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Table 4 Genetic testing results from 100,000 Genomes Project whole genome sequencing, clinical history and PCD diagnostic test results for each proband A-E in the Wessex non-CF bronchiectasis cohort found to have results consistent with a diagnosis of PCD

From: Whole genome sequencing in the diagnosis of primary ciliary dyskinesia

Anonymised family ID

Genetics

Clinical information

Gene

Allele 1 [Classification]

Allele 2 [Classification]

PCD Diagnosis

Clinical History

nNO (nL/min)

HSV-brushing

HSV-postALI

TEM

IF

A

DNAH5

DNAH5 GRCh38 5:13780960C > A,NM_001369.3:c.8821-1C > A [Pathogenic]

DNAH5 GRCh38 5:13753289GA > G, NM_001369.3:10815del, p.D3605fs1 [Pathogenic]

Confirmed

Normal situs, no NRDS, persistent wet cough since birth, lower lobectomy age 10y, bronchiectasis, rhinitis since birth, no ear issues

30

Static

Static

ODA

DNAH5 absent

B

DNAI1

DNAI1 GrCh38 9:34514436G > A, NM_012144.4:c.1612G > A, p.A538T [Likely Pathogenic]

Homozygous

Confirmed

SI, NRDS, Rhinitis, bronchiectasis, glue ear

2

Mostly static

Not done

ODA

Not done

C

RPGR

RPGR GRCh38 X:38317333 T > C NM_000328.3:c.602A > G, p.H201R [VUS]

Hemizygous

Possible

Normal situs, NRDS, persistent wet since early infancy, persistent rhinitis since early, glue ear. NO EYE SYMPTOMS

18

mixed length shorter and longer than usual, dyskinetic throughout

Cilia short, dyskinetic throughout

Normal

RPGR absent

D

CFAP53

CFAP53 GRCh38 18:50262051G > A, NM_145020.5:c.238C > T, p.R80X (no parental info)

CFAP53 GRCh38 18:50242969C > A, NM_145020.5:c.1144G > T, p.E382X (no parental info)

Candidate

SI, no NRDS, recurrent chest infections started in adulthood, no ear issues, daily rhinitis

171

normal 2014

   

E

CEP164

CEP164 GRCh38 11:117411859C > T, NM_014956.5:c.4228C > T, p.Q1410X. Paternal

CEP164 GRCh38 11:117387204C > T, NM_014956.5:c.1726C > T, p.R576X. Maternal

Candidate

Accompanied by father, BMI 28 103 kg, PICADAR 4; no NRDS but did have pnumonia as an infant; lifelong cough bronchiectasis, rhinitis

164

Reduced amplitude; some cilia long;

 

Within normal limits

 
  1. ACMG variant classification for each variant is given in bold
  2. The table provides case ID, gene and variant details (with GRCh38 genomic coordinates) and classification (following ACMG guidelines) and final diagnosis. Clinical information provided includes clinical history, nasal nitric oxide levels (nNO (nL/min)), high-speed video (HSV) microscopy analysis from fresh nasal brushings and afterculture of these cells at air–liquid interface (ALI) transmission electron microscopy (TEM) and immunofluorescence (IF) microscopy findings. SI = Situs inversus, NRDS = neonatal respiratory distress syndrome, ODA = outer dynein arm defect