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Table 3 Patients (N = 38) with two or more diagnoses consisting of SNVs detected by ES and PCNVs detected by arrays

From: Copy number variant and runs of homozygosity detection by microarrays enabled more precise molecular diagnoses in 11,020 clinical exome cases

Patient ID

Findings from arrays

Findings from ES

CNVs

Size (Mb)

Associated disorders

Known prior to ES

SNVs

Associated disorders

Inheritance

WD1

1p36.33 del, 8p23.3p22 gain

0.715, 13.753

Unbalanced translocation

No

HMZ c.11754G>A (p.W3918*) pathogenic variant in USH2A

Usher syndrome 2A [MIM:276901]

AR

WD2

1q21.1q21.2 del, inherited

0.847

1q21.1 deletion syndrome [MIM:612474]

Yes

HTZ c.1396_1399dup (p.Y467fs) pathogenic variant in ZFPM2

Tetralogy of Fallot [MIM: 187500]; diaphragmatic hernia 3 [MIM:610187]

AD

WC2*, #,3*, #

1q21.1q21.2 del

1.207

1q21.1 deletion syndrome [MIM:612474]

No

HTZ c.283C>T (p.R95*) pathogenic variant in CTNNB1, dn

Mental retardation, autosomal dominant 19 [MIM:615075]

AD

WD3

1q24.2q25.3 gain

10.944

Large gain in 1q

Yes

HTZ c.182A>G (p.H61R) likely pathogenic variant in PTEN, dn

Cowden disease [MIM:158350]

AD

WD4

2q21.1 del

0.447

2q21.1 deletion including ARHGEF4 and GPR148 [PMID:22543972]

No

HTZ c.1615delG (p.E539fs) pathogenic variant in PTCH1

Basal cell nevus syndrome [MIM:109400]

AD

WD5

2q36.3 del

0.004

Early language delay and cerebral white matter hyperintensities [PMID:23810381]

Yes

HTZ c.2155+2T>C pathogenic variant in CASK

Mental retardation and microcephaly with pontine and cerebellar hypoplasia [MIM:300749]

X-linked

WD6

3pter del

5.15

Distal 3p deletion syndrome [MIM:613792]

No

HMZ c.836C>T (p.A279V) VUS in SUMF1

Multiple sulfatase deficiency [MIM:272200]

AR

WD7

3q21.2q21.3 del

2.053

Global developmental delay, absent or hypoplastic corpus callosum, and dysmorphic facies [MIM:617260]

No

HTZ c.706C>T (p.R236*) pathogenic variant in ACAN

Spondyloepiphyseal dysplasia type Kimberley [MIM:608361]

AD

WD20

4p16.1 gain, mosaic, dn

1.112

4p16.1 duplication [PMID: 15378535]

Yes

HMZ c.882_883del (p.Q295fs) pathogenic variant in WDR45, dn

Brain iron accumulation 5 [MIM:300894]

X-linked

WD8**

10q24.31q24.32 gain, dn

0.736

Split hand-split foot malformation 3 [MIM:246560]

No

HMZ c.2209G>C (p.G737R) pathogenic variant in POLG

Leigh syndrome [MIM:256000]

AD

WD9

15q13.2q13.3 del BP4-5

1.477

15q13.3 microdeletion syndrome [MIM:612001]

No

HTZ c.503G>A (p.R168H) pathogenic variant in TPM3, dn

Nemaline myopathy 1 [MIM:609284]; Cap myopathy 1 [MIM:609284]

AD

WD22

15q15.3 HMZ del

0.049

Deafness, autosomal recessive 16 [MIM:603720]

No

HMZ c.73G>T (p.E25*) pathogenic variant in EPCAM

Diarrhea 5, with tufting enteropathy, congenital [MIM:613217]

AR

WD13*

16p13.11 del, dn

1.166

16p13.11 microdeletion syndrome. [PMID:24105370]

Yes

HTZ c.5351T>C (p.V1784A) likely pathogenic variant in SCN1A, dn

Epileptic encephalopathy, early infantile, 6 [MIM:607208]

AD

WD23

16p13.11 del

1.166

16p13.11 microdeletion syndrome. [PMID:24105370]

Yes

HTZ c.2350_2351dupTG (p.W784fs) pathogenic variant in NF1

Neurofibromatosis-Noonan syndrome [MIM:601321]

AD

WD14

16p13.11 del, inherited

0.770

16p13.11 microdeletion syndrome. [PMID:24105370]

Yes

HMZ c.872C>T (p.S291F) VUS in NDE1

Lissencephaly type 4 [MIM:614019]

AR

WD15

16p13.11 gain

1.314

16p13.11 microduplication [PMID:21150890]

Yes

HMZ c.1156C>T (p.R386W) pathogenic variant in FDXR

Auditory neuropathy and optic atrophy [MIM:617717]

AR

WD15

16p13.11 gain

1.314

16p13.11 microduplication [PMID:21150890]

Yes

HTZ c.8045delT (p.L2682fs) pathogenic variant in KMT2A

Wiedemann-Steiner syndrome [MIM:605130]

AD

WD30

16p13.11 gain, inherited

1.165

16p13.11 microduplication [PMID:21150890]

Yes

HTZ c.1215delA (p.P405fs) pathogenic variant and c.1051A>C (p.T351P) VUS in ROBO3

Familial horizontal gaze palsy with progressive scoliosis [MIM:607313]

AR

WD21

16p13.11 gain, inherited

1.166

16p13.11 microduplication [PMID:21150890]

No

HTZ c.356T>C (p.L119P) pathogenic variant in KRT13, dn

White sponge nevus 2 [MIM:615785]

AD

WD12

16p12.2 del

0.387

16p12.2 microdeletion (EEF2K) [PMID:27848943]

Yes

HTZ c.6619_6621delGAG (p.E2207del) pathogenic variant in SPTAN1, dn

Epileptic encephalopathy, early infantile, 5 [MIM:613477]

AD

WD35

16p11.2 loss, inherited

0.377

16p11.2 deletion syndrome, 220kb [MIM:613444]

Yes

HTZ c.3280delG (p.E1094fs) in KAT6B, dn

Ohdo syndrome, SBBYS variant [MIM:603736]

AD

WD33

16p11.2 gain

0.521

16p11.2 duplication syndrome [MIM:614671]

Yes

HTZ c.1618dupC (p.Q540fs) pathogenic variant in TCF20, dn

Autism, intellectual disability, and postnatal overgrowth [PMID:27436265]

AD

WD10*

16p11.2 del, inherited

0.526

16p11.2 deletion syndrome, 593Kb [MIM:611913]

Yes

HTZ c.3505C>T (p.R1169*) likely pathogenic variant in KAT6A; inherited from similarly affected father

Mental retardation, autosomal dominant 32 [MIM:616268]

AD

WD11

16p11.2 del

0.526

16p11.2 deletion syndrome, 593Kb [MIM: 611913]

No

HTZ c.649dup (p.R217fs) pathogenic variant in PRRT2

Familial paroxysmal kinesigenic dyskinesia [MIM:602066]

AD

WD16

17p12 del, dn

1.448

HNPP [MIM:162500]

Yes

HTZ c.1264C>T (p.R422*) pathogenic variant in DEPDC5, dn

Epilepsy, familial focal, with variable foci [MIM:604364]

AD

WD24

17p12 del

1.294

HNPP [MIM:162500]

Yes

HTZ c.607G>A (p.G203R) likely pathogenic variant in GNAO1, dn

Epileptic encephalopathy, early infantile, 17 [MIM:615473]

AD

WD17*

17q11.2 gain

1.072

17q11.2 microduplication syndrome [MIM:613675]

No

HTZ c.1286G>A (p.W429*) pathogenic variant in SOX11

Mental retardation, autosomal dominant 27 [MIM:615866]

AD

WD25

17q12 del

1.776

Renal cysts and diabetes syndrome [MIM:137920]

No

Compound HTZ c.2099C>T (p.P700L) and c.2734C>T (p.R912W) VUS in KIF1C

Spastic ataxia 2, autosomal recessive [MIM:611302]

AR

WD28

17q12 gain, inherited

1.348

17q12 duplication [PMID:22241097]

Yes

HTZ c.1592G>T (p.W531L) likely pathogenic variant in BRAF, dn

Cardiofaciocutaneous syndrome 1 [MIM:115150]

AD

WD26

20p12.2p11.23 gain, inherited

7.614

Large gain in 20p

Yes

HTZ c.310C>G (p.R104G) VUS in MKL2, dn

Autism [PMID:22495311,23,375,656]

AD

WD18

22q11.21 gain, dn

2.568

22q11.2 microduplication syndrome [MIM:608363]

Yes

HMZ c.664delC (p.L222fs) pathogenic variant in AP4B1

Autosomal recessive spastic paraplegia 47 [MIM:614066]

AR

WD27

22q11.21q11.23 del

1.833

22q11.2 distal deletion [MIM:611867]

Yes

HTZ c.1574C>T (p.P525L) pathogenic variant in FUS

Amyotrophic lateral sclerosis 6, with or without frontotemporal dementia [MIM:608030]

AD

WD34

22q13.33 loss, dn

0.012

22q13.3 deletion syndrome [MIM:606232]

No

HTZ c.1474_1485del (p.Y492_F495del) likely pathogenic variant in FOXP1, dn

Mental retardation with language impairment and autistic features [MIM:613670]

AD

WD19*

Xp22.31 del

1.413

X-linked ichthyosis in male [MIM:308100]

Yes

HMZ c.1376_1377del (p.C459*) pathogenic variant in KIAA2022, dn

Mental retardation, X-linked 98 [MIM:300912]

X-linked

WD31

Xp21.1 HMZ del

0.001

Becker muscular dystrophy [MIM:300376]

Yes

HTZ c.709G>A (p.E237K) pathogenic variant in KIF5C, dn

Complex cortical dysplasia with other brain malformations 2 [MIM:615282]

AD

WC17

Xq28 del

0.228

Mental retardation, X-linked, FRAXE type [MIM:309548]

No

HTZ c.3136-2A>G pathogenic variant in ARID1B

Coffin-Siris syndrome 1 [MIM:135900]

AD

WD29

47,XXY

Entire chrX

47,XXY

Yes

HTZ c.1726C>T (p.R576W) pathogenic variant (dn) and c.1108-5G>A VUS in ATAD3A

Harel-Yoon syndrome [MIM:617183]

AR, AD

WD32

47,XYY

Entire chrY

47,XYY

Yes

HTZ c.1478dupT (p.S494fs) pathogenic variant in DYRK1A, dn

Mental retardation, autosomal dominant 7 [MIM:614104]

AD

  1. HNPP neuropathy, recurrent, with pressure palsies, AD autosomal dominant, AR autosomal recessive, VUS variant of unknown significance, dn de novo, del deletion, HTZ heterozygous, HMZ homozygous or hemizygous
  2. *Reported previously [35]
  3. **WD8 also had UPD15
  4. #WC2 and WC3 are siblings