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BabyScreen+ newborn screening v1.114 TGFB1 Tommy Li Added phenotypes Camurati-Engelmann disease for gene: TGFB1
BabyScreen+ newborn screening v1.114 ENG Tommy Li Added phenotypes Telangiectasia, hereditary hemorrhagic, type 1 MIM#187300 for gene: ENG
BabyScreen+ newborn screening v1.23 TRAC Zornitza Stark gene: TRAC was added
gene: TRAC was added to BabyScreen+ newborn screening. Sources: Expert Review
founder, technically challenging tags were added to gene: TRAC.
Mode of inheritance for gene: TRAC was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: TRAC were set to 21206088
Phenotypes for gene: TRAC were set to Immunodeficiency 7, TCR-alpha/beta deficient, MIM#615387
Review for gene: TRAC was set to RED
Added comment: Single variant reported to date in 6 patients; 2 unrelated children from consanguineous families of Pakistani descent (PMID: 21206088); 1 non-consanguineous family from North-west India (PMID: 33909184) and 1 consanguineous parents of East Indian (https://lymphosign.com/doi/10.14785/lymphosign-2022-0001)

Also note annotation issues in certain variant curation and annotation tools.
Sources: Expert Review
BabyScreen+ newborn screening v1.21 HBA2 Zornitza Stark Tag for review was removed from gene: HBA2.
Tag technically challenging tag was added to gene: HBA2.
BabyScreen+ newborn screening v1.21 HBA1 Zornitza Stark Tag technically challenging tag was added to gene: HBA1.
BabyScreen+ newborn screening v1.21 IKBKG Zornitza Stark Tag technically challenging tag was added to gene: IKBKG.
BabyScreen+ newborn screening v1.18 NCF1 Zornitza Stark Tag technically challenging tag was added to gene: NCF1.
BabyScreen+ newborn screening v1.17 CYP21A2 Zornitza Stark Tag treatable tag was added to gene: CYP21A2.
Tag endocrine tag was added to gene: CYP21A2.
Tag technically challenging tag was added to gene: CYP21A2.
BabyScreen+ newborn screening v1.17 CYP21A2 Zornitza Stark edited their review of gene: CYP21A2: Added comment: Part of Victorian sNBS, therefore include, although technically challenging.; Changed rating: GREEN
BabyScreen+ newborn screening v1.17 CORO1A Zornitza Stark Tag technically challenging tag was added to gene: CORO1A.
BabyScreen+ newborn screening v1.17 F8 Zornitza Stark Tag for review was removed from gene: F8.
Tag technically challenging tag was added to gene: F8.
BabyScreen+ newborn screening v1.17 GBA Zornitza Stark Tag technically challenging tag was added to gene: GBA.
BabyScreen+ newborn screening v1.16 PMS2 Zornitza Stark Tag technically challenging tag was added to gene: PMS2.
BabyScreen+ newborn screening v1.15 IGHM Zornitza Stark Tag technically challenging tag was added to gene: IGHM.
BabyScreen+ newborn screening v1.14 STRC Zornitza Stark Tag technically challenging tag was added to gene: STRC.
BabyScreen+ newborn screening v0.2063 SYT2 Lilian Downie gene: SYT2 was added
gene: SYT2 was added to Baby Screen+ newborn screening. Sources: Expert list
Mode of inheritance for gene: SYT2 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Publications for gene: SYT2 were set to PMID: 32250532, 32776697
Phenotypes for gene: SYT2 were set to Myasthenic syndrome, congenital, 7B, presynaptic, autosomal recessive MIM#619461
Review for gene: SYT2 was set to GREEN
Added comment: Bi-allelic disease: 32250532 and 32776697, 8 individuals from 6 families, with biallelic loss of function variants in SYT2, clinically manifesting with severe congenital onset hypotonia and weakness, with variable degrees of respiratory involvement. Electrodiagnostic findings consistent with a presynaptic congenital myasthenic syndrome (CMS) in some. Treatment with an acetylcholinesterase inhibitor pursued in 4 indviduals showed clinical improvement with increased strength and function.

Only report biallelic for newborn screening ?
monoallelic causes a later onset distal weakness/neuropathy phenotype - still childhood but variable or not clear - not consistently <5yrs
Sources: Expert list
BabyScreen+ newborn screening v0.1688 ENG Zornitza Stark Tag treatable tag was added to gene: ENG.
Tag vascular tag was added to gene: ENG.
BabyScreen+ newborn screening v0.916 ENG Zornitza Stark Publications for gene: ENG were set to
BabyScreen+ newborn screening v0.915 ENG Zornitza Stark Classified gene: ENG as Green List (high evidence)
BabyScreen+ newborn screening v0.915 ENG Zornitza Stark Gene: eng has been classified as Green List (High Evidence).
BabyScreen+ newborn screening v0.914 ENG Zornitza Stark edited their review of gene: ENG: Changed publications: 32894695
BabyScreen+ newborn screening v0.914 ENG Zornitza Stark changed review comment from: Well established gene disease association.

Clingen: strong actionability in adults
Although HHT is a developmental disorder and infants are occasionally severely affected, in most people the features are age-dependent and the diagnosis is not suspected until adolescence or later. The average age of onset for epistaxis is 12 years, with 50-80% of patients affected before the age of 20 and 78-96% developing it eventually. Most patients report the appearance of telangiectasia of the mouth, face, or hands 5-30 years after the onset of nose bleeds, most commonly during the third decade. GI bleeding, when present, usually presents in the 5th or 6th decades of life. Patients rarely develop significant GI bleeding before 40 years of age. Women are affected with GI bleeding in a ratio of 2-3:1. AVMs of the brain are typically present at birth, whereas those in the lung and liver typically develop over time. Hemorrhage is often the presenting symptom of cerebral AVMs, while visceral AVMs may cause transient ischemic attacks, embolic stroke, and cerebral or other abscesses. Hepatic AVMs can present as high-output heart failure, portal hypertension, or biliary disease.

However, screening guidelines recommend screening for cerebral AVMs in first 6 months of life or at diagnosis (MRI).

For review.; to: Well established gene disease association.

Clingen: strong actionability in adults
Although HHT is a developmental disorder and infants are occasionally severely affected, in most people the features are age-dependent and the diagnosis is not suspected until adolescence or later. The average age of onset for epistaxis is 12 years, with 50-80% of patients affected before the age of 20 and 78-96% developing it eventually. Most patients report the appearance of telangiectasia of the mouth, face, or hands 5-30 years after the onset of nose bleeds, most commonly during the third decade. GI bleeding, when present, usually presents in the 5th or 6th decades of life. Patients rarely develop significant GI bleeding before 40 years of age. Women are affected with GI bleeding in a ratio of 2-3:1. AVMs of the brain are typically present at birth, whereas those in the lung and liver typically develop over time. Hemorrhage is often the presenting symptom of cerebral AVMs, while visceral AVMs may cause transient ischemic attacks, embolic stroke, and cerebral or other abscesses. Hepatic AVMs can present as high-output heart failure, portal hypertension, or biliary disease.

However, screening guidelines recommend screening for cerebral AVMs in first 6 months of life or at diagnosis (MRI). Management guidelines also suggest screening in asymptomatic children for pulmonary AVMs, PMID 32894695.

BabyScreen+ newborn screening v0.914 ENG Zornitza Stark edited their review of gene: ENG: Changed rating: GREEN
BabyScreen+ newborn screening v0.914 ENG Zornitza Stark Marked gene: ENG as ready
BabyScreen+ newborn screening v0.914 ENG Zornitza Stark Gene: eng has been classified as Amber List (Moderate Evidence).
BabyScreen+ newborn screening v0.914 ENG Zornitza Stark Phenotypes for gene: ENG were changed from Telangiectasia, hereditary hemorrhagic, type 1 to Telangiectasia, hereditary hemorrhagic, type 1 MIM#187300
BabyScreen+ newborn screening v0.913 ENG Zornitza Stark Classified gene: ENG as Amber List (moderate evidence)
BabyScreen+ newborn screening v0.913 ENG Zornitza Stark Gene: eng has been classified as Amber List (Moderate Evidence).
BabyScreen+ newborn screening v0.912 ENG Zornitza Stark reviewed gene: ENG: Rating: AMBER; Mode of pathogenicity: None; Publications: ; Phenotypes: Telangiectasia, hereditary hemorrhagic, type 1 MIM#187300; Mode of inheritance: MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
BabyScreen+ newborn screening v0.0 TGFB1 Zornitza Stark gene: TGFB1 was added
gene: TGFB1 was added to gNBS. Sources: Expert Review Red,BabySeq Category C gene
Mode of inheritance for gene: TGFB1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: TGFB1 were set to Camurati-Engelmann disease
BabyScreen+ newborn screening v0.0 ENG Zornitza Stark gene: ENG was added
gene: ENG was added to gNBS. Sources: BabySeq Category A gene,Expert Review Green
Mode of inheritance for gene: ENG was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: ENG were set to Telangiectasia, hereditary hemorrhagic, type 1