<ClinVarVariationRelease  ReleaseDate="2019-01-21">
<VariationArchive Accession="VCV000011542" DateCreated="2010-12-01" DateLastUpdated="2017-09-20" NumberOfSubmissions="1" NumberOfSubmitters="1" RecordType="interpreted" VariationID="11542" VariationName="NG_008872.1(OFD1):g.[16740_20819del;g.20987_21000del]" VariationType="Haplotype" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <InterpretedRecord>
    <Haplotype NumberOfCopies="1" VariationID="11542">
      <SimpleAllele AlleleID="76962" VariationID="375728">
        <GeneList>
          <Gene FullName="OFD1, centriole and centriolar satellite protein" GeneID="8481" HGNC_ID="HGNC:2567" RelationshipType="within single gene" Source="submitted" Symbol="OFD1">
            <Location>
              <CytogeneticLocation>Xp22.2</CytogeneticLocation>
              <SequenceLocation Accession="NC_000023.11" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="X" Strand="+" display_start="13734713" display_stop="13769361" start="13734713" stop="13769361"/>
              <SequenceLocation Accession="NC_000023.10" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="X" Strand="+" display_start="13752831" display_stop="13787479" start="13752831" stop="13787479"/>
            </Location>
            <OMIM>300170</OMIM>
            <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=OFD1" last_evaluated="2012-05-31">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
            <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=OFD1" last_evaluated="2012-05-31">No evidence available</Triplosensitivity>
          </Gene>
        </GeneList>
        <Name>NM_003611.2(OFD1):c.936-550_936-537delACACTTGGGCTCAA</Name>
        <VariantType>Deletion</VariantType>
        <Location>
          <CytogeneticLocation>Xp22.2</CytogeneticLocation>
          <SequenceLocation Accession="NC_000023.11" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="X" alternateAllele="-" alternateAlleleVCF="T" display_start="13750699" display_stop="13750712" forDisplay="true" positionVCF="13750693" referenceAllele="ACACTTGGGCTCAA" referenceAlleleVCF="TCTCAAACACTTGGG" start="13750699" stop="13750712" variantLength="14"/>
          <SequenceLocation Accession="NC_000023.10" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="X" alternateAllele="-" alternateAlleleVCF="T" display_start="13768818" display_stop="13768831" positionVCF="13768812" referenceAllele="ACACTTGGGCTCAA" referenceAlleleVCF="TCTCAAACACTTGGG" start="13768818" stop="13768831" variantLength="14"/>
        </Location>
        <HGVSlist>
          <HGVS Assembly="GRCh38" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh38" change="g.13750699_13750712delACACTTGGGCTCAA" sequenceAccession="NC_000023" sequenceAccessionVersion="NC_000023.11" sequenceVersion="11">
              <Expression>NC_000023.11:g.13750699_13750712delACACTTGGGCTCAA</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Assembly="GRCh37" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh37" change="g.13768818_13768831delACACTTGGGCTCAA" sequenceAccession="NC_000023" sequenceAccessionVersion="NC_000023.10" sequenceVersion="10">
              <Expression>NC_000023.10:g.13768818_13768831delACACTTGGGCTCAA</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Type="coding">
            <NucleotideExpression change="c.936-550_936-537delACACTTGGGCTCAA" sequenceAccession="NM_003611" sequenceAccessionVersion="NM_003611.2" sequenceVersion="2">
              <Expression>NM_003611.2:c.936-550_936-537delACACTTGGGCTCAA</Expression>
            </NucleotideExpression>
            <MolecularConsequence DB="SO" ID="SO:0001627" Type="intron variant"/>
          </HGVS>
          <HGVS Type="genomic">
            <NucleotideExpression change="g.20987_21000delACACTTGGGCTCAA" sequenceAccession="NG_008872" sequenceAccessionVersion="NG_008872.1" sequenceVersion="1">
              <Expression>NG_008872.1:g.20987_21000delACACTTGGGCTCAA</Expression>
            </NucleotideExpression>
          </HGVS>
        </HGVSlist>
        <XRefList>
          <XRef DB="OMIM" ID="300170.0006" Type="Allelic variant"/>
          <XRef DB="dbSNP" ID="397515380" Type="rs"/>
        </XRefList>
      </SimpleAllele>
      <SimpleAllele AlleleID="26581" VariationID="375730">
        <GeneList>
          <Gene FullName="OFD1, centriole and centriolar satellite protein" GeneID="8481" HGNC_ID="HGNC:2567" RelationshipType="within single gene" Source="submitted" Symbol="OFD1">
            <Location>
              <CytogeneticLocation>Xp22.2</CytogeneticLocation>
              <SequenceLocation Accession="NC_000023.11" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="X" Strand="+" display_start="13734713" display_stop="13769361" start="13734713" stop="13769361"/>
              <SequenceLocation Accession="NC_000023.10" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="X" Strand="+" display_start="13752831" display_stop="13787479" start="13752831" stop="13787479"/>
            </Location>
            <OMIM>300170</OMIM>
            <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=OFD1" last_evaluated="2012-05-31">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
            <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=OFD1" last_evaluated="2012-05-31">No evidence available</Triplosensitivity>
          </Gene>
        </GeneList>
        <Name>NG_008872.1:g.16740_20819del4080</Name>
        <VariantType>Deletion</VariantType>
        <Location>
          <CytogeneticLocation>Xp22.2</CytogeneticLocation>
          <SequenceLocation Accession="NC_000023.11" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="X" display_start="13746452" display_stop="13750531" forDisplay="true" start="13746452" stop="13750531" variantLength="4080"/>
          <SequenceLocation Accession="NC_000023.10" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="X" display_start="13764571" display_stop="13768650" start="13764571" stop="13768650" variantLength="4080"/>
        </Location>
        <HGVSlist>
          <HGVS Assembly="GRCh38" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh38" change="g.13746452_13750531del" sequenceAccession="NC_000023" sequenceAccessionVersion="NC_000023.11" sequenceVersion="11">
              <Expression>NC_000023.11:g.13746452_13750531del</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Assembly="GRCh37" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh37" change="g.13764571_13768650del" sequenceAccession="NC_000023" sequenceAccessionVersion="NC_000023.10" sequenceVersion="10">
              <Expression>NC_000023.10:g.13764571_13768650del</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Type="genomic">
            <NucleotideExpression change="g.16740_20819del" sequenceAccession="NG_008872" sequenceAccessionVersion="NG_008872.1" sequenceVersion="1">
              <Expression>NG_008872.1:g.16740_20819del</Expression>
            </NucleotideExpression>
          </HGVS>
        </HGVSlist>
        <XRefList>
          <XRef DB="dbVar" ID="nssv3761568"/>
          <XRef DB="dbVar" ID="nsv1067922"/>
          <XRef DB="OMIM" ID="300170.0006" Type="Allelic variant"/>
        </XRefList>
        <Comment DataSource="NCBI curation" Type="public">NCBI staff reviewed the sequence in the paper by Morisawa et al., PubMed 15221448 to represent the breakpoints. The right-most possible location in the region of ambiguity was selected.
</Comment>
      </SimpleAllele>
      <Name>NG_008872.1(OFD1):g.[16740_20819del;g.20987_21000del]</Name>
      <VariationType>Haplotype</VariationType>
      <HGVSlist>
        <HGVS Type="genomic">
          <NucleotideExpression>
            <Expression>NG_008872.1:g.[16740_20819del;g.20987_21000del]</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="OMIM" ID="300170.0006" Type="Allelic variant"/>
      </XRefList>
    </Haplotype>
    <ReviewStatus>no assertion criteria provided</ReviewStatus>
    <RCVList>
      <RCVAccession Accession="RCV000012298" DateLastEvaluated="2004-07-01" Interpretation="Pathogenic" ReviewStatus="no assertion criteria provided" SubmissionCount="1" Title="NG_008872.1(OFD1):g.[16740_20819del;g.20987_21000del] AND Oral-facial-digital syndrome" Version="11">
        <InterpretedConditionList>
          <InterpretedCondition DB="MedGen" ID="C1510460">Oral-facial-digital syndrome</InterpretedCondition>
        </InterpretedConditionList>
      </RCVAccession>
    </RCVList>
    <Interpretations>
      <Interpretation DateLastEvaluated="2004-07-01" NumberOfSubmissions="1" NumberOfSubmitters="1" Type="Clinical significance">
        <Description>Pathogenic</Description>
        <Citation Type="general">
          <ID Source="PubMed">15221448</ID>
        </Citation>
        <DescriptionHistory Dated="2013-09-05">
          <Description>Pathogenic/Likely pathogenic</Description>
        </DescriptionHistory>
        <DescriptionHistory>
          <Description>Pathogenic</Description>
        </DescriptionHistory>
        <ConditionList>
          <TraitSet ID="3148" Type="Disease">
            <Trait ID="3323" Type="Disease">
              <Name>
                <ElementValue Type="Alternate">OFDS I</ElementValue>
                <XRef DB="OMIM" ID="311200" Type="MIM"/>
              </Name>
              <Name>
                <ElementValue Type="Alternate">Papillon-Leage and Psaume Syndrome</ElementValue>
              </Name>
              <Name>
                <ElementValue Type="Preferred">Oral-facial-digital syndrome</ElementValue>
                <XRef DB="Genetic Alliance" ID="Orofaciodigital+syndromes/5428"/>
                <XRef DB="SNOMED CT" ID="52868006"/>
              </Name>
              <Name>
                <ElementValue Type="Alternate">Oral-Facial-Digital Syndrome Type I</ElementValue>
                <XRef DB="GeneReviews" ID="NBK1188"/>
              </Name>
              <Symbol>
                <ElementValue Type="Preferred">OFD1</ElementValue>
                <XRef DB="OMIM" ID="311200" Type="MIM"/>
                <XRef DB="Office of Rare Diseases" ID="4121"/>
              </Symbol>
              <Symbol>
                <ElementValue Type="Alternate">CXORF5</ElementValue>
              </Symbol>
              <AttributeSet>
                <Attribute Type="keyword">Hereditary cancer syndrome</Attribute>
              </AttributeSet>
              <AttributeSet>
                <Attribute Type="public definition">Oral-facial-digital syndrome type I (OFD1) is usually male lethal during gestation and predominantly affects females. OFD1 is characterized by the following features: Oral (lobulated tongue, tongue nodules, cleft of the hard or soft palate, accessory gingival frenulae, hypodontia, and other dental abnormalities). Facial (widely spaced eyes or telecanthus, hypoplasia of the alae nasi, median cleft or pseudocleft upper lip, micrognathia). Digital (brachydactyly, syndactyly, clinodactyly of the fifth finger; duplicated hallux [great toe]). Kidney (polycystic kidney disease). Brain (e.g., intracerebral cysts, agenesis of the corpus callosum, cerebellar agenesis with or without Dandy-Walker malformation). Intellectual disability (in ~50% of individuals).</Attribute>
                <XRef DB="GeneReviews" ID="NBK1188"/>
              </AttributeSet>
              <Citation Abbrev="GeneReviews" Type="review">
                <ID Source="PubMed">20301367</ID>
                <ID Source="BookShelf">NBK1188</ID>
              </Citation>
              <XRef DB="Orphanet" ID="2750"/>
              <XRef DB="MedGen" ID="C1510460"/>
              <XRef DB="OMIM" ID="311200" Type="MIM"/>
            </Trait>
          </TraitSet>
        </ConditionList>
      </Interpretation>
    </Interpretations>
    <ClinicalAssertionList>
      <ClinicalAssertion DateCreated="2011-01-25" DateLastUpdated="2017-04-07" ID="32532" SubmissionDate="2010-12-30">
        <ClinVarSubmissionID localKey="300170.0006_OROFACIODIGITAL SYNDROME I" title="OFD1, 4,094-BP DEL, 14-BP DEL_OROFACIODIGITAL SYNDROME I"/>
        <ClinVarAccession Accession="SCV000032532" OrgID="3" OrganizationCategory="resource" SubmitterName="OMIM" Type="SCV" Version="1"/>
        <RecordStatus>current</RecordStatus>
        <ReviewStatus>no assertion criteria provided</ReviewStatus>
        <Interpretation DateLastEvaluated="2004-07-01">
          <Description>Pathogenic</Description>
        </Interpretation>
        <Assertion>variation to disease</Assertion>
        <ObservedInList>
          <ObservedIn>
            <Sample>
              <Origin>germline</Origin>
              <Species>human</Species>
              <AffectedStatus>not provided</AffectedStatus>
            </Sample>
            <Method>
              <MethodType>literature only</MethodType>
            </Method>
            <ObservedData>
              <Attribute Type="Description">In a Japanese woman with sporadic OFD I (311200), Morisawa et al. (2004) identified a pair of deletions in the CXORF5 gene: a 4,094-bp deletion encompassing exon 7 to intron 9, and a 14-bp deletion in intron 9, both of which were present in her paternal X chromosome. The first deletion, the largest identified in the CXORF5 gene to that time, was revealed by identifying 4 novel transcripts that all lacked exons 7-9. The most likely cause of the double deletion was considered to be 2 unequal recombinations between homologous sequences. Identification of the 4,094-bp deletion was made possible only by analyzing CXORF5 mRNA, underscoring the utility of mRNA study in the mutation analysis of the CXORF5 gene.</Attribute>
              <Citation>
                <ID Source="PubMed">15221448</ID>
              </Citation>
              <XRef DB="OMIM" ID="311200" Type="MIM"/>
            </ObservedData>
          </ObservedIn>
        </ObservedInList>
        <SimpleAllele>
          <GeneList>
            <Gene Symbol="OFD1"/>
          </GeneList>
          <Name>OFD1, 4,094-BP DEL, 14-BP DEL</Name>
          <VariantType>Variation</VariantType>
          <OtherNameList>
            <Name Type="NonHGVS">4,094-BP DEL, 14-BP DEL</Name>
          </OtherNameList>
          <XRefList>
            <XRef DB="OMIM" ID="300170.0006" Type="Allelic variant"/>
          </XRefList>
        </SimpleAllele>
        <TraitSet Type="Disease">
          <Trait Type="Disease">
            <Name>
              <ElementValue Type="Preferred">OROFACIODIGITAL SYNDROME I</ElementValue>
            </Name>
          </Trait>
        </TraitSet>
      </ClinicalAssertion>
    </ClinicalAssertionList>
    <TraitMappingList>
      <TraitMapping ClinicalAssertionID="32532" MappingRef="Preferred" MappingType="Name" MappingValue="OROFACIODIGITAL SYNDROME I" TraitType="Disease">
        <MedGen CUI="C1510460" Name="Oral-facial-digital syndrome"/>
      </TraitMapping>
    </TraitMappingList>
  </InterpretedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242645" DateCreated="2016-07-05" DateLastUpdated="2017-09-20" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242645" VariationName="NM_000090.3(COL3A1):c.[=/3440_3466del27] (p.Pro1147_Gly1155del)" VariationType="Deletion" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="107155" VariationID="242645">
      <GeneList>
        <Gene FullName="collagen type III alpha 1 chain" GeneID="1281" HGNC_ID="HGNC:2201" RelationshipType="asserted, but not computed" Source="submitted" Symbol="COL3A1">
          <Location>
            <CytogeneticLocation>2q32.2</CytogeneticLocation>
            <SequenceLocation Accession="NC_000002.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="2" Strand="+" display_start="188974373" display_stop="189012746" start="188974373" stop="189012746"/>
            <SequenceLocation Accession="NC_000002.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="2" Strand="+" display_start="189839098" display_stop="189877471" start="189839098" stop="189877471"/>
          </Location>
          <OMIM>120180</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000090.3(COL3A1):c.[=/3440_3466del27] (p.Pro1147_Gly1155del)</Name>
      <VariantType>Deletion</VariantType>
      <HGVSlist>
        <HGVS Type="coding">
          <NucleotideExpression change="c.[=/3440_3466del27]" sequenceAccession="NM_000090" sequenceAccessionVersion="NM_000090.3" sequenceVersion="3">
            <Expression>NM_000090.3:c.[=/3440_3466del27]</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Pro1147_Gly1155del" sequenceAccession="NP_000081" sequenceAccessionVersion="NP_000081.1" sequenceVersion="1">
            <Expression>NP_000081.1:p.Pro1147_Gly1155del</Expression>
          </ProteinExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.[=/3440_3466del27]" sequenceAccession="LRG_3t1" sequenceAccessionVersion="LRG_3t1">
            <Expression>LRG_3t1:c.[=/3440_3466del27]</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Pro1147_Gly1155del" sequenceAccession="LRG_3p1" sequenceAccessionVersion="LRG_3p1">
            <Expression>LRG_3p1:p.Pro1147_Gly1155del</Expression>
          </ProteinExpression>
        </HGVS>
      </HGVSlist>
      <Comment DataSource="Collagen Diagnostic Laboratory" Type="public">Mosaic for two separate 27bp deletions in exon 48 in two cell strains of equal proportion</Comment>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000120538" Title="NM_000090.3:c.3426-3452del#NM_000090.3:c.3440-3466del AND Ehlers-Danlos syndrome, type 4" Version="1"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000101408" VariationID="101408"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242646" DateCreated="2016-07-05" DateLastUpdated="2017-09-20" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242646" VariationName="NM_000090.3(COL3A1):c.[=/3426_3452del27] (p.Gly1143_Asp1151del)" VariationType="Deletion" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="107154" VariationID="242646">
      <GeneList>
        <Gene FullName="collagen type III alpha 1 chain" GeneID="1281" HGNC_ID="HGNC:2201" RelationshipType="asserted, but not computed" Source="submitted" Symbol="COL3A1">
          <Location>
            <CytogeneticLocation>2q32.2</CytogeneticLocation>
            <SequenceLocation Accession="NC_000002.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="2" Strand="+" display_start="188974373" display_stop="189012746" start="188974373" stop="189012746"/>
            <SequenceLocation Accession="NC_000002.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="2" Strand="+" display_start="189839098" display_stop="189877471" start="189839098" stop="189877471"/>
          </Location>
          <OMIM>120180</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000090.3(COL3A1):c.[=/3426_3452del27] (p.Gly1143_Asp1151del)</Name>
      <VariantType>Deletion</VariantType>
      <HGVSlist>
        <HGVS Type="coding">
          <NucleotideExpression change="c.[=/3426_3452del27]" sequenceAccession="NM_000090" sequenceAccessionVersion="NM_000090.3" sequenceVersion="3">
            <Expression>NM_000090.3:c.[=/3426_3452del27]</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Gly1143_Asp1151del" sequenceAccession="NP_000081" sequenceAccessionVersion="NP_000081.1" sequenceVersion="1">
            <Expression>NP_000081.1:p.Gly1143_Asp1151del</Expression>
          </ProteinExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.[=/3426_3452del27]" sequenceAccession="LRG_3t1" sequenceAccessionVersion="LRG_3t1">
            <Expression>LRG_3t1:c.[=/3426_3452del27]</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Gly1143_Asp1151del" sequenceAccession="LRG_3p1" sequenceAccessionVersion="LRG_3p1">
            <Expression>LRG_3p1:p.Gly1143_Asp1151del</Expression>
          </ProteinExpression>
        </HGVS>
      </HGVSlist>
      <Comment DataSource="Collagen Diagnostic Laboratory" Type="public">Mosaic for two separate 27bp deletions in exon 48 in two cell strains of equal proportion</Comment>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000120538" Title="NM_000090.3:c.3426-3452del#NM_000090.3:c.3440-3466del AND Ehlers-Danlos syndrome, type 4" Version="1"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000101408" VariationID="101408"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242647" DateCreated="2016-07-05" DateLastUpdated="2017-10-21" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242647" VariationName="NM_000090.3(COL3A1):c.3851G&gt;A (p.Gly1284Glu)" VariationType="single nucleotide variant" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="106975" VariationID="242647">
      <GeneList>
        <Gene FullName="collagen type III alpha 1 chain" GeneID="1281" HGNC_ID="HGNC:2201" RelationshipType="within single gene" Source="submitted" Symbol="COL3A1">
          <Location>
            <CytogeneticLocation>2q32.2</CytogeneticLocation>
            <SequenceLocation Accession="NC_000002.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="2" Strand="+" display_start="188974373" display_stop="189012746" start="188974373" stop="189012746"/>
            <SequenceLocation Accession="NC_000002.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="2" Strand="+" display_start="189839098" display_stop="189877471" start="189839098" stop="189877471"/>
          </Location>
          <OMIM>120180</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=COL3A1" last_evaluated="2017-01-12">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000090.3(COL3A1):c.3851G&gt;A (p.Gly1284Glu)</Name>
      <VariantType>single nucleotide variant</VariantType>
      <Location>
        <CytogeneticLocation>2q32.2</CytogeneticLocation>
        <SequenceLocation Accession="NC_000002.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="2" alternateAllele="A" alternateAlleleVCF="A" display_start="189010205" display_stop="189010205" forDisplay="true" positionVCF="189010205" referenceAllele="G" referenceAlleleVCF="G" start="189010205" stop="189010205" variantLength="1"/>
        <SequenceLocation Accession="NC_000002.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="2" alternateAllele="A" alternateAlleleVCF="A" display_start="189874931" display_stop="189874931" positionVCF="189874931" referenceAllele="G" referenceAlleleVCF="G" start="189874931" stop="189874931" variantLength="1"/>
      </Location>
      <ProteinChange>G1284E</ProteinChange>
      <HGVSlist>
        <HGVS Assembly="GRCh38" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh38" change="g.189010205G&gt;A" sequenceAccession="NC_000002" sequenceAccessionVersion="NC_000002.12" sequenceVersion="12">
            <Expression>NC_000002.12:g.189010205G&gt;A</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh37" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh37" change="g.189874931G&gt;A" sequenceAccession="NC_000002" sequenceAccessionVersion="NC_000002.11" sequenceVersion="11">
            <Expression>NC_000002.11:g.189874931G&gt;A</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.3851G&gt;A" sequenceAccession="LRG_3t1" sequenceAccessionVersion="LRG_3t1">
            <Expression>LRG_3t1:c.3851G&gt;A</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Gly1284Glu" sequenceAccession="LRG_3p1" sequenceAccessionVersion="LRG_3p1">
            <Expression>LRG_3p1:p.Gly1284Glu</Expression>
          </ProteinExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.3851G&gt;A" sequenceAccession="NM_000090" sequenceAccessionVersion="NM_000090.3" sequenceVersion="3">
            <Expression>NM_000090.3:c.3851G&gt;A</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Gly1284Glu" sequenceAccession="NP_000081" sequenceAccessionVersion="NP_000081.1" sequenceVersion="1">
            <Expression>NP_000081.1:p.Gly1284Glu</Expression>
          </ProteinExpression>
          <MolecularConsequence DB="SO" ID="SO:0001583" Type="missense variant"/>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40833G&gt;A" sequenceAccession="NG_007404" sequenceAccessionVersion="NG_007404.1" sequenceVersion="1">
            <Expression>NG_007404.1:g.40833G&gt;A</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40833G&gt;A" sequenceAccession="LRG_3" sequenceAccessionVersion="LRG_3">
            <Expression>LRG_3:g.40833G&gt;A</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="dbSNP" ID="587779528" Type="rs"/>
        <XRef DB="ClinVar" ID="101229" Type="Variation"/>
      </XRefList>
      <Comment DataSource="Collagen Diagnostic Laboratory" Type="public">two mutations on different alleles based on family studies</Comment>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000120353" Title="NM_000090.3:c.1786C&gt;T#NM_000090.3:c.3851G&gt;A AND Ehlers-Danlos syndrome, type 4" Version="1"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000101229" VariationID="101229"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242650" DateCreated="2016-07-05" DateLastUpdated="2017-11-21" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242650" VariationName="NM_000249.3(MLH1):c.545+1271_677+737delinsCA" VariationType="Indel" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="95938" VariationID="242650">
      <GeneList>
        <Gene FullName="mutL homolog 1" GeneID="4292" HGNC_ID="HGNC:7127" RelationshipType="within single gene" Source="submitted" Symbol="MLH1">
          <Location>
            <CytogeneticLocation>3p22.2</CytogeneticLocation>
            <SequenceLocation Accession="NC_000003.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="3" Strand="+" display_start="36993350" display_stop="37050846" start="36993350" stop="37050846"/>
            <SequenceLocation Accession="NC_000003.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="3" Strand="+" display_start="37034840" display_stop="37092336" start="37034840" stop="37092336"/>
          </Location>
          <OMIM>120436</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=MLH1" last_evaluated="2015-11-16">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=MLH1" last_evaluated="2015-11-16">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000249.3(MLH1):c.545+1271_677+737delinsCA</Name>
      <VariantType>Indel</VariantType>
      <Location>
        <CytogeneticLocation>3p22.2</CytogeneticLocation>
        <SequenceLocation Accession="NC_000003.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="3" alternateAllele="CA" alternateAlleleVCF="CA" display_start="37010176" display_stop="37012836" forDisplay="true" positionVCF="37010176" referenceAlleleVCF="ACAGGCTGGAGTACAATGGTGTGATCTCGGCTCACCGCAACCTCTACTTCCCAGGTTCAAGCAATTCGCCTGCCTCAGCCTTCTCAAGTAGCTGGGATTACAGGCATATGCCACCATGCCCGGCTAATTTTGTGTTTTTAGTAGAGATGGGGTTTCTCCATGTTGGTCAGGCTAGTCTCAAACTCCCGACCTCAGATGATCCTCCCGCCTTGGCCTCCCAGAGTGCTGGGATTACTGGCATGAGCCAGCGCTCCTGGCCCATTTTTCAGTATTTCTAAAAAAAATCTAAAGTGGGTCAAACATTTCACCTTAATAGAATGACAGGTTTGTACATCAAGTTTCTTTGCTTTTTCTTGGAATTTTATACTTTTTTTTTTTTTTTGGAGACAGAGTCTTGCTGTGTTACCCAGGCTGGAGTGCAGTGGTGCGATCTCAGCTCACCACAACCTCCACCTCCAGGTTGAAGCAATTCTCCTACCTCAGCCTCCTGAGTAGCTGGGATTACAGGCACATGCCACCACACCCGGCTAATTTTTTTTTTTTTTTTGTATTTTTAGTAGAGACAGGGTTTCACCATGTTGTCCAGGCTGGTCTCGAACTCCTGACCTCAGGTGATCCGCCCATCTCGGCCCACCAAAGTGCTGGGATTACAGGCGTGAGCCACTGCACCCGGCCTTTTTCTTGGAATTTTATCAATCAGTGTCAGAATATTCATTACCTCCTAAAAATAAAGGAGTTCTAGTTGGCTGTTTTGATTCTAGGTGTGGTAAAGTGAAATATTGTTACTTAATAAATGCATTTTGCTAGACACAATCCTTCGGTTCACGAGCTCTGTAGAGAAAAGAGAAATAACCGCCAACCAAGAAAAGATTGGGAGATACTAGAATAAGACCCAGGGGCAGGAAGAAGCCAGTGAGAAGGAGGGCATGTTGAGAGCTCTGAGAGAGAATAAAAGCAGGGGTTGTTGGAGCTAGCTTCTCAAGATGTCCTTGAGGCAAACCAGACCTTTGGGACACTCTGAAAATAAAACTGAAAGTGAAGAGATTGTGGGCCGAATGTGGTGGCTCACGCCTGTAATCCCAGCACTTTGGGAGGTCGAGGCGGGTGGATCACCTGAGATCAGGAGTTCGATACCAGCCTGGCCAACATGGCGAAACGCCATCTCTACTAAAAATACAAAAAAAATTAGCTGGGCCTGGTGGCAGGCGCCTATAATCCCAGCTACTCGGGAGGCTGAGGCGGGAGAATCGCTTGAGTCCAGGAGGCGGAGGTTGCAGTGAGCTGAGATCGTGCCATTGCACTCCAGCCTGGGCAACAAGAGCAAAACTCTGTCTCAAAAATAAATAAAAATAAATAAAAAAGAGATAGTGGCGTGATATCCTTGATTCTATCAGCAACCTATAAAAGTAGAGAGGAGTCTGTGTTTTGATTCAGTCACCTTTAGCATTTTTATTTCCATGAAGTTTCTGCTGGTTTATTTTTCTGTGGGTAAAATATTAATAGGCTGTATGGAGATATTTTTCTTTATATGTACCTTTGTTTAGATTACTCAACTCCACTAATTTATTTAACTAAAAGGGGGCTCTGACATCTAGTGTGTGTTTTTGGCAACTCTTTTCTTACTCTTTTGTTTTTCTTTTCCAGGTATTCAGTACACAATGCAGGCATTAGTTTCTCAGTTAAAAAAGTAAGTTCTTGGTTTATGGGGGATGGTTTTGTTTTATGAAAAGAAAAAAGGGGATTTTTAATAGTTTGCTGGTGGAGATAAGGTTATGATGTTTCAGTCTCAGCCATGAGACAATAAATCCTTGTGTCTTCTGCTGTTTGTTTATCAGCAAGGAGAGACAGTAGCTGATGTTAGGACACTACCCAATGCCTCAACCGTGGACAATATTCGCTCCATCTTTGGAAATGCTGTTAGTCGGTATGTCGATAACCTATATAAAAAAATCTTTTACATTTATTATCTTGGTTTATCATTCCATCACATTATTTTGGAACCTTTCAAGATATTATGTGTGTTAAGAGTTTGCTTTAGTCAAATACACAGGCTTGTTTTATGCTTCAGATTTGTTAATGGAGTTCTTATTTCACGTAATCAACACTTTCTAGGTGTATGTAATCTCCTAGATTCTGTGGCGTGAATCATGTGTTCTTTCAAGGTCTTAGTCTTGAAAATATTTATAGTGTAGTAGAACTATTTTATCCTCCAATGCTCCTTCTTTTCCTTGTATTTCCATTATCATCACTTTAGGATTTCACTTATTTATCATTCAACATTTATTAATTGCCTCTCATATTCCAGGCTTTGTGCTAGAAGTTAGGGATATAAAGACAAATAAGATATTTCCTGCCCTTAAAGACTAGATTCGTGTTGCTAAGTCTTCATTATCAAGAAAAGCATAAGTGGGGAAAAGTGCTTGCATTATGGATTCCTCATAGTTGCTCCCCTCTGCATGTAAAAATCACCATTTCCATCATAGATTCCTAGCGGTCTCAGGACTTTATAAAGCCCAAAGTGCCTATGTCATAATATGAGGAAAAATACTGAGACCCTTCCATATATGGGAGGTATATGGATGAGACAGCTCCTGACTTCACTTTTCCCAGAAATCTGAAAAGCAGCAGCAGTCATTCCAGAGCCCAGTTTCTACTTTGAAG" start="37010176" stop="37012836"/>
        <SequenceLocation Accession="NC_000003.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="3" alternateAllele="CA" alternateAlleleVCF="CA" display_start="37051667" display_stop="37054327" positionVCF="37051667" referenceAlleleVCF="ACAGGCTGGAGTACAATGGTGTGATCTCGGCTCACCGCAACCTCTACTTCCCAGGTTCAAGCAATTCGCCTGCCTCAGCCTTCTCAAGTAGCTGGGATTACAGGCATATGCCACCATGCCCGGCTAATTTTGTGTTTTTAGTAGAGATGGGGTTTCTCCATGTTGGTCAGGCTAGTCTCAAACTCCCGACCTCAGATGATCCTCCCGCCTTGGCCTCCCAGAGTGCTGGGATTACTGGCATGAGCCAGCGCTCCTGGCCCATTTTTCAGTATTTCTAAAAAAAATCTAAAGTGGGTCAAACATTTCACCTTAATAGAATGACAGGTTTGTACATCAAGTTTCTTTGCTTTTTCTTGGAATTTTATACTTTTTTTTTTTTTTTGGAGACAGAGTCTTGCTGTGTTACCCAGGCTGGAGTGCAGTGGTGCGATCTCAGCTCACCACAACCTCCACCTCCAGGTTGAAGCAATTCTCCTACCTCAGCCTCCTGAGTAGCTGGGATTACAGGCACATGCCACCACACCCGGCTAATTTTTTTTTTTTTTTTGTATTTTTAGTAGAGACAGGGTTTCACCATGTTGTCCAGGCTGGTCTCGAACTCCTGACCTCAGGTGATCCGCCCATCTCGGCCCACCAAAGTGCTGGGATTACAGGCGTGAGCCACTGCACCCGGCCTTTTTCTTGGAATTTTATCAATCAGTGTCAGAATATTCATTACCTCCTAAAAATAAAGGAGTTCTAGTTGGCTGTTTTGATTCTAGGTGTGGTAAAGTGAAATATTGTTACTTAATAAATGCATTTTGCTAGACACAATCCTTCGGTTCACGAGCTCTGTAGAGAAAAGAGAAATAACCGCCAACCAAGAAAAGATTGGGAGATACTAGAATAAGACCCAGGGGCAGGAAGAAGCCAGTGAGAAGGAGGGCATGTTGAGAGCTCTGAGAGAGAATAAAAGCAGGGGTTGTTGGAGCTAGCTTCTCAAGATGTCCTTGAGGCAAACCAGACCTTTGGGACACTCTGAAAATAAAACTGAAAGTGAAGAGATTGTGGGCCGAATGTGGTGGCTCACGCCTGTAATCCCAGCACTTTGGGAGGTCGAGGCGGGTGGATCACCTGAGATCAGGAGTTCGATACCAGCCTGGCCAACATGGCGAAACGCCATCTCTACTAAAAATACAAAAAAAATTAGCTGGGCCTGGTGGCAGGCGCCTATAATCCCAGCTACTCGGGAGGCTGAGGCGGGAGAATCGCTTGAGTCCAGGAGGCGGAGGTTGCAGTGAGCTGAGATCGTGCCATTGCACTCCAGCCTGGGCAACAAGAGCAAAACTCTGTCTCAAAAATAAATAAAAATAAATAAAAAAGAGATAGTGGCGTGATATCCTTGATTCTATCAGCAACCTATAAAAGTAGAGAGGAGTCTGTGTTTTGATTCAGTCACCTTTAGCATTTTTATTTCCATGAAGTTTCTGCTGGTTTATTTTTCTGTGGGTAAAATATTAATAGGCTGTATGGAGATATTTTTCTTTATATGTACCTTTGTTTAGATTACTCAACTCCACTAATTTATTTAACTAAAAGGGGGCTCTGACATCTAGTGTGTGTTTTTGGCAACTCTTTTCTTACTCTTTTGTTTTTCTTTTCCAGGTATTCAGTACACAATGCAGGCATTAGTTTCTCAGTTAAAAAAGTAAGTTCTTGGTTTATGGGGGATGGTTTTGTTTTATGAAAAGAAAAAAGGGGATTTTTAATAGTTTGCTGGTGGAGATAAGGTTATGATGTTTCAGTCTCAGCCATGAGACAATAAATCCTTGTGTCTTCTGCTGTTTGTTTATCAGCAAGGAGAGACAGTAGCTGATGTTAGGACACTACCCAATGCCTCAACCGTGGACAATATTCGCTCCATCTTTGGAAATGCTGTTAGTCGGTATGTCGATAACCTATATAAAAAAATCTTTTACATTTATTATCTTGGTTTATCATTCCATCACATTATTTTGGAACCTTTCAAGATATTATGTGTGTTAAGAGTTTGCTTTAGTCAAATACACAGGCTTGTTTTATGCTTCAGATTTGTTAATGGAGTTCTTATTTCACGTAATCAACACTTTCTAGGTGTATGTAATCTCCTAGATTCTGTGGCGTGAATCATGTGTTCTTTCAAGGTCTTAGTCTTGAAAATATTTATAGTGTAGTAGAACTATTTTATCCTCCAATGCTCCTTCTTTTCCTTGTATTTCCATTATCATCACTTTAGGATTTCACTTATTTATCATTCAACATTTATTAATTGCCTCTCATATTCCAGGCTTTGTGCTAGAAGTTAGGGATATAAAGACAAATAAGATATTTCCTGCCCTTAAAGACTAGATTCGTGTTGCTAAGTCTTCATTATCAAGAAAAGCATAAGTGGGGAAAAGTGCTTGCATTATGGATTCCTCATAGTTGCTCCCCTCTGCATGTAAAAATCACCATTTCCATCATAGATTCCTAGCGGTCTCAGGACTTTATAAAGCCCAAAGTGCCTATGTCATAATATGAGGAAAAATACTGAGACCCTTCCATATATGGGAGGTATATGGATGAGACAGCTCCTGACTTCACTTTTCCCAGAAATCTGAAAAGCAGCAGCAGTCATTCCAGAGCCCAGTTTCTACTTTGAAG" start="37051667" stop="37054327"/>
      </Location>
      <HGVSlist>
        <HGVS Assembly="GRCh37" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh37" change="g.37051667_37054327del2661insCA" sequenceAccession="NC_000003" sequenceAccessionVersion="NC_000003.11" sequenceVersion="11">
            <Expression>NC_000003.11:g.37051667_37054327del2661insCA</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh38" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh38" change="g.37010176_37012836del2661insCA" sequenceAccession="NC_000003" sequenceAccessionVersion="NC_000003.12" sequenceVersion="12">
            <Expression>NC_000003.12:g.37010176_37012836del2661insCA</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.545+1271_677+737delinsCA" sequenceAccession="LRG_216t1" sequenceAccessionVersion="LRG_216t1">
            <Expression>LRG_216t1:c.545+1271_677+737delinsCA</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.545+1271_677+737delinsCA" sequenceAccession="NM_000249" sequenceAccessionVersion="NM_000249.3" sequenceVersion="3">
            <Expression>NM_000249.3:c.545+1271_677+737delinsCA</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="ClinVar" ID="90463" Type="Variation"/>
      </XRefList>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000106727" Version="2"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000090463" VariationID="90463"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242651" DateCreated="2016-07-05" DateLastUpdated="2017-11-21" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242651" VariationName="NM_000249.3(MLH1):c.453+625_545+921delinsTG" VariationType="Indel" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="95937" VariationID="242651">
      <GeneList>
        <Gene FullName="mutL homolog 1" GeneID="4292" HGNC_ID="HGNC:7127" RelationshipType="within single gene" Source="submitted" Symbol="MLH1">
          <Location>
            <CytogeneticLocation>3p22.2</CytogeneticLocation>
            <SequenceLocation Accession="NC_000003.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="3" Strand="+" display_start="36993350" display_stop="37050846" start="36993350" stop="37050846"/>
            <SequenceLocation Accession="NC_000003.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="3" Strand="+" display_start="37034840" display_stop="37092336" start="37034840" stop="37092336"/>
          </Location>
          <OMIM>120436</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=MLH1" last_evaluated="2015-11-16">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=MLH1" last_evaluated="2015-11-16">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000249.3(MLH1):c.453+625_545+921delinsTG</Name>
      <VariantType>Indel</VariantType>
      <Location>
        <CytogeneticLocation>3p22.2</CytogeneticLocation>
        <SequenceLocation Accession="NC_000003.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="3" alternateAllele="TG" alternateAlleleVCF="T" display_start="37049179" display_stop="37051317" positionVCF="37049179" referenceAlleleVCF="ACGAGCCAGGCAGGAGGCAGAAAAGAATGTGTGTTTTGCAATACATGTTAAGAGACATCTTGGGCTGGGCACGGTGGCTCACACCTGTAATCTCAGCACTTTGGGAGGCTGAGGAGGGCGGATCATCTGAGGTTGGGAGTTCGAGACCAGCCTGACCAACATGGAGAAACCCCATCTCTACTAAAAATACAAAATTAGCCAGGCGTGATGGCGCATGCCTGTAATCCCAGCTACTCAGGAAGGCTGAGGCAGGAGAATTGCTTGAACCCGGGAGGCAGAGGTTGTGGTGAGTTGAGATCATGCCACTGCACTCCAGCCTGGGCAACAAGAGTGAAACAGGGTCTCAAAAACAAAAACAAACAAACAAAAAAAATCTTTTACCACGGTGACCACCATGTGATTTCCAAGAACTTCAAATGATCTAAGAAATTTTGTGATTATTACTAGTTTGAAAAATACTTTTTTTTTTTTTGAGACAAAGTCTCACTCTGTTGCCCAGGCTGAAGTGCAGTGGTGTGATCTCAGCTCACTGCAATCACTACCTCTTGAGTTCAAGCAGTTGTCCTGCCTCAGCCTCTTGAGTACCTGGGATTACAGGCATGCGTCACCATGCCCGGCTAATTTTTGTATTTTTAGTAGAGACAGGGTTTCACCATGTTGGCCAGGCTGGTCTCGAACTCCTGACCTCAGGTGACCCACCCACCTTGGCCTCCCAAAGTTCTGGGATTACAGACGTGAGCCACTGCACCCAGCCTGAAAAATATCTTTGAATGCCATGTGATACTATACTTGTCAGTTTACATGTGTGTCCCACTAAATCATGTACTCTCCTGAGCAGGATCATGCTTTGTCTTCATATTTTCTGTACAAAGCAAAGACTCTGACACAAAGCTAGCCCCCAGTGCATAGTTGAGAAATCAGTGAATGAATGTGGGAGGCAGGAAAAATGTCCTTTAATTCTTCTGTTAATGCTGTCTTATCCCTGGCCCCAGTCAGTGCTTAGAACTGTGCTGTTGGTAAATATAATTGGATTCACTATCTTAAGACCTCGCTTTTGCCAGGACATCTTGGGTTTTATTTTCAAGTACTTCTATGAATTTACAAGAAAAATCAATCTTCTGTTCAGGTGGAGGACCTTTTTTACAACATAGCCACGAGGAGAAAAGCTTTAAAAAATCCAAGTGAAGAATATGGGAAAATTTTGGAAGTTGTTGGCAGGTACAGTCCAAAATCTGGGAGTGGGTCTCTGAGATTTGTCATCAAAGTAATGTGTTCTAGTGCTCATACATTGAACAGTTGCTGAGCTAGATGGTGAAAAGTAAAACTAGCTTACAGATAGTTTCTGGTCAAGGTTTAGCCACCAATTTTGCAGTTTCTCTCATCTCCCCAGGAAAGAGCAGTTGGTCTTTAGATCAATGAGAGCTCTTTTATGGCAGACAAAACAAAGTGACTCTAGCCAACTTGAGCTAAAAAGAAATTTAGTGGAAGGCTAGGAGTTACCACATGAAGTGTGTGCAGCTGCCCCTTGGAGAGAATAAGAACCAGGGTGCCTCTGGGACTTAACATCATTACTGTACTCCAGTTGTTTTCATTCTTTTCCTGACTTTGCTCTAGAGTCAGTTTCCTAACAGAGTACATTCGATGATCATGTGCCCATATCTGTGGGGAGAAGATTTCTTGATTGGCAGTCTTACTAAGGGTGCATATCAAGTAGAATGGAATAGAGGTAGTTTCCTAAAGGAAGATGAGAGGCTGTTACCAGGAGGAGGAGAAGGGATTCAGGACAGATGAAAACAACGTTATATCCATGATAGACTTACGCTGCTGGTACAGATGGTACAGGTGGCTTCAGTATAGGCTCTCCGAACCCACATATCATTGATTATGATAGGGATATGTTAACTATTTTTCAGTGTATATATGTATATGTGTGTGTGTATATATATGTATATGTATATATATATGTATGTGTATATATGTATATGTATATATTTATATATGTATATGTATATATTTATATATGTATATGTATATATTTATATATGTATATGTATATATATTTATATATGTATATGTGTGTATATATATATTTATATATATGTATATGTGTGTATATATATATATTTTTTTTTGAAACG" start="37049179" stop="37051317"/>
        <SequenceLocation Accession="NC_000003.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="3" alternateAllele="TG" alternateAlleleVCF="T" display_start="37007688" display_stop="37009826" forDisplay="true" positionVCF="37007688" referenceAlleleVCF="ACGAGCCAGGCAGGAGGCAGAAAAGAATGTGTGTTTTGCAATACATGTTAAGAGACATCTTGGGCTGGGCACGGTGGCTCACACCTGTAATCTCAGCACTTTGGGAGGCTGAGGAGGGCGGATCATCTGAGGTTGGGAGTTCGAGACCAGCCTGACCAACATGGAGAAACCCCATCTCTACTAAAAATACAAAATTAGCCAGGCGTGATGGCGCATGCCTGTAATCCCAGCTACTCAGGAAGGCTGAGGCAGGAGAATTGCTTGAACCCGGGAGGCAGAGGTTGTGGTGAGTTGAGATCATGCCACTGCACTCCAGCCTGGGCAACAAGAGTGAAACAGGGTCTCAAAAACAAAAACAAACAAACAAAAAAAATCTTTTACCACGGTGACCACCATGTGATTTCCAAGAACTTCAAATGATCTAAGAAATTTTGTGATTATTACTAGTTTGAAAAATACTTTTTTTTTTTTTGAGACAAAGTCTCACTCTGTTGCCCAGGCTGAAGTGCAGTGGTGTGATCTCAGCTCACTGCAATCACTACCTCTTGAGTTCAAGCAGTTGTCCTGCCTCAGCCTCTTGAGTACCTGGGATTACAGGCATGCGTCACCATGCCCGGCTAATTTTTGTATTTTTAGTAGAGACAGGGTTTCACCATGTTGGCCAGGCTGGTCTCGAACTCCTGACCTCAGGTGACCCACCCACCTTGGCCTCCCAAAGTTCTGGGATTACAGACGTGAGCCACTGCACCCAGCCTGAAAAATATCTTTGAATGCCATGTGATACTATACTTGTCAGTTTACATGTGTGTCCCACTAAATCATGTACTCTCCTGAGCAGGATCATGCTTTGTCTTCATATTTTCTGTACAAAGCAAAGACTCTGACACAAAGCTAGCCCCCAGTGCATAGTTGAGAAATCAGTGAATGAATGTGGGAGGCAGGAAAAATGTCCTTTAATTCTTCTGTTAATGCTGTCTTATCCCTGGCCCCAGTCAGTGCTTAGAACTGTGCTGTTGGTAAATATAATTGGATTCACTATCTTAAGACCTCGCTTTTGCCAGGACATCTTGGGTTTTATTTTCAAGTACTTCTATGAATTTACAAGAAAAATCAATCTTCTGTTCAGGTGGAGGACCTTTTTTACAACATAGCCACGAGGAGAAAAGCTTTAAAAAATCCAAGTGAAGAATATGGGAAAATTTTGGAAGTTGTTGGCAGGTACAGTCCAAAATCTGGGAGTGGGTCTCTGAGATTTGTCATCAAAGTAATGTGTTCTAGTGCTCATACATTGAACAGTTGCTGAGCTAGATGGTGAAAAGTAAAACTAGCTTACAGATAGTTTCTGGTCAAGGTTTAGCCACCAATTTTGCAGTTTCTCTCATCTCCCCAGGAAAGAGCAGTTGGTCTTTAGATCAATGAGAGCTCTTTTATGGCAGACAAAACAAAGTGACTCTAGCCAACTTGAGCTAAAAAGAAATTTAGTGGAAGGCTAGGAGTTACCACATGAAGTGTGTGCAGCTGCCCCTTGGAGAGAATAAGAACCAGGGTGCCTCTGGGACTTAACATCATTACTGTACTCCAGTTGTTTTCATTCTTTTCCTGACTTTGCTCTAGAGTCAGTTTCCTAACAGAGTACATTCGATGATCATGTGCCCATATCTGTGGGGAGAAGATTTCTTGATTGGCAGTCTTACTAAGGGTGCATATCAAGTAGAATGGAATAGAGGTAGTTTCCTAAAGGAAGATGAGAGGCTGTTACCAGGAGGAGGAGAAGGGATTCAGGACAGATGAAAACAACGTTATATCCATGATAGACTTACGCTGCTGGTACAGATGGTACAGGTGGCTTCAGTATAGGCTCTCCGAACCCACATATCATTGATTATGATAGGGATATGTTAACTATTTTTCAGTGTATATATGTATATGTGTGTGTGTATATATATGTATATGTATATATATATGTATGTGTATATATGTATATGTATATATTTATATATGTATATGTATATATTTATATATGTATATGTATATATTTATATATGTATATGTATATATATTTATATATGTATATGTGTGTATATATATATTTATATATATGTATATGTGTGTATATATATATATTTTTTTTTGAAACG" start="37007688" stop="37009826"/>
      </Location>
      <HGVSlist>
        <HGVS Type="coding">
          <NucleotideExpression change="c.453+625_545+921delinsTG" sequenceAccession="NM_000249" sequenceAccessionVersion="NM_000249.3" sequenceVersion="3">
            <Expression>NM_000249.3:c.453+625_545+921delinsTG</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh38" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh38" change="g.37007688_37009826del2139insTG" sequenceAccession="NC_000003" sequenceAccessionVersion="NC_000003.12" sequenceVersion="12">
            <Expression>NC_000003.12:g.37007688_37009826del2139insTG</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh37" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh37" change="g.37049179_37051317del2139insTG" sequenceAccession="NC_000003" sequenceAccessionVersion="NC_000003.11" sequenceVersion="11">
            <Expression>NC_000003.11:g.37049179_37051317del2139insTG</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.453+625_545+921delinsTG" sequenceAccession="LRG_216t1" sequenceAccessionVersion="LRG_216t1">
            <Expression>LRG_216t1:c.453+625_545+921delinsTG</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="ClinVar" ID="90463" Type="Variation"/>
      </XRefList>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000106727" Version="2"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000090463" VariationID="90463"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242657" DateCreated="2016-07-05" DateLastUpdated="2017-09-22" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242657" VariationName="NM_000548.4(TSC2):c.4361_4372delGTGGCCTCCGGC (p.Ser1454_Pro1458delinsThr)" VariationType="Deletion" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="76257" VariationID="242657">
      <GeneList>
        <Gene FullName="TSC complex subunit 2" GeneID="7249" HGNC_ID="HGNC:12363" RelationshipType="within single gene" Source="submitted" Symbol="TSC2">
          <Location>
            <CytogeneticLocation>16p13.3</CytogeneticLocation>
            <SequenceLocation Accession="NC_000016.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="16" Strand="+" display_start="2047804" display_stop="2088720" start="2047804" stop="2088720"/>
            <SequenceLocation Accession="NC_000016.9" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="16" Strand="+" display_start="2097989" display_stop="2138712" start="2097989" stop="2138712"/>
          </Location>
          <OMIM>191092</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=TSC2" last_evaluated="2012-02-22">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=TSC2" last_evaluated="2012-02-22">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000548.4(TSC2):c.4361_4372delGTGGCCTCCGGC (p.Ser1454_Pro1458delinsThr)</Name>
      <VariantType>Deletion</VariantType>
      <Location>
        <CytogeneticLocation>16p13.3</CytogeneticLocation>
        <SequenceLocation Accession="NC_000016.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="16" alternateAllele="-" alternateAlleleVCF="A" display_start="2084583" display_stop="2084594" forDisplay="true" positionVCF="2084582" referenceAllele="GTGGCCTCCGGC" referenceAlleleVCF="AGTGGCCTCCGGC" start="2084583" stop="2084594" variantLength="12"/>
        <SequenceLocation Accession="NC_000016.9" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="16" alternateAllele="-" alternateAlleleVCF="A" display_start="2134584" display_stop="2134595" positionVCF="2134583" referenceAllele="GTGGCCTCCGGC" referenceAlleleVCF="AGTGGCCTCCGGC" start="2134584" stop="2134595" variantLength="12"/>
      </Location>
      <HGVSlist>
        <HGVS Assembly="GRCh37" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh37" change="g.2134584_2134595delGTGGCCTCCGGC" sequenceAccession="NC_000016" sequenceAccessionVersion="NC_000016.9" sequenceVersion="9">
            <Expression>NC_000016.9:g.2134584_2134595delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh38" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh38" change="g.2084583_2084594delGTGGCCTCCGGC" sequenceAccession="NC_000016" sequenceAccessionVersion="NC_000016.10" sequenceVersion="10">
            <Expression>NC_000016.10:g.2084583_2084594delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.4361_4372delGTGGCCTCCGGC" sequenceAccession="NM_000548" sequenceAccessionVersion="NM_000548.4" sequenceVersion="4">
            <Expression>NM_000548.4:c.4361_4372delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Ser1454_Pro1458delinsThr" sequenceAccession="NP_000539" sequenceAccessionVersion="NP_000539.2" sequenceVersion="2">
            <Expression>NP_000539.2:p.Ser1454_Pro1458delinsThr</Expression>
          </ProteinExpression>
          <MolecularConsequence DB="SO" ID="SO:0001650" Type="inframe_variant"/>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.4361_4372del12" sequenceAccession="NM_000548" sequenceAccessionVersion="NM_000548.3" sequenceVersion="3">
            <Expression>NM_000548.3:c.4361_4372del12</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Ser1454_Pro1458delinsThr" sequenceAccession="NP_000539" sequenceAccessionVersion="NP_000539.2" sequenceVersion="2">
            <Expression>NP_000539.2:p.Ser1454_Pro1458delinsThr</Expression>
          </ProteinExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.4361_4372delGTGGCCTCCGGC" sequenceAccession="LRG_487t1" sequenceAccessionVersion="LRG_487t1">
            <Expression>LRG_487t1:c.4361_4372delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Ser1454_Pro1458delinsThr" sequenceAccession="LRG_487p1" sequenceAccessionVersion="LRG_487p1">
            <Expression>LRG_487p1:p.Ser1454_Pro1458delinsThr</Expression>
          </ProteinExpression>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40278_40289delGTGGCCTCCGGC" sequenceAccession="LRG_487" sequenceAccessionVersion="LRG_487">
            <Expression>LRG_487:g.40278_40289delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40278_40289delGTGGCCTCCGGC" sequenceAccession="NG_005895" sequenceAccessionVersion="NG_005895.1" sequenceVersion="1">
            <Expression>NG_005895.1:g.40278_40289delGTGGCCTCCGGC</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="Tuberous sclerosis database (TSC2)" ID="TSC2_00688"/>
        <XRef DB="dbSNP" ID="397515238" Type="rs"/>
        <XRef DB="ClinVar" ID="65324" Type="Variation"/>
      </XRefList>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000083772" Title="NM_000548.3:c.[4358_4359delCC;4361_4372del12] AND TSC" Version="2"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000065324" VariationID="65324"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000242658" DateCreated="2016-07-05" DateLastUpdated="2017-09-22" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="242658" VariationName="NM_000548.4(TSC2):c.4358_4359delCC (p.Pro1453Glnfs)" VariationType="Deletion" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <SimpleAllele AlleleID="76256" VariationID="242658">
      <GeneList>
        <Gene FullName="TSC complex subunit 2" GeneID="7249" HGNC_ID="HGNC:12363" RelationshipType="within single gene" Source="submitted" Symbol="TSC2">
          <Location>
            <CytogeneticLocation>16p13.3</CytogeneticLocation>
            <SequenceLocation Accession="NC_000016.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="16" Strand="+" display_start="2047804" display_stop="2088720" start="2047804" stop="2088720"/>
            <SequenceLocation Accession="NC_000016.9" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="16" Strand="+" display_start="2097989" display_stop="2138712" start="2097989" stop="2138712"/>
          </Location>
          <OMIM>191092</OMIM>
          <Haploinsufficiency ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=TSC2" last_evaluated="2012-02-22">Sufficient evidence for dosage pathogenicity</Haploinsufficiency>
          <Triplosensitivity ClinGen="https://www.ncbi.nlm.nih.gov/projects/dbvar/ISCA/isca_gene.cgi?sym=TSC2" last_evaluated="2012-02-22">No evidence available</Triplosensitivity>
          <Property>gene_acmg_incidental_2013</Property>
        </Gene>
      </GeneList>
      <Name>NM_000548.4(TSC2):c.4358_4359delCC (p.Pro1453Glnfs)</Name>
      <VariantType>Deletion</VariantType>
      <Location>
        <CytogeneticLocation>16p13.3</CytogeneticLocation>
        <SequenceLocation Accession="NC_000016.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="16" alternateAllele="-" alternateAlleleVCF="G" display_start="2084580" display_stop="2084581" forDisplay="true" positionVCF="2084578" referenceAllele="CC" referenceAlleleVCF="GCC" start="2084580" stop="2084581" variantLength="2"/>
        <SequenceLocation Accession="NC_000016.9" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="16" alternateAllele="-" alternateAlleleVCF="G" display_start="2134581" display_stop="2134582" positionVCF="2134579" referenceAllele="CC" referenceAlleleVCF="GCC" start="2134581" stop="2134582" variantLength="2"/>
      </Location>
      <HGVSlist>
        <HGVS Type="coding">
          <NucleotideExpression change="c.4358_4359delCC" sequenceAccession="NM_000548" sequenceAccessionVersion="NM_000548.4" sequenceVersion="4">
            <Expression>NM_000548.4:c.4358_4359delCC</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Pro1453Glnfs" sequenceAccession="NP_000539" sequenceAccessionVersion="NP_000539.2" sequenceVersion="2">
            <Expression>NP_000539.2:p.Pro1453Glnfs</Expression>
          </ProteinExpression>
          <MolecularConsequence DB="SO" ID="SO:0001589" Type="frameshift variant"/>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40275_40276delCC" sequenceAccession="LRG_487" sequenceAccessionVersion="LRG_487">
            <Expression>LRG_487:g.40275_40276delCC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="genomic">
          <NucleotideExpression change="g.40275_40276delCC" sequenceAccession="NG_005895" sequenceAccessionVersion="NG_005895.1" sequenceVersion="1">
            <Expression>NG_005895.1:g.40275_40276delCC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh37" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh37" change="g.2134581_2134582delCC" sequenceAccession="NC_000016" sequenceAccessionVersion="NC_000016.9" sequenceVersion="9">
            <Expression>NC_000016.9:g.2134581_2134582delCC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Assembly="GRCh38" Type="genomic, top-level">
          <NucleotideExpression Assembly="GRCh38" change="g.2084580_2084581delCC" sequenceAccession="NC_000016" sequenceAccessionVersion="NC_000016.10" sequenceVersion="10">
            <Expression>NC_000016.10:g.2084580_2084581delCC</Expression>
          </NucleotideExpression>
        </HGVS>
        <HGVS Type="coding">
          <NucleotideExpression change="c.4358_4359delCC" sequenceAccession="LRG_487t1" sequenceAccessionVersion="LRG_487t1">
            <Expression>LRG_487t1:c.4358_4359delCC</Expression>
          </NucleotideExpression>
          <ProteinExpression change="p.Pro1453Glnfs" sequenceAccession="LRG_487p1" sequenceAccessionVersion="LRG_487p1">
            <Expression>LRG_487p1:p.Pro1453Glnfs</Expression>
          </ProteinExpression>
        </HGVS>
      </HGVSlist>
      <XRefList>
        <XRef DB="Tuberous sclerosis database (TSC2)" ID="TSC2_00688"/>
        <XRef DB="dbSNP" ID="397515237" Type="rs"/>
        <XRef DB="ClinVar" ID="65324" Type="Variation"/>
      </XRefList>
    </SimpleAllele>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000083772" Title="NM_000548.3:c.[4358_4359delCC;4361_4372del12] AND TSC" Version="2"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000065324" VariationID="65324"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000253009" DateCreated="2016-08-18" DateLastUpdated="2017-09-20" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="253009" VariationName="NM_198569.2(ADGRG6):c.[2222T&gt;A;2306T&gt;A]" VariationType="Haplotype" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <Haplotype NumberOfCopies="1" VariationID="253009">
      <SimpleAllele AlleleID="190137" VariationID="192349">
        <GeneList>
          <Gene FullName="adhesion G protein-coupled receptor G6" GeneID="57211" HGNC_ID="HGNC:13841" RelationshipType="within single gene" Source="submitted" Symbol="ADGRG6">
            <Location>
              <CytogeneticLocation>6q24.2</CytogeneticLocation>
              <SequenceLocation Accession="NC_000006.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="6" Strand="+" display_start="142301919" display_stop="142446266" start="142301919" stop="142446266"/>
              <SequenceLocation Accession="NC_000006.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="6" Strand="+" display_start="142623055" display_stop="142767402" start="142623055" stop="142767402"/>
            </Location>
            <OMIM>612243</OMIM>
          </Gene>
        </GeneList>
        <Name>NM_198569.2(ADGRG6):c.2306T&gt;A (p.Val769Glu)</Name>
        <VariantType>single nucleotide variant</VariantType>
        <Location>
          <CytogeneticLocation>6q24.2</CytogeneticLocation>
          <SequenceLocation Accession="NC_000006.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="6" alternateAllele="A" alternateAlleleVCF="A" display_start="142408187" display_stop="142408187" forDisplay="true" positionVCF="142408187" referenceAllele="T" referenceAlleleVCF="T" start="142408187" stop="142408187" variantLength="1"/>
          <SequenceLocation Accession="NC_000006.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="6" alternateAllele="A" alternateAlleleVCF="A" display_start="142729324" display_stop="142729324" positionVCF="142729324" referenceAllele="T" referenceAlleleVCF="T" start="142729324" stop="142729324" variantLength="1"/>
        </Location>
        <ProteinChange>V769E</ProteinChange>
        <HGVSlist>
          <HGVS Assembly="GRCh37" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh37" change="g.142729324T&gt;A" sequenceAccession="NC_000006" sequenceAccessionVersion="NC_000006.11" sequenceVersion="11">
              <Expression>NC_000006.11:g.142729324T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Assembly="GRCh38" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh38" change="g.142408187T&gt;A" sequenceAccession="NC_000006" sequenceAccessionVersion="NC_000006.12" sequenceVersion="12">
              <Expression>NC_000006.12:g.142408187T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Type="coding">
            <NucleotideExpression change="c.2306T&gt;A" sequenceAccession="NM_198569" sequenceAccessionVersion="NM_198569.2" sequenceVersion="2">
              <Expression>NM_198569.2:c.2306T&gt;A</Expression>
            </NucleotideExpression>
            <ProteinExpression change="p.Val769Glu" sequenceAccession="NP_940971" sequenceAccessionVersion="NP_940971.1" sequenceVersion="1">
              <Expression>NP_940971.1:p.Val769Glu</Expression>
            </ProteinExpression>
          </HGVS>
          <HGVS Type="coding">
            <NucleotideExpression change="c.2306T&gt;A" sequenceAccession="NM_020455" sequenceAccessionVersion="NM_020455.5" sequenceVersion="5">
              <Expression>NM_020455.5:c.2306T&gt;A</Expression>
            </NucleotideExpression>
            <ProteinExpression change="p.Val769Glu" sequenceAccession="NP_065188" sequenceAccessionVersion="NP_065188.4" sequenceVersion="4">
              <Expression>NP_065188.4:p.Val769Glu</Expression>
            </ProteinExpression>
            <MolecularConsequence DB="SO" ID="SO:0001583" Type="missense variant"/>
          </HGVS>
          <HGVS Type="genomic">
            <NucleotideExpression change="g.111269T&gt;A" sequenceAccession="NG_011839" sequenceAccessionVersion="NG_011839.1" sequenceVersion="1">
              <Expression>NG_011839.1:g.111269T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
        </HGVSlist>
        <Interpretations>
          <Interpretation DateLastEvaluated="2014-12-01" NumberOfSubmissions="1" NumberOfSubmitters="1" Type="Clinical significance">
            <Description>Pathogenic</Description>
            <Citation Type="general">
              <ID Source="PubMed">26004201</ID>
            </Citation>
            <ConditionList>
              <TraitSet ID="10713" Type="Disease">
                <Trait ID="439" Type="Disease">
                  <Name>
                    <ElementValue Type="Preferred">Arthrogryposis multiplex congenita</ElementValue>
                    <XRef DB="Genetic Alliance" ID="Arthrogryposis+Multiplex+Congenita/602"/>
                    <XRef DB="Office of Rare Diseases" ID="777"/>
                  </Name>
                  <Symbol>
                    <ElementValue Type="Preferred">AMC</ElementValue>
                  </Symbol>
                  <AttributeSet>
                    <Attribute Type="public definition">Arthrogryposis multiplex congenita (AMC) is a heterogeneous group of disorders characterized by congenital nonprogressive joint contractures, with a worldwide incidence of 1 in 3,000 live births. AMC can occur in the upper or lower limbs and/or the vertebral column, leading to various degrees of flexion or extension limitations evident at birth (summary by Markus et al., 2012).
There is also a distal form of arthrogryposis multiplex congenita (see DA1A, 108120) and a lethal congenital form (see LCCS1, 253310).</Attribute>
                    <XRef DB="OMIM" ID="108110" Type="MIM"/>
                  </AttributeSet>
                  <XRef DB="Orphanet" ID="1037"/>
                  <XRef DB="MedGen" ID="C2931264"/>
                </Trait>
              </TraitSet>
            </ConditionList>
          </Interpretation>
        </Interpretations>
        <XRefList>
          <XRef DB="OMIM" ID="612243.0003" Type="Allelic variant"/>
          <XRef DB="dbSNP" ID="793888525" Type="rs"/>
        </XRefList>
      </SimpleAllele>
      <SimpleAllele AlleleID="247415" VariationID="253330">
        <GeneList>
          <Gene FullName="adhesion G protein-coupled receptor G6" GeneID="57211" HGNC_ID="HGNC:13841" RelationshipType="within single gene" Source="submitted" Symbol="ADGRG6">
            <Location>
              <CytogeneticLocation>6q24.2</CytogeneticLocation>
              <SequenceLocation Accession="NC_000006.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="6" Strand="+" display_start="142301919" display_stop="142446266" start="142301919" stop="142446266"/>
              <SequenceLocation Accession="NC_000006.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="6" Strand="+" display_start="142623055" display_stop="142767402" start="142623055" stop="142767402"/>
            </Location>
            <OMIM>612243</OMIM>
          </Gene>
        </GeneList>
        <Name>NM_020455.5(ADGRG6):c.2222T&gt;A (p.Val741Asp)</Name>
        <VariantType>single nucleotide variant</VariantType>
        <Location>
          <CytogeneticLocation>6q24.2</CytogeneticLocation>
          <SequenceLocation Accession="NC_000006.12" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="6" alternateAllele="A" alternateAlleleVCF="A" display_start="142405782" display_stop="142405782" forDisplay="true" positionVCF="142405782" referenceAllele="T" referenceAlleleVCF="T" start="142405782" stop="142405782" variantLength="1"/>
          <SequenceLocation Accession="NC_000006.11" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="6" alternateAllele="A" alternateAlleleVCF="A" display_start="142726919" display_stop="142726919" positionVCF="142726919" referenceAllele="T" referenceAlleleVCF="T" start="142726919" stop="142726919" variantLength="1"/>
        </Location>
        <ProteinChange>V741D</ProteinChange>
        <ProteinChange>V741E</ProteinChange>
        <HGVSlist>
          <HGVS Assembly="GRCh37" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh37" change="g.142726919T&gt;A" sequenceAccession="NC_000006" sequenceAccessionVersion="NC_000006.11" sequenceVersion="11">
              <Expression>NC_000006.11:g.142726919T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Assembly="GRCh38" Type="genomic, top-level">
            <NucleotideExpression Assembly="GRCh38" change="g.142405782T&gt;A" sequenceAccession="NC_000006" sequenceAccessionVersion="NC_000006.12" sequenceVersion="12">
              <Expression>NC_000006.12:g.142405782T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
          <HGVS Type="coding">
            <NucleotideExpression change="c.2222T&gt;A" sequenceAccession="NM_020455" sequenceAccessionVersion="NM_020455.5" sequenceVersion="5">
              <Expression>NM_020455.5:c.2222T&gt;A</Expression>
            </NucleotideExpression>
            <ProteinExpression change="p.Val741Asp" sequenceAccession="NP_065188" sequenceAccessionVersion="NP_065188.4" sequenceVersion="4">
              <Expression>NP_065188.4:p.Val741Asp</Expression>
            </ProteinExpression>
            <MolecularConsequence DB="SO" ID="SO:0001583" Type="missense variant"/>
          </HGVS>
          <HGVS Type="genomic">
            <NucleotideExpression change="g.108864T&gt;A" sequenceAccession="NG_011839" sequenceAccessionVersion="NG_011839.1" sequenceVersion="1">
              <Expression>NG_011839.1:g.108864T&gt;A</Expression>
            </NucleotideExpression>
          </HGVS>
        </HGVSlist>
        <Interpretations>
          <Interpretation DateLastEvaluated="2015-06-04" NumberOfSubmissions="1" NumberOfSubmitters="1" Type="Clinical significance">
            <Description>Pathogenic</Description>
            <Citation Type="general">
              <ID Source="PubMed">26004201</ID>
            </Citation>
            <ConditionList>
              <TraitSet ID="22164" Type="Disease">
                <Trait ID="33617" Type="Disease">
                  <Name>
                    <ElementValue Type="Preferred">Lethal congenital contracture syndrome 9</ElementValue>
                  </Name>
                  <Symbol>
                    <ElementValue Type="Preferred">LCCS9</ElementValue>
                    <XRef DB="OMIM" ID="616503" Type="MIM"/>
                  </Symbol>
                  <XRef DB="MedGen" ID="C4225303"/>
                  <XRef DB="OMIM" ID="616503" Type="MIM"/>
                </Trait>
              </TraitSet>
            </ConditionList>
          </Interpretation>
        </Interpretations>
        <XRefList>
          <XRef DB="OMIM" ID="612243.0003" Type="Allelic variant"/>
          <XRef DB="dbSNP" ID="879255536" Type="rs"/>
        </XRefList>
      </SimpleAllele>
      <Name>NM_198569.2(ADGRG6):c.[2222T&gt;A;2306T&gt;A]</Name>
      <VariationType>Haplotype</VariationType>
      <HGVSlist>
        <HGVS Type="coding">
          <NucleotideExpression>
            <Expression>NM_198569.2:c.[2222T&gt;A;2306T&gt;A]</Expression>
          </NucleotideExpression>
        </HGVS>
      </HGVSlist>
      <Interpretations>
        <Interpretation DateLastEvaluated="2015-06-04" NumberOfSubmissions="0" NumberOfSubmitters="0" Type="Clinical significance">
          <Description>Pathogenic</Description>
        </Interpretation>
      </Interpretations>
      <XRefList>
        <XRef DB="OMIM" ID="612243.0003" Type="Allelic variant"/>
      </XRefList>
    </Haplotype>
    <SubmittedInterpretationList>
      <SCV Accession="SCV000222096" Version="1"/>
      <SCV Accession="SCV000240207" Title="ADGRG6, VAL741GLU_LETHAL CONGENITAL CONTRACTURE SYNDROME 9" Version="2"/>
    </SubmittedInterpretationList>
    <InterpretedVariationList>
      <InterpretedVariation Accession="VCV000192349" Version="1" VariationID="192349"/>
      <InterpretedVariation Accession="VCV000253330" Version="1" VariationID="253330"/>
    </InterpretedVariationList>
  </IncludedRecord>
</VariationArchive>

<VariationArchive Accession="VCV000440839" DateCreated="2017-10-07" DateLastUpdated="2017-10-21" NumberOfSubmissions="0" NumberOfSubmitters="0" RecordType="included" VariationID="440839" VariationName="Multiple alleles" VariationType="Haplotype" Version="1">
  <RecordStatus>current</RecordStatus>
  <Species>Homo sapiens</Species>
  <IncludedRecord>
    <Haplotype NumberOfCopies="1" VariationID="440839">
      <SimpleAllele AlleleID="32903" VariationID="17864">
        <GeneList>
          <Gene FullName="apolipoprotein E" GeneID="348" HGNC_ID="HGNC:613" RelationshipType="within single gene" Source="submitted" Symbol="APOE">
            <Location>
              <CytogeneticLocation>19q13.32</CytogeneticLocation>
              <SequenceLocation Accession="NC_000019.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="19" Strand="+" display_start="44905749" display_stop="44909395" start="44905749" stop="44909395"/>
              <SequenceLocation Accession="NC_000019.9" Assembly="GRCh37" AssemblyAccessionVersion="GCF_000001405.25" AssemblyStatus="previous" Chr="19" Strand="+" display_start="45409038" display_stop="45412649" start="45409038" stop="45412649"/>
            </Location>
            <OMIM>107741</OMIM>
          </Gene>
        </GeneList>
        <Name>NM_000041.3(APOE):c.388T&gt;C (p.Cys130Arg)</Name>
        <VariantType>single nucleotide variant</VariantType>
        <Location>
          <CytogeneticLocation>19q13.32</CytogeneticLocation>
          <SequenceLocation Accession="NC_000019.10" Assembly="GRCh38" AssemblyAccessionVersion="GCF_000001405.33" AssemblyStatus="current" Chr="19" alternateAllele="C" alternateAlleleVCF="C" display_start="44908684" display_stop="44908684" forDisplay="true" positionVCF="44908684" referenceAllele="T" referenceAlleleVCF="T" start="44908684" stop="44908684" variantLength="1"/>
          <SequenceLocation Accession="NC_000019.9" Assembly="GRCh37" AssemblyAccessionVersi