Table 1

SIX1 variants identified in subjects with CRS

Family1234567
ID7081163567F8566-1 (twin 1)F8552-1 (twin 2)L112-1569211404531
SIX1 variantc.328C>T
(p.R110W)
c.452C>T
(p.P151L)
c.31C>T
(p.Q11*)
c.31C>T
(p.Q11*)
c.64C>T
(p.Q22*)
c.373G>T
(p.E125*)
c.40G>C
(p.V14L)
c.513G>A
(p.W171*)
Variant type
(CADD score)*
Missense
(33)
Missense
(32)
Nonsense
(38)
Nonsense
(38)
Nonsense
(37)
Nonsense
(38)
Missense
(24.4)
Nonsense
(39)
Previously reported?Recurrent in BOS/BORNovel†Novel†Novel†Novel†Novel†Novel†Novel†
InheritanceDe novoInherited (paternal)Inherited
(maternal)
Inherited
(maternal)
Inherited (maternal)Inherited (maternal)De novoInherited (paternal)
Sutures affected
 Coronal (L, R)+, +
 Sagittal++++++++
 Metopic
 Lambdoid (L, R)+, ++, ++, ++, +
Syndromic featuresSpeech/language delay, ear pits/tags, unilateral neck sinus, sensorineural hearing loss.No
(borderline short stature, mild anteverted nares).
Branchial fistula.Branchial fistula, restricted growth, posterior urethral valves.Mild conductive hearing loss, unilateral branchial cyst/fistula.No.No (preauricular pits only).No (occult bilateral branchial cysts).
Family historyNot applicable.Not documented.Branchial cysts, preauricular pit (maternal branch).Hearing loss
(maternal branch).
No.Not applicable.Moderate hearing loss
(paternal branch).
  • *Combined Annotation Dependent Depletion score (CADD GRCh38-V.1.6).

  • †None of the novel variants is listed in gnomAD V.2.1.1 (minimum coverage ~245 000 alleles).15

  • BOR, branchio-oto-renal; BOS, branchio-otic syndrome; CRS, craniosynostosis; ID, identifier; L, left; R, right.