Illness"Actionable genes 3.2" [ACMG inheritance]
Summary
The American College of Genetics and Genomics (ACMG) recommends that findings in 81 medically actionable genes be reported to tested individuals since medical care decisions can be made based upon these findings. These genes may be related to inherited forms of cancer and heart conditions. After learning about medically actionable findings, you can speak to a genetic expert to determine how they may impact you and your family’s health. Findings in these genes are related to health conditions with known medical recommendations for healthcare providers to act upon with their patients. Medically actionable findings are validated by using a test method validated for clinical purposes in a laboratory that is certified to perform this test.
Genet Med. 2023 Aug;25(8):100866. doi: 10.1016/j.gim.2023.100866.
- (Extended panel: incl. additional genes)
- EDTA-anticoagulated blood (3-5 ml)
NGS + {Sanger[
Gene panel
Selected genes
Name | Exon Length (bp) | OMIM-G | Referenz-Seq. | Heredity |
---|---|---|---|---|
ACTA2 | 1134 | NM_001613.4 | AD | |
ACTC1 | 1134 | NM_005159.5 | AD | |
ACVRL1 | 1512 | NM_000020.3 | AD | |
APC | 8532 | NM_000038.6 | AD | |
APOB | 13692 | NM_000384.3 | AD, AR | |
ATP7B | 4398 | NM_000053.4 | AR | |
BAG3 | 1728 | NM_004281.4 | AD | |
BMPR1A | 1599 | NM_004329.3 | AD | |
BRCA1 | 5592 | NM_007294.4 | AD | |
BRCA2 | 10257 | NM_000059.4 | AD, AR | |
BTD | 1572 | NM_001370658.1 | AR | |
CACNA1S | 5622 | NM_000069.3 | AD | |
CALM1 | 450 | NM_006888.6 | AD | |
CALM2 | 450 | NM_001743.6 | AD | |
CALM3 | 450 | NM_005184.4 | AD | |
CASQ2 | 1200 | NM_001232.4 | AR | |
COL3A1 | 4401 | NM_000090.4 | AD | |
DES | 1413 | NM_001927.4 | AD | |
DSC2 | 2706 | NM_024422.6 | AD | |
DSG2 | 3357 | NM_001943.5 | AD | |
DSP | 8616 | NM_004415.4 | AD | |
ENG | 1878 | NM_000118.3 | AD | |
FBN1 | 8616 | NM_000138.5 | AD | |
FLNC | 8178 | NM_001458.5 | AD | |
GAA | 2859 | NM_000152.5 | AR | |
GLA | 1290 | NM_000169.3 | XL | |
HFE | 1047 | NM_000410.4 | AR | |
HNF1A | 1896 | NM_000545.8 | AD | |
KCNH2 | 3480 | NM_000238.4 | AD | |
KCNQ1 | 2031 | NM_000218.3 | AD | |
LDLR | 2583 | NM_000527.5 | co-dominant | |
LMNA | 1995 | NM_170707.4 | AD | |
MAX | 483 | NM_002382.5 | AD | |
MEN1 | 1833 | NM_130799.2 | AD | |
MLH1 | 2271 | NM_000249.4 | AD | |
MSH2 | 2805 | NM_000251.3 | AD | |
MSH6 | 4083 | NM_000179.3 | AD | |
MUTYH | 1650 | NM_001128425.2 | AR | |
MYBPC3 | 3825 | NM_000256.3 | AD | |
MYH11 | 5919 | NM_002474.3 | AD, AR | |
MYH7 | 5808 | NM_000257.4 | AD | |
MYL2 | 501 | NM_000432.4 | AD | |
MYL3 | 588 | NM_000258.3 | AD | |
NF2 | 1788 | NM_000268.4 | AD | |
OTC | 1065 | NM_000531.6 | XLR | |
PALB2 | 3561 | NM_024675.4 | AD | |
PCSK9 | 2079 | NM_174936.4 | AD | |
PKP2 | 2646 | NM_004572.4 | AD | |
PMS2 | 2589 | NM_000535.7 | AD | |
PRKAG2 | 1710 | NM_016203.4 | AD | |
PTEN | 1212 | NM_000314.8 | AD | |
RB1 | 2787 | NM_000321.3 | AD | |
RBM20 | 3684 | NM_001134363.3 | AD | |
RET | 3345 | NM_020975.6 | AD, AR | |
RPE65 | 1602 | NM_000329.3 | AR | |
RYR1 | 15117 | NM_000540.3 | AD, AR | |
RYR2 | 14904 | NM_001035.3 | AD | |
SCN5A | 6051 | NM_198056.3 | AD | |
SDHAF2 | 501 | NM_017841.4 | AD | |
SDHB | 843 | NM_003000.3 | AD, AR | |
SDHC | 510 | NM_003001.5 | AD | |
SDHD | 480 | NM_003002.4 | AD, AR | |
SMAD3 | 1278 | NM_005902.4 | AD | |
SMAD4 | 1659 | NM_005359.6 | AD | |
STK11 | 1302 | NM_000455.5 | AD | |
TGFBR1 | 1512 | NM_004612.4 | AD | |
TGFBR2 | 1704 | NM_003242.6 | AD | |
TMEM127 | 717 | NM_017849.4 | AD | |
TMEM43 | 1203 | NM_024334.3 | AD | |
TNNC1 | 486 | NM_003280.3 | AD | |
TNNI3 | 633 | NM_000363.5 | AD | |
TNNT2 | 867 | NM_001001430.3 | AD | |
TP53 | 1182 | NM_000546.6 | AD | |
TPM1 | 855 | NM_001018005.2 | AD | |
TRDN | 2190 | NM_006073.4 | AR | |
TSC1 | 3495 | NM_000368.5 | AD | |
TSC2 | 5424 | NM_000548.5 | AD | |
TTN | 100272 | NM_001267550.2 | AD, AR | |
TTR | 444 | NM_000371.4 | AD | |
VHL | 642 | NM_000551.4 | AD, AR | |
WT1 | 1569 | NM_024426.6 | AD |
Informations about the disease
According to the recommendations of the American College of Genetics and Genomics (ACMG), molecular genetic findings in 81 medically relevant genes should be reported to the individuals tested, as medical care decisions can be made based on these findings. This panel allows to identify genetic variants causing serious disorders like e.g. heart diseases and cancer. These disorders could potentially be prevented or treated. After learning about medically actionable findings, those seeking counseling can discuss how these findings may affect their health and that of their family. These genetic findings are related to conditions for which there are medical recommendations for the individual patient.
Reference: https://www.ncbi.nlm.nih.gov/clinvar/docs/acmg/
- ACMG 73; ACMG 78; ACMG 81
- Actionable gene alterations
- Actionable genes 3.1
- Actionable mutations
- Allelic: Myopathy, myofibrillar, 1 (DES)
- Allelic: Scapuloperoneal syndrome, neurogenic, Kaeser type (DES)
- Adenomas, multiple colorectal (MUTYH)
- Adenomatous polyposis coli; Gardner syndrome ()APC)
- Amyloidosis, hereditary, transthyretin-related (TTR)
- Aortic aneurysm, familial thoracic 4 (MYH11)
- Aortic aneurysm, familial thoracic 6 (ACTA2)
- Arrhythmogenic right ventricular dysplasia 10; Cardiomyopathy, dilated, 1BB (DSG2)
- Arrhythmogenic right ventricular dysplasia 11 (DSC2)
- Arrhythmogenic right ventricular dysplasia 2; Ventr. tachycardia, catecholaminergic polym., 1 (RYR2)
- Arrhythmogenic right ventricular dysplasia 5; Emery-Dreifuss muscular dystrophy 7 (TMEM43)
- Arrhythmogenic right ventricular dysplasia 8 (DSP)
- Arrhythmogenic right ventricular dysplasia 9 (PKP2)
- Biotinidase deficiency (BTD)
- Bone marrow failure syndrome 5; Li-Fraumeni syndrome (TP53)
- Breast cancer, susceptibility to; Pancreatic cancer, susceptibility to, 3 (PALB2)
- Breast-ovarian cancer, familial, 1 (BRCA1)
- Breast-ovarian cancer, familial, 2 (BRCA2)
- Brugada s. 1; Cardiomyopathy, dilated, 1E; Long QT syndrome 3; Ventricular fibrillation, familial, 1
- Carcinoid tumor of lung; Multiple endocrine neoplasia 1 (MEN1)
- Cardiomyopathy, dil., 1G; Cardiomyop., fam. hypertr., 9; Muscular dystr., limb-girdle, AR 10 (TTN)
- Cardiomyopathy, dilated, 1A; Malouf syndrome (LMNA)
- Cardiomyopathy, dilated, 1D; Cardiomyop., familial restr., 3; Cardiomyop., hypertrophic, 2 (TNNT2)
- Cardiomyopathy, dilated, 1DD (RBM20)
- Cardiomyopathy, dilated, 1HH (BAG3)
- Cardiomyopathy, dilated, 1I (DES)
- Cardiomyopathy, dilated, 1MM; Cardiomyopathy, hypertrophic, 4 (MYBPC3)
- Cardiomyopathy, dilated, 1R; Cardiomyopathy, hypertrophic, 11 (ACTC1)
- Cardiomyopathy, dilated, 1S; Cardiomyopathy, hypertrophic, 1 (MYH7)
- Cardiomyopathy, dilated, 1Y; Cardiomyopathy, hypertrophic, 3 (TPM1)
- Cardiomyopathy, dilated, 1Z (TNNC1)
- Cardiomyopathy, dilated, 2A, 1FF; Cardiomyop., familial restr., 1; Cardiomyop., hypertr., 7 (TNNi3)
- Cardiomyopathy, familial hypertrophic, 26; Cardiomyopathy, familial restrictive 5 (FLNC)
- Cardiomyopathy, hypertrophic 6 (PRKAG2)
- Cardiomyopathy, hypertrophic, 10 (MYL2)
- Cardiomyopathy, hypertrophic, 13 (TNNC1)
- Cardiomyopathy, hypertrophic, 8 (MYL3)
- Carpal tunnel syndrome, familial (TTR)
- Clinically actionable variants
- Cowden syndrome 1; Lhermitte-Duclos syndrome (PTEN)
- Denys-Drash syndrome; Frasier syndrome; Meacham syndrome; Nephrotic syndrome, type 4 (WT1)
- Diabetes mellitus, insulin-dependent, 20; MODY, type III; renal cell carcinoma (HNF1A)
- Dystransthyretinemic hyperthyroxinemia (TTR)
- Ehlers-Danlos syndrome, vascular type (COL3A1)
- Erythrocytosis, familial, 2; Pheochromocytoma; von Hippel-Lindau syndrome (VHL)
- Fabry disease, incl. cardiac variant (GLA)
- Glycogen storage disease II (GAA)
- Hemochromatosis (HFE)
- Hypercholesterolemia, familial, 1 (LDLR)
- Hypercholesterolemia, familial, 2 (APOB)
- Hypercholesterolemia, familial, 3 (PCSK9)
- Hypokalemic periodic paralysis, type 1; Malignant hyperthermia susceptibility 5 (CACNA1S)
- Juvenile polyposis/hereditary hemorrhagic telangiectasia syndrome (SMAD4)
- Loeys-Dietz syndrome 1 (TGFBR1)
- Loeys-Dietz syndrome 2; Colorectal cancer, hereditary nonpolyposis, type 6 (TGFBR2)
- Loeys-Dietz syndrome 3 (SMAD3)
- Long QT syndrome 14 (CALM1)
- Long QT syndrome 15 (CALM2)
- Long QT syndrome 16 (CALM3)
- Long QT syndrome 1; Short QT syndrome 2 (KCNQ1)
- Long QT syndrome 2; Short QT syndrome 1 (KCNH2)
- Malignant hyperthermia susceptibility 1; King-Denborough syndrome (RYR1)
- Marfan syndrome (FBN1)
- Medically actionable findings
- Medically actionable secondary findings
- Medullary thyroid carcinoma; Multiple endocrine neoplasia IIA + IIB; Pheochromocytoma (RET)
- Mismatch repair cancer syndrome 1 (MLH1)
- Mismatch repair cancer syndrome 2 (MSH2)
- Mismatch repair cancer syndrome 3 (MSH6)
- Mismatch repair cancer syndrome 4 (PMS2)
- Myopathy, myofibr., 9, early respiratory failure; Salih myopathy; Tibial musc. dystr., tard. (TTN)
- Myopathy, myofibrillar, 6 (BAG3)
- Neurofibromatosis, type 2 (NF2)
- Ornithine transcarbamylase deficiency (OTC)
- Paragangliomas 1 [+/-deafness]; Paraganglioma + gastric stromal sarcoma; Pheochromocytoma (SDHD)
- Paragangliomas 2 (SDHAF2)
- Paragangliomas 3; Paraganglioma + gastric stromal sarcoma (SDHC)
- Paragangliomas 4; Paraganglioma + gastric stromal sarcoma; Pheochromocytoma (SDHB)
- Peutz-Jeghers syndrome (STK11)
- Pheochromocytoma, susceptibility to (MAX)
- Pheochromocytoma, susceptibility to (TMEM127)
- Polyposis syndrome, hereditary mixed, 2; Polyposis, juvenile intestinal (MAPR1A)
- Retinitis pigmentosa 20 (RPE65)
- Retinoblastoma (RB1)
- Telangiectasia, hereditary hemorrhagic, type 1 (ENG)
- Telangiectasia, hereditary hemorrhagic, type 2 (ACVRL1)
- Tuberous sclerosis-1 (TSC1)
- Tuberous sclerosis-2 (TSC2)
- Ventricular tachycardia, catecholaminergic polymorphic 6 (CALM3)
- Ventricular tachycardia, catecholaminergic polymorphic, 2 (CASQ2)
- Ventricular tachycardia, catecholaminergic polymorphic, 4 (CALM1)
- Ventricular tachycardia, catecholaminergic polymorphic, 5, with/-out muscle weakness (TRDN)
- Wilson disease (ATP7B)
- AD
- AR
- XL
- XLR
- co-dominant
- Multiple OMIM-Ps
Bioinformatics and clinical interpretation
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