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Table 5 Fourteen novel putative pathogenic variants associated with familial hypercholesterolemia in the Qatar Genome Program study

From: Assessing the genetic burden of familial hypercholesterolemia in a large middle eastern biobank

Gene

HGV_DNA

HGV_P

QGP AC

QGP subclusters

DLCN criteria

Estimated clinical Penetrance

LDL-C (mmol/L)

Self-reported HC

ACMG classification

ABCG8

c.391 C>T

p.Gln131*

2

QGP_WEP

.

.

.

.

LP (PVS1, PM2, PP3)

APOB

c.8936G>A

p. Gly2979Asp

1

QGP_ADM

1 Probable

100% (1/1)

8.7

Yes

VUS (PM2, BP4)

APOB

c.7106 A>G

p. Lys2369Arg

2

QGP_WEP

1 Probable

50% (1/2)

7.7

Yes

VUS (PM2, BP4)

APOB

c.4412T>G

p. Leu1471Trp

5

QGP_ADM (1), QGP_WEP (4)

1 Possible

20% (1/5)

6

Yes

VUS (PM2, BP4)

APOB

c.9336G>T

p. Glu3112Asp

3

QGP_WEP

1 Probable

33% (1/3)

9.2

Yes

VUS (PM2)

APOB

c.9547 A>G

p. Arg3183Gly

6

QGP_GAR

1 Possible

16% (1/6)

6.1

Yes

VUS (PM2, BP4)

APOB

c.1697T>C

p. Met566Thr

11

QGP_GAR (4), QGP_PAR (7)

2 Possible

18% (2/11)

5.6, 6.6

Yes, yes

VUS (PM2)

APOB

c.4780 C>A

p. Gln1594Lys

10

QGP_WEP

1 Probable, 1 Possible

20% (2/10)

6.6, 6

Yes, yes

VUS (PM2)

LDLR

c.1414G>A

p. Asp472Asn

8

QGP_ADM (1), QGP_GAR (7)

1 Possible

14% (1/8)

5.1

Yes

LP (PM1, PM2, PP2, PP3, BP1)

LDLRAP1

C.200 C>T

p. Ser67Leu

39

QGP_WEP

.

0% (0/1) *

.

Yes

VUS (PM1, PM2, PP4)

LIPA

C.149 A>C

p.Glu50Ala

1

QGP_ADM

.

.

  

LP (PM1, PM2, PM5, PP3)

PCSK9

c.175G>C

#p. Gly59Arg

1

QGP_AFR

1 Possible

100% (1/1)

6

Yes

VUS (PM2, BP4)

PCSK9

c.203 C>A

#p. Ala68Asp

1

QGP_AFR

1 Possible

100% (1/1)

6

Yes

VUS (PM2)

PCSK9

c.908G>A

p. Arg303His

3

QGP_ADM (2), QGP_WEP (1)

1 Possible

33% (1/3)

6.5

Yes

VUS (PM1, PM2)

  1. Self-reported HC- Self-reported hypercholesterolemia. # Both these PCSK9 variants are present in the same individual. * Estimated clinical penetrance was reported for the homozygous individual carrying the LDLRAP1 variant. LDL-C levels and history of self-reported hypercholesterolemia were reported for individuals classified as ‘definite or probable or possible’ FH carrying the novel variants. InterVar (automated ACMG classifier) was used for novel variants classification based on ACMG/AMP 2015 guidelines. VUS - Variants of uncertain significance and LP - likely pathogenic