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Fetal anomalies v2.13 CNOT1 chirag patel changed review comment from: Total of 7 unrelated individuals now reported with holoprosencephaly (6/7), pancreatic agenesis (4/7), and diabetes (5/7 - neonatal 4, adolescence 1). They all have the same rare heterozygous missense variant in CNOT1 (c.1603C>T, p.Arg535Cys). The variant was confirmed to be de novo in 5/7 families, as segregation could not be completed in 2 families.

PMID 31006513: Knock‑in mouse model carrying CNOT1 p.Arg535Cys recapitulates holoprosencephaly, pancreatic agenesis and diabetes phenotypes, showing increased SHH expression, but rescue experiment not performed.; to: Total of 7 unrelated individuals now reported with holoprosencephaly (6/7), pancreatic agenesis (4/7), and diabetes (5/7 - neonatal 4, adolescence 1). They all have the same rare heterozygous missense variant in CNOT1 (c.1603C>T, p.Arg535Cys). The variant was confirmed to be de novo in 5/7 families, as segregation could not be completed in 2 families.

PMID 31006513: Knock‑in mouse model carrying CNOT1 p.Arg535Cys recapitulates holoprosencephaly, pancreatic agenesis and diabetes phenotypes, showing increased SHH expression, but rescue experiment not performed.

Any other variants need to be treated with extreme caution.
Fetal anomalies v2.13 CNOT1 chirag patel Classified gene: CNOT1 as Green List (high evidence)
Fetal anomalies v2.13 CNOT1 chirag patel Gene: cnot1 has been classified as Green List (High Evidence).
Fetal anomalies v2.13 CNOT1 chirag patel Classified gene: CNOT1 as Green List (high evidence)
Fetal anomalies v2.13 CNOT1 chirag patel Gene: cnot1 has been classified as Green List (High Evidence).
Fetal anomalies v2.10 CNOT1 chirag patel Phenotypes for gene: CNOT1 were changed from Holoprosencephaly 12, with or without pancreatic agenesis, 618500; Vissers-Bodmer syndrome, MIM#619033 to Holoprosencephaly 12 with or without pancreatic agenesis MONDO:0032787; Vissers-Bodmer syndrome, MIM#619033
Fetal anomalies v2.9 CNOT1 chirag patel Publications for gene: CNOT1 were set to 31006510; 21679367; 31006513; 32553196
Fetal anomalies v2.8 chirag patel Added reviews for gene CNOT1 from panel Holoprosencephaly and septo-optic dysplasia
Fetal anomalies v2.0 CNOT1 Gene migrated from ENSG00000125107 to ENSG00000125107 (gene set migration)
Fetal anomalies v1.235 CNOT1 Zornitza Stark Classified gene: CNOT1 as Amber List (moderate evidence)
Fetal anomalies v1.235 CNOT1 Zornitza Stark Gene: cnot1 has been classified as Amber List (Moderate Evidence).
Fetal anomalies v1.234 CNOT1 Zornitza Stark edited their review of gene: CNOT1: Added comment: LIMITED by ClinGen for holoprosencephaly 12 with or without pancreatic agenesis, MONDO:0032787

ClinGen curation: CNOT1 was originally reported in cases of holoprosencephaly and/or pancreatic agenesis/insufficiency in 2019 (PMID: 31006513, 31006510). One of the papers included 3 individuals with heterozygous p.Arg535Cys (PMID: 31006513), confirmed to be de novo in 2 individuals. One of these individuals was not scored due to a lack of documentation of holoprosencephaly. The other paper included 2 individuals with de novo p.Arg535Cys, both of whom with holoprosencephaly. A knock-in mouse model of this variant showed neurological and pancreatic abnormalities at E14.5, and this evidence was used to augment the genetic evidence. A mouse brain expression study (PMID: 31006510) was scored as functional evidence. In total, there is Limited evidence to support the gene-disease relationship between CNOT1 and holoprosencephaly with or without pancreatic agenesis. Of note, this gene has also been implicated in Vissers-Bodmer syndrome, which is characterized by global developmental delay and behavioral abnormalities apparent from infancy. As the condition is clinically distinct from holoprosencephaly and/or pancreatic agenesis/insufficiency, lacks specific structural brain anomalies, and likely has different molecular mechanisms, this will be/have been assessed separately.; Changed rating: AMBER; Changed phenotypes: Holoprosencephaly 12 with or without pancreatic agenesis MONDO:0032787
Fetal anomalies v0.525 CNOT1 Zornitza Stark Marked gene: CNOT1 as ready
Fetal anomalies v0.525 CNOT1 Zornitza Stark Gene: cnot1 has been classified as Green List (High Evidence).
Fetal anomalies v0.525 CNOT1 Zornitza Stark Phenotypes for gene: CNOT1 were changed from Holoprosencephaly 12, with or without pancreatic agenesis, 618500 to Holoprosencephaly 12, with or without pancreatic agenesis, 618500; Vissers-Bodmer syndrome, MIM#619033
Fetal anomalies v0.524 CNOT1 Zornitza Stark Publications for gene: CNOT1 were set to 31006513; 31006510
Fetal anomalies v0.523 CNOT1 Zornitza Stark Mode of inheritance for gene: CNOT1 was changed from MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Fetal anomalies v0.0 CNOT1 Zornitza Stark gene: CNOT1 was added
gene: CNOT1 was added to Fetal anomalies. Sources: Expert Review Green,Genomics England PanelApp
Mode of inheritance for gene: CNOT1 was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications for gene: CNOT1 were set to 31006513; 31006510
Phenotypes for gene: CNOT1 were set to Holoprosencephaly 12, with or without pancreatic agenesis, 618500
Mode of pathogenicity for gene: CNOT1 was set to Other - please provide details in the comments