Table 2:

Nuclear and mitochondrial results of whole genome sequencing analyses

TypeNo. of variants, mean ± SDNo. of variants, median (range)No. of participantsSum (1–56)Size range (kb)
Sequence-level variants (SNVs, indels)
All3 708 264 ± 366 7083 851 444 (2 491 596–4 102 372)56207 662 805
Rare* coding1198 ± 1151188 (939–1457)5667 101
Rare potentially disease-associated
 All28.41 ± 8.4529.5 (11–43)561591
 Autosomal dominant6.77 ± 3.246 (1–15)56379
 Semidominant6.79 ± 3.357 (0–14)55380
 Autosomal recessive13.68 ± 4.7114 (4–25)56766
 X-linked0.79 ± 1.061 (0–6)3044
 Mitochondrial0.39 ± 0.680 (0–3)1722
Rare (likely) pathogenic§ or risk factor
 All3.04 ± 1.683 (0–8)53175
 Autosomal dominant0.05 ± 0.300 (0–2)23
 Semidominant0.20 ± 0.480 (0–2)911
 Autosomal recessive2.77 ± 1.632.5 (0–8)52155§§
 X-linked0 ± 00 (0)00
 Mitochondrial0.02 ± 0.130 (0–1)11
 Risk0.11 ± 0.310 (0–1)66§§
Copy number variants and other structural variants
All CNVs
 Deletion431 ± 45.90438 (275–521)5624 1401–1919 (+ mosaic X loss)
 Duplication60 ± 4.8060 (40–73)5633543–863
Rare coding** CNV
 Deletion1.23 ± 0.961 (0–4)41692–1919 (+ mosaic X loss)
 Duplication1.09 ± 0.931 (0–4)42617–863
Rare coding CNV, covering CGD genes
 Deletion0.25 ± 0.510 (0–2)13142–1919 (+ mosaic X loss)
 Duplication0.29 ± 0.450 (0–1)161615–863
Rare (likely) pathogenic§ or risk factor CNV
 Deletion0.16 ± 0.420 (0–2)89¶¶4–1919 (+ mosaic X loss)
 Duplication0 ± 00 (0)000
 Rare inversion0.02 ± 0.130 (0–1)118630
Clinically relevant pharmacogenomics diplotype††
 All3.86 ± 1.094 (1–6)56216
 Serious adverse drug reaction‡‡0.23 ± 0.430 (0–1)1313
  • Note: ACMG = American College of Medical Genetics and Genomics, CGD = Clinical Genomic Database, CNV = copy number variant, HGMD = Human Gene Mutation Database, kb = kilobase pairs, SD = standard deviation, SNV = single nucleotide variant, WGS = whole genome sequencing.

  • * Rare sequence level variants are defined as those with allele frequencies < 5% in control databases (Supplementary methods in Appendix 1).

  • Variants in CGD genes, either predicted null alleles or disease-associated in HGMD or ClinVar (Supplementary methods in Appendix 1).

  • All mitochondrial variants detected at > 5% heteroplasmy.

  • § Interpretation according to the ACMG guideline.16

  • Rare CNVs are defined as those with < 50% overlap with all gold standard variants in the Database of Genomic Variants (http://dgv.tcag.ca/) and occurring at a frequency of < 1% among all WGS-CNVs in the unrelated parents in the Autism Speaks MSSNG cohort (http://www.mss.ng/).

  • ** Coding CNVs are defined as those overlapping coding exons.

  • †† Haplotype pairs on homologous chromosomes that are associated with risk for altered drug efficacy or adverse drug reactions.

  • ‡‡ HLA-A*3101 and HLA-B*5701 associated hypersensitivity reactions; TPMT- poor/intermediate metabolizers with myelotoxicity risk.

  • §§ MUTYH variant was interpreted both as likely pathogenic (autosomal recessive) and a risk factor for colorectal cancer.

  • ¶¶ One likely pathogenic deletion (25 kb) was identified by microarray only; 3 likely pathogenic deletions (4–7 kb) were identified by WGS only.19