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Fetal anomalies v1.69 NODAL Zornitza Stark Publications for gene: NODAL were set to 9354794; 19064609
Fetal anomalies v1.68 NODAL Zornitza Stark Classified gene: NODAL as Amber List (moderate evidence)
Fetal anomalies v1.68 NODAL Zornitza Stark Gene: nodal has been classified as Amber List (Moderate Evidence).
Fetal anomalies v1.67 NODAL Zornitza Stark edited their review of gene: NODAL: Added comment: NODAL is a good biological candidate for heterotaxy disorders, and this is supported by animal models. The gene is depleted for LoF variants in gnomad.

The missense variants reported in PMIDs 9354794 and 19064609 are present at a high population frequency in gnomad, including some in homozygous case: their association with disease is DISPUTED.

A total of at least 7 families reported with severe CHD and high impact variants (stop gain, frameshift and canonical splice site). However, almost invariably these were inherited from unaffected or questionably affected parents (e.g. self reports of heart murmur in childhood), raising questions about whether these variants contribute to disease under a monogenic or polygenic model and/or about penetrance.

Discussed at GenCC on 13/9/2022 and agreed on MODERATE assessment.; Changed rating: AMBER; Changed publications: 9354794, 19064609, 29368431, 19933292, 11311163, 30293987
Fetal anomalies v0.4204 NODAL Zornitza Stark Marked gene: NODAL as ready
Fetal anomalies v0.4204 NODAL Zornitza Stark Gene: nodal has been classified as Red List (Low Evidence).
Fetal anomalies v0.4204 NODAL Zornitza Stark Phenotypes for gene: NODAL were changed from HETEROTAXY SYNDROME to Heterotaxy, visceral, 5 (MIM#270100)
Fetal anomalies v0.4203 NODAL Zornitza Stark Publications for gene: NODAL were set to
Fetal anomalies v0.4202 NODAL Zornitza Stark Mode of inheritance for gene: NODAL was changed from MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Fetal anomalies v0.4167 NODAL Chirag Patel Classified gene: NODAL as Red List (low evidence)
Fetal anomalies v0.4167 NODAL Chirag Patel Gene: nodal has been classified as Red List (Low Evidence).
Fetal anomalies v0.2422 TTC25 Zornitza Stark changed review comment from: 2 families reported with PCD. Mouse model showed immotile nodal cilia.
Gene ncodes a component of the outer dynein arm required to develop the main mechanical force to generate ciliary beats. (Gene is non coding in gnomad v2 and coding in v3); to: 2 families reported with PCD. Some individuals had situs inversus. Mouse model showed immotile nodal cilia.
Gene ncodes a component of the outer dynein arm required to develop the main mechanical force to generate ciliary beats. (Gene is non coding in gnomad v2 and coding in v3)
Fetal anomalies v0.0 NODAL Zornitza Stark gene: NODAL was added
gene: NODAL was added to Fetal anomalies. Sources: Expert Review Green,Genomics England PanelApp
Mode of inheritance for gene: NODAL was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Phenotypes for gene: NODAL were set to HETEROTAXY SYNDROME