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interface CriteriaDescType { | ||
id: string | ||
label: string | ||
hint: string | ||
} | ||
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||
const CriteriaDefinitions: Record<string, CriteriaDescType> = { | ||
pvs1: { | ||
id: 'pvs1', | ||
label: 'PVS1', | ||
hint: 'null variant' | ||
}, | ||
ps1: { | ||
id: 'ps1', | ||
label: 'PS1', | ||
hint: 'same amino acid change' | ||
}, | ||
ps2: { | ||
id: 'ps2', | ||
label: 'PS2', | ||
hint: 'de novo (both maternity and paternity confirmed)' | ||
}, | ||
ps3: { | ||
id: 'ps3', | ||
label: 'PS3', | ||
hint: 'well-established in vitro or in vivo functional studies' | ||
}, | ||
ps4: { | ||
id: 'ps4', | ||
label: 'PS4', | ||
hint: 'prevalence in disease controls' | ||
}, | ||
pm1: { | ||
id: 'pm1', | ||
label: 'PM1', | ||
hint: 'variant in hotspot (missense)' | ||
}, | ||
pm2: { | ||
id: 'pm2', | ||
label: 'PM2', | ||
hint: 'absent from controls (or at extremely low frequency if recessive)' | ||
}, | ||
pm3: { | ||
id: 'pm3', | ||
label: 'PM3', | ||
hint: 'AR: trans with known pathogenic' | ||
}, | ||
pm4: { | ||
id: 'pm4', | ||
label: 'PM4', | ||
hint: 'protein length change' | ||
}, | ||
pm5: { | ||
id: 'pm5', | ||
label: 'PM5', | ||
hint: 'literature: AA exchange same pos' | ||
}, | ||
pm6: { | ||
id: 'pm6', | ||
label: 'PM6', | ||
hint: 'assumed de novo' | ||
}, | ||
pp1: { | ||
id: 'pp1', | ||
label: 'PP1', | ||
hint: 'cosegregates in family' | ||
}, | ||
pp2: { | ||
id: 'pp2', | ||
label: 'PP2', | ||
hint: 'few missense in gene' | ||
}, | ||
pp3: { | ||
id: 'pp3', | ||
label: 'PP3', | ||
hint: 'predicted pathogenic' | ||
}, | ||
pp4: { | ||
id: 'pp4', | ||
label: 'PP4', | ||
hint: 'phenotype/pedigree match gene' | ||
}, | ||
pp5: { | ||
id: 'pp5', | ||
label: 'PP5', | ||
hint: 'reliable source: pathogenic' | ||
}, | ||
ba1: { | ||
id: 'ba1', | ||
label: 'BA1', | ||
hint: 'AF > 5% in ExAC, 1000G, or ESP' | ||
}, | ||
bs1: { | ||
id: 'bs1', | ||
label: 'BS1', | ||
hint: 'disease: allele freq. too high' | ||
}, | ||
bs2: { | ||
id: 'bs2', | ||
label: 'BS2', | ||
hint: 'observed in healthy individual' | ||
}, | ||
bs3: { | ||
id: 'bs3', | ||
label: 'BS3', | ||
hint: 'functional studies: benign' | ||
}, | ||
bs4: { | ||
id: 'bs4', | ||
label: 'BS4', | ||
hint: 'lack of segregation' | ||
}, | ||
bp1: { | ||
id: 'bp1', | ||
label: 'BP1', | ||
hint: 'missense in gene with truncating' | ||
}, | ||
bp2: { | ||
id: 'bp2', | ||
label: 'BP2', | ||
hint: 'other variant is causative' | ||
}, | ||
bp3: { | ||
id: 'bp3', | ||
label: 'BP3', | ||
hint: 'in-frame indel' | ||
}, | ||
bp4: { | ||
id: 'bp4', | ||
label: 'BP4', | ||
hint: 'prediction: benign' | ||
}, | ||
bp5: { | ||
id: 'bp5', | ||
label: 'BP5', | ||
hint: 'different gene in other case' | ||
}, | ||
bp6: { | ||
id: 'bp6', | ||
label: 'BP6', | ||
hint: 'reputable source: benign' | ||
}, | ||
bp7: { | ||
id: 'bp7', | ||
label: 'BP7', | ||
hint: 'silent, no splicing/conservation' | ||
} | ||
} | ||
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||
enum AcmgEvidenceLevel { | ||
PVS = 8, | ||
PS = 4, | ||
PM = 2, | ||
PP = 1, | ||
BA = -8, | ||
BS = -4, | ||
BP = -2 | ||
} | ||
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interface CriteriaStateType { | ||
id: string | ||
active: boolean | ||
evidence: AcmgEvidenceLevel | ||
description: string | ||
} | ||
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const CriteriaState: Record<string, CriteriaStateType> = { | ||
pvs1: { | ||
id: 'pvs1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PVS, | ||
description: | ||
'Null variant (nonsense, frameshift, canonical ±1 or 2 splice sites, initiation codon, single or multi-exon deletion) in a gene where LOF is a known mechanism of disease' | ||
}, | ||
ps1: { | ||
id: 'ps1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PS, | ||
description: | ||
'Same amino acid change as a previously established pathogenic variant regardless of nucleotide change' | ||
}, | ||
ps2: { | ||
id: 'ps2', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PS, | ||
description: | ||
'De novo (both maternity and paternity confirmed) in a patient with the disease and no family history' | ||
}, | ||
ps3: { | ||
id: 'ps3', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PS, | ||
description: | ||
'Well-established in vitro or in vivo functional studies supportive of a damaging effect on the gene or gene product' | ||
}, | ||
ps4: { | ||
id: 'ps4', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PS, | ||
description: | ||
'The prevalence of the variant in affected individuals is significantly increased compared with the prevalence in controls' | ||
}, | ||
pm1: { | ||
id: 'pm1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: | ||
'Located in a mutational hot spot and/or critical and well-established functional domain (e.g., active site of an enzyme) without benign variation' | ||
}, | ||
pm2: { | ||
id: 'pm2', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: | ||
'Absent from controls (or at extremely low frequency if recessive) in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium' | ||
}, | ||
pm3: { | ||
id: 'pm3', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: 'For recessive disorders, detected in trans with a pathogenic variant' | ||
}, | ||
pm4: { | ||
id: 'pm4', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: | ||
'Protein length changes as a result of in-frame deletions/insertions in a nonrepeat region or stop-loss variants' | ||
}, | ||
pm5: { | ||
id: 'pm5', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: | ||
'Novel missense change at an amino acid residue where a different missense change determined to be pathogenic has been seen before' | ||
}, | ||
pm6: { | ||
id: 'pm6', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PM, | ||
description: 'Assumed de novo, but without confirmation of paternity and maternity' | ||
}, | ||
pp1: { | ||
id: 'pp1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PP, | ||
description: | ||
'Cosegregation with disease in multiple affected family members in a gene definitively known to cause the disease' | ||
}, | ||
pp2: { | ||
id: 'pp2', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PP, | ||
description: | ||
'Missense variant in a gene that has a low rate of benign missense variation and in which missense variants are a common mechanism of disease' | ||
}, | ||
pp3: { | ||
id: 'pp3', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PP, | ||
description: | ||
'Multiple lines of computational evidence support a deleterious effect on the gene or gene product (conservation, evolutionary, splicing impact, etc.)' | ||
}, | ||
pp4: { | ||
id: 'pp4', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PP, | ||
description: | ||
"Patient's phenotype or family history is highly specific for a disease with a single genetic etiology" | ||
}, | ||
pp5: { | ||
id: 'pp5', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.PP, | ||
description: | ||
'Reputable source recently reports variant as pathogenic, but the evidence is not available to the laboratoryto perform an independent evaluation' | ||
}, | ||
ba1: { | ||
id: 'ba1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BA, | ||
description: | ||
'Allele frequency is >5% in Exome Sequencing Project, 1000 Genomes Project, or Exome Aggregation Consortium' | ||
}, | ||
bs1: { | ||
id: 'bs1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BS, | ||
description: 'Allele frequency is greater than expected for disorder' | ||
}, | ||
bs2: { | ||
id: 'bs2', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BS, | ||
description: | ||
'Observed in a healthy adult individual for a recessive (homozygous), dominant (heterozygous), or X-linked (hemizygous) disorder, with full penetrance expected at an early age' | ||
}, | ||
bs3: { | ||
id: 'bs3', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BS, | ||
description: | ||
'Well-established in vitro or in vivo functional studies show no damaging effect on protein function or splicing' | ||
}, | ||
bs4: { | ||
id: 'bs4', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BS, | ||
description: 'Lack of segregation in affected members of a family' | ||
}, | ||
bp1: { | ||
id: 'bp1', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: | ||
'Missense variant in a gene for which primarily truncating variants are known to cause disease' | ||
}, | ||
bp2: { | ||
id: 'bp2', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: | ||
'Observed in trans with a pathogenic variant for a fully penetrant dominant gene/disorder or observed in cis with a pathogenic variant in any inheritance pattern' | ||
}, | ||
bp3: { | ||
id: 'bp3', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: 'In-frame deletions/insertions in a repetitive region without a known function' | ||
}, | ||
bp4: { | ||
id: 'bp4', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: | ||
'Multiple lines of computational evidence suggest no impact on gene or gene product (conservation, evolutionary,splicing impact, etc.)' | ||
}, | ||
bp5: { | ||
id: 'bp5', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: 'Variant found in a case with an alternate molecular basis for disease' | ||
}, | ||
bp6: { | ||
id: 'bp6', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: | ||
'Reputable source recently reports variant as benign, but the evidence is not available to the laboratory to perform an independent evaluation' | ||
}, | ||
bp7: { | ||
id: 'bp7', | ||
active: false, | ||
evidence: AcmgEvidenceLevel.BP, | ||
description: | ||
'A synonymous (silent) variant for which splicing prediction algorithms predict no impact to the splice consensus sequence nor the creation of a new splice site AND the nucleotide is not highly conserved' | ||
} | ||
} | ||
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const ACMGRanking = { | ||
default: { ...CriteriaState }, | ||
interVar: { ...CriteriaState }, | ||
userSelected: { ...CriteriaState } | ||
} | ||
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export { | ||
type CriteriaDescType, | ||
CriteriaDefinitions, | ||
AcmgEvidenceLevel, | ||
type CriteriaStateType, | ||
CriteriaState, | ||
ACMGRanking | ||
} |
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