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Schwannoma v1.1 Zornitza Stark Panel types changed to Victorian Clinical Genetics Services; Genetic Health Queensland; Cancer Germline; Adult Genetics Unit, Royal Adelaide Hospital
Schwannoma v1.0 Zornitza Stark promoted panel to version 1.0
Schwannoma v0.14 Zornitza Stark Panel status changed from internal to public
Schwannoma v0.13 SMARCA4 Zornitza Stark Marked gene: SMARCA4 as ready
Schwannoma v0.13 SMARCA4 Zornitza Stark Gene: smarca4 has been classified as Red List (Low Evidence).
Schwannoma v0.13 DGCR8 Zornitza Stark Marked gene: DGCR8 as ready
Schwannoma v0.13 DGCR8 Zornitza Stark Gene: dgcr8 has been classified as Red List (Low Evidence).
Schwannoma v0.13 SMARCB1 Zornitza Stark Marked gene: SMARCB1 as ready
Schwannoma v0.13 SMARCB1 Zornitza Stark Gene: smarcb1 has been classified as Green List (High Evidence).
Schwannoma v0.13 PRKAR1A Zornitza Stark Marked gene: PRKAR1A as ready
Schwannoma v0.13 PRKAR1A Zornitza Stark Gene: prkar1a has been classified as Green List (High Evidence).
Schwannoma v0.13 NF2 Zornitza Stark Marked gene: NF2 as ready
Schwannoma v0.13 NF2 Zornitza Stark Gene: nf2 has been classified as Green List (High Evidence).
Schwannoma v0.13 NF1 Zornitza Stark Marked gene: NF1 as ready
Schwannoma v0.13 NF1 Zornitza Stark Gene: nf1 has been classified as Green List (High Evidence).
Schwannoma v0.13 LZTR1 Zornitza Stark Marked gene: LZTR1 as ready
Schwannoma v0.13 LZTR1 Zornitza Stark Gene: lztr1 has been classified as Green List (High Evidence).
Schwannoma v0.13 LZTR1 Zornitza Stark Publications for gene: LZTR1 were set to PMID: 24362817, 29517885
Schwannoma v0.12 SMARCB1 Chirag Patel changed review comment from: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review; to: ClinGen definitive. Schwannomas reported in condition.
Sources: Expert list, Expert Review
Schwannoma v0.12 PRKAR1A Chirag Patel changed review comment from: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review; to: ClinGen definitive. Schwannomas reported in condition.
Sources: Expert list, Expert Review
Schwannoma v0.12 NF2 Chirag Patel changed review comment from: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review; to: ClinGen definitive. Schwannomas reported in condition.
Sources: Expert list, Expert Review
Schwannoma v0.12 NF1 Chirag Patel changed review comment from: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review; to: ClinGen definitive. Schwannomas reported in condition.
Sources: Expert list, Expert Review
Schwannoma v0.12 SMARCA4 Chirag Patel gene: SMARCA4 was added
gene: SMARCA4 was added to Schwannoma. Sources: Expert Review,Literature
Mode of inheritance for gene: SMARCA4 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: SMARCA4 were set to PMID: 36786840
Phenotypes for gene: SMARCA4 were set to Schwannoma, MONDO:0002546; Rhabdoid tumor predisposition syndrome 2, MONDO:0013224; Rhabdoid tumor predisposition syndrome 2, MIM#613325
Review for gene: SMARCA4 was set to RED
Added comment: ClinGen definitive for RTPS2

1 family with 3 affected individuals with adult-onset schwannomas (2/3), glioblastoma (1/3), and malignant peripheral nerve sheath tumour (1/3). Whole-genome sequencing in proband identified a variant in SMARCA4 gene ([c.1752_1755del, p.(Lys585Argfs*27).

In the schwannomas, immunohistochemical (IHC) staining showed loss of BRG1 (SMARCA4) expression in 80–90% of cells and loss of INI1 (SMARCB1) in the complementary 10–20% of cells in all 5 schwannomas but complete retention of BRG1 and INI1 in the glioblastoma.

Whole exome sequencing (WES) of DNA from proband's blood, mother’s normal skin, all 5
schwannomas and the glioblastoma, confirmed the presence of the truncating SMARCA4 LPV in all samples. LOH was observed at the SMARCA4 locus, extending to 12–23 Mb of Chromosome 19p (Chr19p) in all schwannomas, but not in the glioblastoma. No LOH of Chr22q was detected in the schwannomas. The germline SMARCA4 variant was also detected in proband's maternal grandfather’s MPNST in a heterozygous state.
Sources: Expert Review, Literature
Schwannoma v0.11 DGCR8 Chirag Patel gene: DGCR8 was added
gene: DGCR8 was added to Schwannoma. Sources: Literature,Expert Review
Mode of inheritance for gene: DGCR8 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: DGCR8 were set to PMID: 31805011
Phenotypes for gene: DGCR8 were set to Schwannoma, MONDO:0002546; Early-onset multinodular goiter and schwannomatosis, no MIM#
Review for gene: DGCR8 was set to RED
Added comment: 1 family with 6 affected individuals with early-onset MNG (6/6) and adult-onset schwannomatosis (5/6). Whole-exome sequencing identified a variant in DGCR8 gene (c.1552G>A; p.E518K) which segregated with disease.

Copy number loss of chromosome 22q, leading to loss of heterozygosity at the DGCR8 locus, was found in all 13 tissue samples from familial and nonfamilial DGCR8-E518K-positive tumours. miRNA profiling of PTCs, MNG, schwannomas, and Wilms tumours revealed a common profile among E518K hemizygous tumours. In vitro cleavage demonstrated improper processing of pre-miRNA by DGCR8-E518K. MicroRNA and RNA profiling show that this variant disrupts precursor microRNA production, impacting populations of canonical microRNAs and mirtrons.
Sources: Literature, Expert Review
Schwannoma v0.10 LZTR1 Chirag Patel Classified gene: LZTR1 as Green List (high evidence)
Schwannoma v0.10 LZTR1 Chirag Patel Gene: lztr1 has been classified as Green List (High Evidence).
Schwannoma v0.9 LZTR1 Chirag Patel gene: LZTR1 was added
gene: LZTR1 was added to Schwannoma. Sources: Expert list,Expert Review
Mode of inheritance for gene: LZTR1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: LZTR1 were set to PMID: 24362817, 29517885
Phenotypes for gene: LZTR1 were set to Schwannoma, MONDO:0002546; Schwannomatosis 2, MONDO:0014299; Schwannomatosis, susceptibility to, 2, MIM#615670
Review for gene: LZTR1 was set to GREEN
gene: LZTR1 was marked as current diagnostic
Added comment: 15 different germline heterozygous mutations in the LZTR1 gene identified in 16/20 probands with schwannomatosis. There were 6 truncating mutations, 1 in-frame splice site mutation, 1 deletion affecting a splice site, and 7 missense mutations at highly conserved residues. Mutations segregated with disease in all available affected first-degree relatives, although four asymptomatic parents also carried an LZTR1 mutation.

All schwannomas studied also carried the heterozygous LZTR1 mutation, and all showed loss of heterozygosity (LOH) at chromosome 22q11, including the LZTR1, NF2, and SMARCB1 genes. In addition, all tumours carried a heterozygous somatic mutation in the NF2 gene. These findings were consistent with biallelic loss of function of both LZTR1 and NF2 in all tumours. Functional studies of the variants were not performed. Pathogenesis of tumour characterised as resulting from 3 mutational events: a germline LZTR1 mutation (E1), a deletion of 22q that includes the LZTR1 and NF2 genes (E2), and a somatic NF2 mutation (E3). Loss of LZTR1 function can predispose to the development of autosomal dominant multiple schwannomas, thus implicating LZTR1 as a tumor suppressor gene.
Sources: Expert list, Expert Review
Schwannoma v0.8 PRKAR1A Chirag Patel Classified gene: PRKAR1A as Green List (high evidence)
Schwannoma v0.8 PRKAR1A Chirag Patel Gene: prkar1a has been classified as Green List (High Evidence).
Schwannoma v0.7 NF1 Chirag Patel Classified gene: NF1 as Green List (high evidence)
Schwannoma v0.7 NF1 Chirag Patel Gene: nf1 has been classified as Green List (High Evidence).
Schwannoma v0.6 NF2 Chirag Patel Classified gene: NF2 as Green List (high evidence)
Schwannoma v0.6 NF2 Chirag Patel Gene: nf2 has been classified as Green List (High Evidence).
Schwannoma v0.5 PRKAR1A Chirag Patel gene: PRKAR1A was added
gene: PRKAR1A was added to Schwannoma. Sources: Expert list,Expert Review
Mode of inheritance for gene: PRKAR1A was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: PRKAR1A were set to Schwannoma, MONDO:0002546; Carney complex type 1, MONDO:0008057; Carney complex, type 1, MIM#160980
Review for gene: PRKAR1A was set to GREEN
gene: PRKAR1A was marked as current diagnostic
Added comment: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review
Schwannoma v0.4 SMARCB1 Chirag Patel Classified gene: SMARCB1 as Green List (high evidence)
Schwannoma v0.4 SMARCB1 Chirag Patel Gene: smarcb1 has been classified as Green List (High Evidence).
Schwannoma v0.3 SMARCB1 Chirag Patel gene: SMARCB1 was added
gene: SMARCB1 was added to Schwannoma. Sources: Expert list,Expert Review
Mode of inheritance for gene: SMARCB1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: SMARCB1 were set to Schwannoma, MONDO:0002546; Schwannomatosis 1, MONDO:0024517; Rhabdoid tumor predisposition syndrome 1, MONDO:0012252; Rhabdoid tumor predisposition syndrome 1, MIM#609322; Schwannomatosis, susceptibility to, 1, MIM#162091
Review for gene: SMARCB1 was set to GREEN
gene: SMARCB1 was marked as current diagnostic
Added comment: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review
Schwannoma v0.2 NF2 Chirag Patel gene: NF2 was added
gene: NF2 was added to Schwannoma. Sources: Expert list,Expert Review
Mode of inheritance for gene: NF2 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: NF2 were set to Schwannoma, MONDO:0002546; Neurofibromatosis type 2, MONDO:0007039; Neurofibromatosis, type 2, MIM#607174
Review for gene: NF2 was set to GREEN
gene: NF2 was marked as current diagnostic
Added comment: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review
Schwannoma v0.1 NF1 Chirag Patel gene: NF1 was added
gene: NF1 was added to Schwannoma. Sources: Expert list,Expert Review
Mode of inheritance for gene: NF1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: NF1 were set to Schwannoma, MONDO:0002546; Neurofibromatosis type 1, MONDO:0018975; Neurofibromatosis, type 1, MIM#162200
Review for gene: NF1 was set to GREEN
gene: NF1 was marked as current diagnostic
Added comment: ClinGen definitive
Schwannomas reported in condition
Sources: Expert list, Expert Review
Schwannoma v0.0 Chirag Patel Added Panel Schwannoma
Set panel types to: Cancer Germline