Arina Puzriakova Added comment: Comment on list classification: New gene added by James Polke (North Thames GLH). There is sufficient evidence to promote this gene to Green at the next GMS panel update - at least 19 unrelated families reported with progressive dystonia (both multifocal and generalised types described) in association with variants in this gene (publications updated with relevant literature). Variable age of onset ranging from 3 to 50 years.
Adult onset dystonia, chorea or related movement disorder v1.116 VPS16 Arina Puzriakova Gene: vps16 has been classified as Amber List (Moderate Evidence).
Adult onset dystonia, chorea or related movement disorder v1.115 VPS16 Arina Puzriakova Added comment: Comment on mode of inheritance: While most cases of VPS16-related dystonia have been due to heterozygous variants, one Chinese consanguineous family with dystonia has been found to harbour a homozygous missense variant (PMID:27174565). In view of only one biallelic case, MOI has been set as 'Monoallelic' - patients with biallelic variants would still be picked up by the Genomics England pipeline.

Furthermore, biallelic VPS16 variants have been linked to a mucopolysaccharidosis‐like disease - reviewed on the 'Lysosomal storage disorder' (R276) panel.
Adult onset dystonia, chorea or related movement disorder v1.115 VPS16 Arina Puzriakova Mode of inheritance for gene: VPS16 was changed from MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Adult onset dystonia, chorea or related movement disorder v1.114 VPS16 James Polke gene: VPS16 was added
gene: VPS16 was added to Adult onset movement disorder. Sources: NHS GMS
Mode of inheritance for gene: VPS16 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: VPS16 were set to 32808683
Phenotypes for gene: VPS16 were set to Dystonia; Dystonia Associated with Lysosomal Abnormalities; Dystonia 30; OMIM #619291
Review for gene: VPS16 was set to GREEN
Added comment: 18 individuals reported with high-impact variants in VPS16 and a progressive early onset dystonia (median age 12 years, range 3–50 years), with prominent oromandibular, bulbar, cervical, and upper limb involvement. Progressive generalization ensued, although most remained ambulant, and only a minority (16%) lost the ability to walk in adulthood.

Additional clinical features of mild to moderate intellectual disability and neuropsychiatric symptoms were present in approximately one‐third. In 4 individuals, magnetic resonance imaging (MRI) showed bilateral and symmetrical hypointensity of the globi pallidi and sometimes also the midbrain and dentate nuclei, suggestive of iron deposition. Mild generalized cerebral atrophy was also apparent in 4 individuals.
Sources: NHS GMS