Supplementary Table 1. Mutation detection rate in 21 studies on hemophilia B patients
Publication
Guo et al, 2014 [1]
Li et al, 2014 [2]
Rydz et al, 2013 [3]
Radic et al, 2013 [4]
Dai et al, 2012 [5]
Miller et al, 2012 [6]
Kwon et al, 2008 [7]
Jenkins et al, 2008 [8]
Belvini et al, 2005 [9]
Jayandharan et al, 2005 [10]
Mukherjee et al, 2004 [11]
Espinos et al, 2003 [12]
Onay et al, 2003 [13]
Ljung et al, 2001 [14]
Costa et al, 2000 [15]
Liu et al, 2000 [16]
Li et al, 2000 [17]
Wulff et al, 1999 [18]
Weinmann et al, 1998 [19]
Saad et al, 1994 [20]
Tartary et al, 1993 [21]
Total
No. index cases*
34
77
45
74
238
53
29
22
24
226
267
55
29
153
33
51
59
53
26
219
44
1811
No. mutations identified
34
77
45
69
236
53
24
22
24
225
249
55
27
152
33
50
58
47
26
217
40
1763
*Studies of at least 20 patients with hemophilia B were selected.
Detection
Rate
99.2
100
82.8
100
100
100
100
93.2
100
99.6
93.3
100
93.1
99.3
100
98
98.3
88.7
100
99.1
90.9
97.4
Goodeve AC. Hemophilia B: Molecular Pathogenesis and Mutation Analysis 1 of 6
Supplementary Table 2. Factor IX missense variant data from the Exome Aggregation Consortium
Variant (rs No.)
X:138612930 C / T
X:138612931 G / A (rs148060786)
X:138612942 A / T
X:138619330 A / G
X:138633223 C / T
Exon Protein Consequence
1 p.Arg3Cys
2
6
1
1 p.Arg3His p.Ile7Phe p.Thr84Ala p.Arg162Gln
Allele
Count*
15
32
110
12
10
Allele
Number† Allele Frequency F9db‡
122548 0.0001224 0
122572
122642
122308
118670
0.0002611
0.0008969
0.00009811
0.00008427
0
3
1
0
F9db
Severity§
-
-
Mi-Se
NK
-
X:138633280 A / G (rs6048)
X:138633358 T / A
X:138633379 G / A
X:138633412 T / G (rs143128467)
X:138642945 G / A
X:138643751 C / T (rs1801202)
X:138643811 G / A (rs150351950)
X:138643892 T / G (rs147567879)
6
6
6
6
7
8
8
8 p.Thr194Ala p.Ser220Thr p.Val227Ile p.Phe238Val p.Val247Ile p.His303Tyr p.Glu323Lys p.Ser350Ala
27346
34
10
13
20
62
107
13
122476
122892
122870
122528
122918
118648
121720
122744
0.2233
0.0002767
0.00008139
0.0001061
0.0001627
0.0005226
0.0008791
0.0001059
2
0
2
0
2
0
1
0
NK
-
Mo
-
Mi-Mo
-
Mi
-
X:138644190 G / A (rs143018900) 8 p.Arg449Gln 16 121490 0.0001317 14 Mi
X:138644225 A / C (rs4149751) 8 p.Thr461Pro 55 116378 0.0004726 0 -
Data obtained from ExAC (http://exac.broadinstitute.org/ & http://www.factorix.org accessed 15 November 2014), all ExAC missense variants are listed.
*Count of minor allele; † Total alleles analysed; ‡ No. reports on F9db; § Hemophilia B severity on F9db; Mild-Mi, Moderate-Mo, Severe
Goodeve AC. Hemophilia B: Molecular Pathogenesis and Mutation Analysis 2 of 6
Supplementary Table 3. Mutations associated with inhibitors in hemophilia B
Mutation type Mutation
Frameshift
Splice
Indel
Missense
Total
Large deletion Ex1-8
Ex1
Ex1-3
Ex1-5
Ex2-5
Nonsense
Ex2-7
Ex5-8
All large deletion p.Glu35* p.Ser49* p.Phe55* (c.164_173del) p.Phe55* (c.165_169del) p.Arg75* p.Gln237* (c.719G>A ) p.Gln237* (c.720G>A ) p.Trp240* p.Arg294* p.Arg298*
All nonsense p.Tyr22fs p.Ala26fs p.Thr85fs p.Phe87fs p.Glu323fs c.839-2A>C c.839-1G>A p.Ser411delinsGly p.Gln237Lys
Data from F9db ( http://www.factorix.org accessed 15 November 2014)
† Percentage too small to be relevant
1
1
1
1
1
23
1
1
1
1
1
62
4
4
1
1
1
8
1
1
Inhibitors
No.
21
1
1
30
1
1
1
3
2
Total patients No.
1
1
1
1
5
1
1
311
63
229
1
1
4
4
11
70
1
1
1
73
1
1
69
1
60
1
1
3
2
Mutation %
A further patient is reported in the literature to have a p.Gln241His missense mutation and an inhibitor, but is not reported on F9db under inhibitor entries [22].
-
-
-
-
6
2
10
-
-
20
-
-
20
11
25
25
36
-
-
-
-
-
-
-
43
35
-†
-
-
Goodeve AC. Hemophilia B: Molecular Pathogenesis and Mutation Analysis 3 of 6
Supplementary Table 4. Resources for Candidate Mutation Analysis
Resource
HGVS
Align GVGD
Mutation taster
PolyPhen-2
Purpose
Genetic nomenclature guideline
Amino acid conservation
Amino acid conservation
Amino acid conservation
SIFT
Gene Splicer
Amino acid conservation
Splice site prediction
Human Splicing Finder Splice site prediction
MaxEntScan Splice site prediction
Web address http://www.hgvs.org/mutnomen/ http://agvgd.iarc.fr/ http://www.mutationtaster.org/ http://genetics.bwh.harvard.edu/pph2/ http://sift.jcvi.org/ http://www.cbcb.umd.edu/software/GeneSplicer/gene_spl.shtml http://www.umd.be/HSF3/ http://genes.mit.edu/burgelab/maxent/Xmaxentscan_scoreseq.html
NetGene2
NNSplice
Combined Annotation
Dependent Depletion
Splice site prediction
Splice site prediction
Deleteriousness scoring tool, examines various mutation types http://www.cbs.dtu.dk/services/NetGene2/ http://www.fruitfly.org/seq_tools/splice.html http://cadd.gs.washington.edu/
Several further links to pathogenicity analysis resources are available through the guideline documents from the ACGS [23] and ACMG [24].
Goodeve AC. Hemophilia B: Molecular Pathogenesis and Mutation Analysis 4 of 6
Supplementary References
1 Guo ZP, Yang LH, Qin XY, Liu XE, Chen JF, Zhang YF. Comprehensive analysis of phenotypes and genetics in 21 Chinese families with haemophilia B: characterization of five novel mutations.
Haemophilia. 2014; 20: 859-65.
2 Li T, Miller CH, Driggers J, Payne AB, Ellingsen D, Hooper WC. Mutation analysis of a cohort of US patients with hemophilia B. Am J Hematol. 2014; 89: 375-9.
3 Rydz N, Leggo J, Tinlin S, James P, Lillicrap D. The Canadian "National Program for hemophilia mutation testing" database: a ten-year review. Am J Hematol. 2013; 88: 1030-4.
4 Radic CP, Rossetti LC, Abelleyro MM, Candela M, Perez Bianco R, de Tezanos Pinto M, Larripa
IB, Goodeve A, De Brasi C. Assessment of the F9 genotype-specific FIX inhibitor risks and characterisation of 10 novel severe F9 defects in the first molecular series of Argentinian patients with haemophilia B. Thromb Haemost. 2013; 109: 24-33.
5 Dai J, Lu Y, Ding Q, Wang H, Xi X, Wang X. The status of carrier and prenatal diagnosis of haemophilia in China. Haemophilia. 2012; 18: 235-40.
6 Miller CH, Benson J, Ellingsen D, Driggers J, Payne A, Kelly FM, Soucie JM, Craig Hooper W,
Hemophilia Inhibitor Research Study I. F8 and F9 mutations in US haemophilia patients: correlation with history of inhibitor and race/ethnicity. Haemophilia. 2012; 18: 375-82.
7 Kwon MJ, Yoo KY, Kim HJ, Kim SH. Identification of mutations in the F9 gene including exon deletion by multiplex ligation-dependent probe amplification in 33 unrelated Korean patients with haemophilia B. Haemophilia. 2008; 14: 1069-75.
8 Jenkins PV, Egan H, Keenan C, O'Shea E, Smith OP, Nolan B, White B, O'Donnell J. Mutation analysis of haemophilia B in the Irish population: increased prevalence caused by founder effect.
Haemophilia. 2008; 14: 717-22.
9 Belvini D, Salviato R, Radossi P, Pierobon F, Mori P, Castaldo G, Tagariello G, Group AHS.
Molecular genotyping of the Italian cohort of patients with hemophilia B. Haematologica. 2005; 90:
635-42.
10 Jayandharan GR, Shaji RV, Baidya S, Nair SC, Chandy M, Srivastava A. Molecular characterization of factor IX gene mutations in 53 patients with haemophilia B in India. Thromb
Haemost. 2005; 94: 883-6.
11 Mukherjee S, Mukhopadhyay A, Banerjee D, Chandak GR, Ray K. Molecular pathology of haemophilia B: identification of five novel mutations including a LINE 1 insertion in Indian patients.
Haemophilia. 2004; 10: 259-63.
12 Espinos C, Casana P, Haya S, Cid AR, Aznar JA. Molecular analyses in hemophilia B families: identification of six new mutations in the factor IX gene. Haematologica. 2003; 88: 235-6.
13 Onay UV, Kavakli K, Kilinc Y, Gurgey A, Aktuglu G, Kemahli S, Ozbek U, Caglayan SH.
Molecular pathology of haemophilia B in Turkish patients: identification of a large deletion and 33 independent point mutations. British Journal of Haematology. 2003; 120: 656-9.
14 Ljung R, Petrini P, Tengborn L, Sjorin E. Haemophilia B mutations in Sweden: a populationbased study of mutational heterogeneity. Br J Haematol. 2001; 113: 81-6.
15 Costa JM, Ernault P, Vidaud D, Vidaud M, Meyer D, Lavergne JM. Fast and efficient mutation detection method using multiplex PCR and cycle sequencing--application to haemophilia B. Thromb
Haemost. 2000; 83: 244-7.
16 Liu JZ, Li X, Drost J, Thorland EC, Liu Q, Lind T, Roberts S, Wang HY, Sommer SS. The human factor IX gene as germline mutagen test: samples from Mainland China have the putatively endogenous pattern of mutation. Hum Mutat. 2000; 16: 31-6.
17 Li X, Drost JB, Roberts S, Kasper C, Sommer SS. Factor IX mutations in South Africans and
African Americans are compatible with primarily endogenous influences upon recent germline mutations. Hum Mutat. 2000; 16: 371.
18 Wulff K, Bykowska K, Lopaciuk S, Herrmann FH. Molecular analysis of hemophilia B in
Poland: 12 novel mutations of the factor IX gene. Acta biochimica Polonica. 1999; 46: 721-6.
Goodeve AC. Hemophilia B: Molecular Pathogenesis and Mutation Analysis 5 of 6
19 Weinmann AF, Murphy ME, Thompson AR. Consequences of factor IX mutations in 26 families with haemophilia B. Br J Haematol. 1998; 100: 58-61.
20 Saad S, Rowley G, Tagliavacca L, Green PM, Giannelli F. First report on UK database of haemophilia B mutations and pedigrees. UK Haemophilia Centres. Thromb Haemost. 1994; 71: 563-
70.
21 Tartary M, Vidaud D, Piao Y, Costa JM, Bahnak BR, Fressinaud E, Congard B, Laurian Y, Meyer
D, Lavergne JM, et al. Detection of a molecular defect in 40 of 44 patients with haemophilia B by PCR and denaturing gradient gel electrophoresis. Br J Haematol. 1993; 84: 662-9.
22 Saini S, Hamasaki-Katagiri N, Pandey GS, Yanover C, Guelcher C, Simhadri VL, Dandekar S,
Guerrera MF, Kimchi-Sarfaty C, Sauna ZE. Genetic determinants of immunogenicity to factor IX during the treatment of haemophilia B. Haemophilia. 2015; 21: 210-8.
23 Wallis Y, Payne S, McAnulty C, Bodmer D, Sistermans E, Robertson K, Moore D, Abbs S,
Deans Z, Devereau A. Practice Guidelines for the Evaluation of Pathogenicity and the Reporting of
Sequence Variants in Clinical Molecular Genetics. [cited 20 Dec 2014]; Available from: http://www.acgs.uk.com/media/774853/evaluation_and_reporting_of_sequence_variants_bpgs_ju ne_2013_-_finalpdf.pdf
24 Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, Grody WW, Hegde M, Lyon E,
Spector E, Voelkerding K, Rehm HL. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and
Genomics and the Association for Molecular Pathology. Genet Med. 2015; 17: 405-423.
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