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Table 1 Variants in CAPN3 gene found in LGMDR1 patients, in-silico analysis and genotype-phenotype correlation

From: Identification of novel pathogenic variants of Calpain-3 gene in limb girdle muscular dystrophy R1

Genotype-phenotype correlation

Waddling gait; wasting of biceps, triceps and supraspinatus muscle; Calf with EDB (extensor digitorum brevis) muscle and Beevor sign were observed

Waddling gait and scapular winging

Proximal weakness since 2 years

Problems in running since the last 6 years, difficulty in getting up

Difficulty in climbing stairs, getting up from squatting position. Waddling gait, scapular winging and adductor splay sign were observed

Patient needed support during walking, with presence of lordotic posture and was wheelchair bound

ACMG criteria and classification

PM1, PM2, PP2, PP3 (Likely pathogenic)

PM1, PM2, PP2, PP3, PP5 (Pathogenic)

PVS1, PM2, PM3, PP3, PP5 & PM1, PM2, PM3, PP2, PP3, PP5 (Pathogenic)

PVS1, PM2, PP3 (Pathogenic)

PM1, PM2, PP2, PP3, PP5 (Pathogenic)

PVS1, PM2, PP3, PP5 (Pathogenic)

Human Splice Site Finder

  

Acceptor splice site affected

   

Mutation Taster

Disease causing

Disease causing

Disease causing

Disease causing

Disease causing

Disease causing

Provean

del (-5.318)

del (-5.973)

del (-5.973)

 

del (-5.973)

 

PolyPhen

PD (0.929)

PD (1.000)

PD (1.000)

 

PD (1.000)

 

Mutation type

Missense

Missense

Splice site variant & missense

Insertion-deletion

Missense

Nonsense

HGVSp

p.Phe397Leu

p.Asp780His

p.Asp780His

p.Arg490Leufs*87

p.Asp780His

p.Glu647Ter

HGVSc

c.1189T > C

c.2338G > C

c.2338G > C & c.2051-1G > T

c.1688delinsTC

c.2338G > C

c.1939G > T

Genotype

Homo

Homo

Hetero

Homo

Homo

Homo

Exon

9

22

22 & splice site variant

11

22

17

Gene

CAPN3

CAPN3

CAPN3

CAPN3

CAPN3

CAPN3

Patient (Age/Sex)

1 (19/M)

2 (45/M)

3 (25/F)

4 (26/M)

5 (26/F)

6 (22/M)

  1. Homo- Homozygous, Hetero- Heterozygous, PD- Probably damaging, del- Deleterious, Variants reported based on transcripts NM_000070.3 (CAPN3)]. Novel variants found in this study are highlighted in bold. All variants are classified as per guidelines provided by American College of Medical Genetics and Genomics (ACMG) [26]. We have incorporated the ACMG criteria for all CAPN3 variants in Table 1