Legend
        Please note that a short description of a certain column can be displayed when you move your mouse cursor over the column's header and hold it still. Below, a more detailed description is shown per column.
        Effect: The variant's effect on the function of the gene/protein, displayed in the format 'R/C'. R is the value reported by the source (publication, submitter) and this classification may vary between records. C is the value concluded by the curator. Note that in some database the curator uses Summary records to give details on the classification of the variant.Values used: '+' indicating the variant affects function, '+?' probably affects function, '-' does not affect function, '-?' probably does not affect function, '?' effect unknown, '.' effect was not classified.
        
Reported: The number of times this variant has been reported in the database.
        
Exon: number of exon/intron containing variant; 2 = exon 2, 12i = intron 12, 2i_7i = from intron 2 to intron 7, 8i_9 = intron 8/exon 9 boundary, _1 = 5' to exon 1, 18_ = 3' of exon 18, _1_18_ = encompassing the entire 18-exon gene
        
DNA change (cDNA): description of variant at DNA level, based on a coding DNA reference sequence (following HGVS recommendations); e.g. c.123C>T, c.123_145del, c.123_126dup. For deletions/duplications extending beyond the reference transcript resp. {0}/{2} is used to replace del/dup. Extent of the deletion/duplication should be specified using the genomic description (g.). "-" indicates the variant described on genomic level does not affect the coding DNA reference sequence.
        
RNA change: description of variant at RNA level (following HGVS recommendations).
  - r.123c>u
 
  - r.? = unknown
 
  - r.(?) = RNA not analysed but probably transcribed copy of DNA variant
 
  - r.spl? = RNA not analysed but variant probably affects splicing
 
  - r.(spl?) = RNA not analysed but variant may affect splicing
 
  - r.0? = change expected to abolish transcription
 
        Protein: description of variant at protein level (following HGVS recommendations).
  - p.(Arg345Pro) = change predicted from DNA (RNA not analysed)
 
  - p.Arg345Pro = change derived from RNA analysis
 
  - p.? = unknown effect
 
  - p.0? = probably no protein produced
 
        P-domain: region/domain protein affected
        
Classification method: The method used for the clinical classification of this variant.
        All options:
        
          - ACMG
 
          - ACGS
 
          - EAHAD-CFDB
 
          - ENIGMA
 
          - IARC
 
          - InSiGHT
 
          - kConFab
 
          - other
 
      
        Clinical classification: Clinical classification of variant, preferably based on standardised criteria (e.g. ACMG), directed on the clinical consequences as published/submitted, indicated using an enriched system including inheritance: e.g. pathogenic, pathogenic (dominant), pathogenic (recessive), pathogenic (!), pathogenic (maternal), pathogenic (paternal). Standard inheritance is covered by dominant/recessive, imprinting by maternal/paternal. A '!' warns for exceptional circumstances to be explained in the 'Remarks' field (low penetrance, variants pathogenic in heterozygous state only, hypomorphic/hypermorphic variants, protective variants, etc.). Non-disease consequences (e.g. drug metabolism (pharmacogenetics), risk factor, blood group, tasting bitter) are indicated using additions to the benign classification; benign (dominant), benign (recessive), benign (!), etc. The value 'association' is used for variants associated with a phenotype and 'NA' for variants from in vitro/in silico records. NOTE: classification may differ from the opinion of the curator as given in a variant SUMMARY-record or the 'Functional effect concluded'). NOTE: pathogenic/likely pathogenic should go together with "variant (probably) affects function" In ClassFunctional.
        All options:
        
          - pathogenic
 
          - pathogenic (dominant)
 
          - pathogenic (recessive)
 
          - pathogenic (!)
 
          - pathogenic (maternal)
 
          - pathogenic (paternal)
 
          - likely pathogenic
 
          - likely pathogenic (dominant)
 
          - likely pathogenic (recessive)
 
          - likely pathogenic (!)
 
          - likely pathogenic (maternal)
 
          - likely pathogenic (paternal)
 
          - VUS
 
          - VUS (!)
 
          - likely benign
 
          - likely benign (dominant)
 
          - likely benign (recessive)
 
          - likely benign (!)
 
          - likely benign (maternal)
 
          - likely benign (paternal)
 
          - benign
 
          - benign (dominant)
 
          - benign (recessive)
 
          - benign (!)
 
          - benign (maternal)
 
          - benign (paternal)
 
          - conflicting
 
          - association
 
          - NA
 
      
        DNA change (genomic) (hg19): HGVS description of variant at DNA level, based on the genomic (chromosomal) DNA reference sequence; e.g. g.12345678C>T, g.12345679del, g.12345678_12345890dup
        
DNA change (hg38): HGVS description of variant at DNA level, based on the hg38 genomic (chromosomal) eference sequence; e.g. g.12345678C>T, g.12345679del, g.12345678_12345890dup
        
Published as: listed only when different from "DNA change"; variant as reported originally (e.g. 521delT). Variants seen in animal models, tested in vitro, predicted from RNA analysis, etc. are described between brackets like c.(456C>G)
        
ISCN: description of the variant according to ISCN nomenclature
        
DB-ID: database ID of variant, grouping multiple observations of the same variant together, starting with the HGNC gene symbol, followed by an underscore (_) and a six digit number (e.g. DMD_012345). _000000 is used for variants where DNA was not analysed (change predicted from RNA analysis), variants seen in animal models or variants not seen in humans but functionally tested in vitro
        
Variant remarks: remarks regarding variant described, e.g. germline mosaicism in mother, 345 kb deletion, muscle RNA analysed, not in 200 control chromosomes tested, on founder haplotype, etc.
        
Reference: publication describing the variant submitted, incl. links to OMIM, PubMed or other source, e.g. "den Dunnen ASHG2003 P2346"
        
ClinVar ID: ID of variant in ClinVar database
        
dbSNP ID: the dbSNP ID
        
Origin: Origin of variant/record: Germline = in all cells, De novo = in all cells, but not in either parent, Germline/De novo (untested) = in all cells, parents not tested (use only when De novo is likely, e.g. isolated/sporadic cases with dominant disease), Somatic = present in a subset of cells, but not in either parent, Uniparental disomy = from parental disomy (maternal or paternal), CLASSIFICATION record = submitter only sharing variant classification (note another report may share Individual data), SUMMARY record = master summary record from curator (may link to another database), In vitro (cloned) = data resulting from in vitro functional assays, animal model = data from animal model, Artefact = false positive variant call, DUPLICATE record = variant already described on another chromosome (e.g. unbalanced translocation, duplicating transposition, 2nd fusion transcript, etc.)
        All options:
        
          - Germline
 
          - De novo
 
          - Germline/De novo (untested)
 
          - Somatic
 
          - Uniparental disomy
 
          - Uniparental disomy, maternal allele
 
          - Uniparental disomy, paternal allele
 
          - CLASSIFICATION record
 
          - SUMMARY record
 
          - In vitro (cloned)
 
          - In silico
 
          - animal model
 
          - Artefact
 
          - DUPLICATE record
 
          - Unknown
 
          - Not applicable
 
      
        Segregation: Indicates whether the variant segregates with the phenotype (yes), does not segregate with the phenotype (no) or segregation is unknown (?)
        All options:
        
          - ? = unknown
 
          - yes = segregates with phenotype
 
          - no = does not segregate with phenotype
 
          - - = not applicable
 
      
        Frequency: frequency in which the variant was found; e.g 5/760 chromosomes (in 5 of 760 chromosomes tested), 1/33 patients (in 1 of 33 patients analysed in study), 0.05 controls (in 5% of control cases tested)
        
Re-site: restriction enzyme recognition site created (+) or destroyed (-); e.g. BglII+;BamHI-
        
VIP: variant VIP-status was requested for matchmaking - need collaboration(s) to crack the case - please contact the submitter/curator.
NOTE: to get VIP status ask the curator.
        
Methylation: result of methylation test; GOM (gain of methylation), LOM (loss of methylation), 30% (30% methylated). NOTE: when several tests were done mention the method as well (e.g. MS-PCR 75%)
      
 
        
        
        
          
              
            
               Effect       
             | 
          
              
            
               Reported       
             | 
          
              
            
               Exon       
             | 
          
              
            
               DNA change (cDNA)       
             | 
          
              
            
               RNA change       
             | 
          
              
            
               Protein       
             | 
          
              
            
               P-domain       
             | 
          
              
            
               Classification method       
             | 
          
              
            
               Clinical classification       
             | 
          
              
            
               DNA change (genomic) (hg19)       
             | 
          
              
            
               DNA change (hg38)       
             | 
          
              
            
               Published as       
             | 
          
              
            
               ISCN       
             | 
          
              
            
               DB-ID       
             | 
          
             
            
               Variant remarks       
             | 
          
              
            
               Reference       
             | 
          
              
            
               ClinVar ID       
             | 
          
              
            
               dbSNP ID       
             | 
          
              
            
               Origin       
             | 
          
              
            
               Segregation       
             | 
          
              
            
               Frequency       
             | 
          
              
            
               Re-site       
             | 
          
              
            
               VIP       
             | 
          
              
            
               Methylation       
             | 
          
              
            
               Owner       
             | 
        
          | +/+? | 
          5 | 
          _1_1i | 
          c.-160_(-22+1_-21-1){0} | 
          r.0? | 
          p.0? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(?_77166194)_(77166333_77227117)del | 
          g.(?_77910697)_(78003239_78009103)del | 
          c.-160-?_-22+?del, del ex1 | 
          - | 
          ATP7A_000206 | 
          no ATP7A signal in patient fibroblasts | 
          PubMed: Kaler 2008, PubMed: Kaler 2010, PubMed: Moizard 2010, PubMed: Tümer 2003, 1 more item | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/-? | 
          1 | 
          1 | 
          c.-55C>T | 
          r.(?) | 
          p.(=) | 
          - | 
          - | 
          benign | 
          g.77166299C>T | 
          - | 
          91T>C | 
          - | 
          ATP7A_000279 | 
          - | 
          Tumer unpublished, PubMed: Gu 2001, PubMed: Watanabe 2005 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          2 | 
          - | 
          c.-22+8C>G | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77166340C>G | 
          g.77910843C>G | 
          ATP7A(NM_000052.6):c.-22+8C>G, ATP7A(NM_000052.7):c.-22+8C>G | 
          - | 
          PGAM4_000021 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden, VKGL-NL_Rotterdam | 
        
          | ./. | 
          2 | 
          - | 
          c.-22+117T>C | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77166449T>C | 
          g.77910952T>C | 
          - | 
          - | 
          ATP7A_000354 | 
          - | 
          - | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Yu Sun | 
        
          | ./. | 
          1 | 
          - | 
          c.-21-3660_1336del | 
          r.spl? | 
          p.? | 
          - | 
          - | 
          pathogenic | 
          g.77223458_77245454del | 
          g.77967961_77989957del | 
          ATP7A | 
          - | 
          ATP7A_000416 | 
          - | 
          PubMed: Hu 2016 | 
          - | 
          - | 
          Germline | 
          yes | 
          - | 
          - | 
          - | 
          - | 
          Johan den Dunnen | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2696C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77224422C>T | 
          - | 
          PGAM4(NM_001029891.2):c.714G>A (p.T238=) | 
          - | 
          PGAM4_000056 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2631C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77224487C>T | 
          g.77968990C>T | 
          PGAM4(NM_001029891.2):c.649G>A (p.(Val217Ile)) | 
          - | 
          ATP7A_000359 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2614G>A | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77224504G>A | 
          - | 
          ATP7A(NM_000052.7):c.-21-2614G>A | 
          - | 
          PGAM4_000070 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Groningen | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2436A>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77224682A>T | 
          - | 
          PGAM4(NM_001029891.2):c.454T>A (p.S152T) | 
          - | 
          PGAM4_000053 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | ?/. | 
          1 | 
          - | 
          c.-21-2424C>G | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77224694C>G | 
          g.77969197C>G | 
          PGAM4(NM_001029891.2):c.442G>C (p.(Asp148His)) | 
          - | 
          ATP7A_000360 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | ./. | 
          1 | 
          - | 
          c.-21-2239C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77224879C>T | 
          g.77969382C>T | 
          - | 
          - | 
          PGAM4_000001 | 
          recurrent, found 10 times | 
          PubMed: Tarpey 2009 | 
          - | 
          - | 
          Germline | 
          - | 
          10/208 cases | 
          - | 
          - | 
          - | 
          Lucy Raymond | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2172T>A | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77224946T>A | 
          - | 
          ATP7A(NM_000052.7):c.-21-2172T>A | 
          - | 
          PGAM4_000065 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Groningen | 
        
          | ?/. | 
          1 | 
          - | 
          c.-21-2154A>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77224964A>T | 
          - | 
          PGAM4(NM_001029891.2):c.172T>A (p.S58T) | 
          - | 
          PGAM4_000054 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | ?/. | 
          1 | 
          - | 
          c.-21-2101C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77225017C>T | 
          g.77969520C>T | 
          PGAM4(NM_001029891.2):c.119G>A (p.(Arg40His)) | 
          - | 
          ATP7A_000362 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2100G>A | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77225018G>A | 
          g.77969521G>A | 
          - | 
          - | 
          ATP7A_000412 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Nijmegen | 
        
          | -?/. | 
          1 | 
          - | 
          c.-21-2061C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          likely benign | 
          g.77225057C>T | 
          g.77969560C>T | 
          PGAM4(NM_001029891.2):c.79G>A (p.D27N) | 
          - | 
          PGAM4_000003 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | ./. | 
          1 | 
          - | 
          c.-21-2019C>T | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          VUS | 
          g.77225099C>T | 
          g.77969602C>T | 
          - | 
          - | 
          PGAM4_000002 | 
          found once, nonrecurrent change | 
          PubMed: Tarpey 2009 | 
          - | 
          - | 
          Germline | 
          - | 
          1/208 cases | 
          - | 
          - | 
          - | 
          Lucy Raymond | 
        
          | +/+? | 
          3 | 
          1i_6i | 
          c.(-22+1_-21-1)_(1707+1_1708-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77258736_77264600)del | 
          g.(77910836_77971620)_(78003239_78009103)del | 
          1-?_1707+?del | 
          - | 
          ATP7A_000207 | 
          - | 
          PubMed: Tümer 1994b, PubMed: Tümer 2003, PubMed: Tümer 2003 | 
          - | 
          - | 
          De novo, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_9i | 
          c.(-22+1_-21-1)_(2172+1_2173-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77267172_77268375)del | 
          g.(77910836_77971620)_(78011675_78012878)del | 
          1-?_2172+?del | 
          - | 
          ATP7A_000208 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_14i | 
          c.(-22+1_-21-1)_(2916+1_2917-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77276578_77284747)del | 
          g.(77910836_77971620)_(78021081_78029250)del | 
          1-?_2916+?del | 
          - | 
          ATP7A_000209 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          De novo | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_14i | 
          c.(-22+1_-21-1)_(2916+1_2917-1)dup | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77276578_77284747)dup | 
          g.(77910836_77971620)_(78021081_78029250)dup | 
          r.-21_2916dup | 
          - | 
          ATP7A_000203 | 
          cDNA fragment joining exons 2 to 14 | 
          PubMed: Moizard 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_15i | 
          c.(-22+1_-21-1)_(3111+1_3112-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77284946_77286901)del | 
          g.(77910836_77971620)_(78029449_78031403)del | 
          1-?_3111+?del | 
          - | 
          ATP7A_000210 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_17i | 
          c.(-22+1_-21-1)_(3511+1_3512-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77289320_77294333)del | 
          g.(77910836_77971620)_(78033822_78038835)del | 
          1-?_3511+?del | 
          - | 
          ATP7A_000211 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          1i_18i | 
          c.(-22+1_-21-1)_(3658+1_3659-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77166333_77227117)_(77294481_77296088)del | 
          g.(77910836_77971620)_(78038983_78040590)del | 
          c.-21-?_3658+?del | 
          - | 
          ATP7A_000212 | 
          - | 
          PubMed: Moizard 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/-? | 
          13 | 
          _1 | 
          - | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          benign | 
          g.77165059del, g.77165117_77165118delinsGT, g.77165176_77165177delinsCC, g.77165183C>A, 9 more items | 
          - | 
          -1030A>C, -1033A>C, -1040--1039CC>AA, -1099--1098GT>AG, -192G>A, -842--847GC>CG, 7 more items | 
          - | 
          ATP7A_000261, ATP7A_000262, ATP7A_000263, ATP7A_000264, ATP7A_000265, ATP7A_000266, ATP7A_000267, 6 more items | 
          - | 
          PubMed: Gu 2001 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          2 | 
          _1_1i | 
          c.(-160_(-22+1_-21-1){0}), c.-160_(-22+1_-21-1){0} | 
          r.0, r.0? | 
          p.0, p.0? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.((?_77166194)_(77166333_77227117)del), g.(?_77166194)_(77166333_77227117)del | 
          g.(?_77910697)_(78003239_78009103)del | 
          c.-160u-646?_-160u-548?del, deletion promoter/exon 1 | 
          - | 
          ATP7A_000001, ATP7A_000297 | 
          2 more items | 
          PubMed: Levinson 1994, PubMed: Mercer 1994, PubMed: Levinson 1997, PubMed: Cunliffe 2001, 1 more item | 
          - | 
          - | 
          animal model, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+?, -/-? | 
          10 | 
          8i | 
          c.(?), c.? | 
          r.(?), r.? | 
          p.=, p.? | 
          - | 
          - | 
          benign, pathogenic (recessive) | 
          g.? | 
          - | 
          -45G>G or T, -660--659GG>AA, 46,X,t(X;1)(q13;q12)de novo, 46,X,t(X;13)(q13.3;q14.3)de novo, 6 more items | 
          - | 
          ATP7A_000254, ATP7A_000255, ATP7A_000256, ATP7A_000257, ATP7A_000258, ATP7A_000259, ATP7A_000260, 3 more items | 
          1 more item | 
          PubMed: Abusaad 1999, PubMed: Beck 1994, PubMed: Gerdes 1990, PubMed: Gu 2001, PubMed: Sirleto 2009, 4 more items | 
          - | 
          - | 
          De novo, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/-? | 
          1 | 
          2i | 
          c.121-796GT[16_25] | 
          r.(?) | 
          p.(=) | 
          - | 
          - | 
          benign | 
          g.77242942GT[16_25] | 
          g.77987446GT[16_25] | 
          (CA)A in intron 2 | 
          - | 
          ATP7A_000280 | 
          6 observed (GT) alleles, n= 16, 20, 21, 22, 23, 25 | 
          PubMed: Beggy 1995 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/-? | 
          1 | 
          5i | 
          c.1544-272CA[19_24] | 
          r.(?) | 
          p.(=) | 
          - | 
          - | 
          benign | 
          g.77258298CA[19_24] | 
          g.78002801CA[19_24] | 
          (CA)B in intron 5 | 
          - | 
          ATP7A_000283 | 
          6 observed (CA) alleles. n= 19, 20, 21, 22, 23, 24 | 
          PubMed: Beggy 1995 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          3 | 
          - | 
          c.92G>A | 
          r.(?) | 
          p.(Gly31Glu) | 
          - | 
          - | 
          VUS | 
          g.77227230G>A | 
          g.77971733G>A | 
          1 more item | 
          - | 
          ATP7A_000364 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden, VKGL-NL_Rotterdam, VKGL-NL_Groningen | 
        
          | +/+? | 
          2 | 
          2i_4i | 
          c.(120+1_121-1)_(1336+1_1337-1)del | 
          r.121_1336del, r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77245455_77253974)del | 
          g.(77971765_77988244)_(77989959_77998477)del | 
          c.121-?_1336+?del | 
          - | 
          ATP7A_000213 | 
          Translation reinitiation. frame shift | 
          PubMed: Tümer 2003, PubMed: Tümer 2003, PubMed: Poulsen 2000b, PubMed: Paulsen 2006 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          2i_4i | 
          c.(120+1_121-1)_(1336+1_1337-1)dup | 
          r.[=,121_1336dup,611_1336dup] | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77245455_77253974)dup | 
          g.(77971765_77988244)_(77989959_77998477)dup | 
          c.121-?_1336+?dup | 
          - | 
          ATP7A_000316 | 
          wild-type; r.121_1336dup (ex3-4, frame shift); r.611_1336dup (ex5, in-frame) | 
          PubMed: Mogensen 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          2 | 
          2i_5i | 
          c.(120+1_121-1)_(1543+1_1544-1)dup | 
          r.121_1543dup, r.[121_1543dup,1337_1543dup] | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77254183_77258570)dup | 
          g.(77971765_77988244)_(77998686_78003073)dup | 
          c.121-?_1543+?dup | 
          - | 
          ATP7A_000202 | 
          cDNA fragment joining exons 2 to 5, 1 more item | 
          PubMed: Mogensen 2011, PubMed: Moizard 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          2 | 
          2i_10i | 
          c.(120+1_121-1)_(2406+1_2407-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77268611_77270159)del | 
          g.(77971765_77988244)_(78013114_78014662)del | 
          c.121-?_2406+?del | 
          - | 
          ATP7A_000214 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          2i_13i | 
          c.(120+1_121-1)_(2781+1_2782-1)dup | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77275897_77276442)dup | 
          g.(77971765_77988244)_(78020400_78020945)dup | 
          c.121-?_2781+?dup | 
          - | 
          ATP7A_000322 | 
          - | 
          PubMed: Mogensen 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          2i_16i | 
          c.(120+1_121-1)_(3294+1_3295-1)del | 
          r.121_3294del | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77287082_77289103)del | 
          g.(77971765_77988244)_(78031584_78033605)del | 
          c.121-?_3294+?del | 
          - | 
          ATP7A_000215 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          2i_17i | 
          c.(120+1_121-1)_(3511+1_3512-1)dup | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77289320_77294333)dup | 
          g.(77971765_77988244)_(78033822_78038835)dup | 
          c.121-?_3511+?dup | 
          - | 
          ATP7A_000323 | 
          - | 
          PubMed: Mogensen 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          2i_20i | 
          c.(120+1_121-1)_(4005+1_4006-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77298287_77298814)del | 
          g.(77971765_77988244)_(78042789_78043316)del | 
          c.121-?_4005+?del | 
          - | 
          ATP7A_000216 | 
          - | 
          PubMed: Moizard 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          4 | 
          2i_23_ | 
          c.(120+1_121-1)_*3825{0} | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77227262_77243740)_(77305892_?)del | 
          g.(77971765_77988244)_(78050395_?)del | 
          c.121-?_8333+?del | 
          - | 
          ATP7A_000217 | 
          gonadal mosaicism, mother normal | 
          PubMed: Tümer 1994b, PubMed: Tümer 2003, PubMed: Tümer 2003 | 
          - | 
          - | 
          De novo, Germline, Somatic | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          1 | 
          - | 
          c.145A>G | 
          r.(?) | 
          p.(Thr49Ala) | 
          - | 
          - | 
          likely benign | 
          g.77243762A>G | 
          g.77988266A>G | 
          ATP7A(NM_000052.6):c.145A>G (p.T49A) | 
          - | 
          ATP7A_000365 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | ?/. | 
          1 | 
          - | 
          c.146C>T | 
          r.(?) | 
          p.(Thr49Ile) | 
          - | 
          - | 
          VUS | 
          g.77243763C>T | 
          g.77988267C>T | 
          ATP7A(NM_000052.7):c.146C>T (p.T49I) | 
          - | 
          PGAM4_000022 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_AMC | 
        
          | -?/. | 
          1 | 
          - | 
          c.168A>G | 
          r.(?) | 
          p.(Leu56=) | 
          - | 
          - | 
          likely benign | 
          g.77243785A>G | 
          - | 
          ATP7A(NM_000052.6):c.168A>G (p.L56=) | 
          - | 
          PGAM4_000044 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -?/. | 
          1 | 
          - | 
          c.202G>A | 
          r.(?) | 
          p.(Asp68Asn) | 
          - | 
          - | 
          likely benign | 
          g.77243819G>A | 
          - | 
          ATP7A(NM_000052.7):c.202G>A (p.(Asp68Asn)) | 
          - | 
          PGAM4_000072 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | ?/. | 
          1 | 
          - | 
          c.214G>A | 
          r.(?) | 
          p.(Asp72Asn) | 
          - | 
          - | 
          VUS | 
          g.77243831G>A | 
          g.77988335G>A | 
          ATP7A(NM_000052.6):c.214G>A (p.D72N) | 
          - | 
          ATP7A_000366 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -/-?, -/., -?/? | 
          5 | 
          3 | 
          c.327G>A | 
          r.(?) | 
          p.(Lys109=) | 
          - | 
          - | 
          benign, likely benign | 
          g.77243944G>A | 
          g.77988448G>A | 
          472G>A (K109K), ATP7A(NM_000052.6):c.327G>A (p.K109=), ATP7A(NM_000052.7):c.327G>A (p.K109=), 1 more item | 
          - | 
          ATP7A_000281 | 
          VKGL data sharing initiative Nederland, 1 more item | 
          PubMed: Poulsen 2002a, PubMed: Tarpey 2009 | 
          - | 
          - | 
          CLASSIFICATION record, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer, VKGL-NL_Rotterdam, VKGL-NL_VUmc, VKGL-NL_AMC | 
        
          | +/+? | 
          1 | 
          3 | 
          c.408_415del | 
          r.408_415del | 
          p.(Asn137Lysfs*22) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244025_77244032del | 
          g.77988529_77988536del | 
          408_415delCAATCAGA | 
          - | 
          ATP7A_000002 | 
          Normal size (frame shift) | 
          PubMed: Gerard-Blanluet 2004 | 
          - | 
          - | 
          De novo | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          1 | 
          - | 
          c.410A>G | 
          r.(?) | 
          p.(Asn137Ser) | 
          - | 
          - | 
          likely benign | 
          g.77244027A>G | 
          g.77988531A>G | 
          ATP7A(NM_000052.5):c.410A>G (p.(Asn137Ser)) | 
          - | 
          ATP7A_000367 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | -/., -?/. | 
          2 | 
          - | 
          c.491G>A | 
          r.(?) | 
          p.(Ser164Asn) | 
          - | 
          - | 
          benign, likely benign | 
          g.77244108G>A | 
          g.77988612G>A | 
          ATP7A(NM_000052.6):c.491G>A (p.S164N), ATP7A(NM_000052.7):c.491G>A (p.(Ser164Asn)) | 
          - | 
          ATP7A_000368 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden, VKGL-NL_Rotterdam | 
        
          | +/+?, ./. | 
          3 | 
          3 | 
          c.499C>T | 
          r.(?) | 
          p.(Gln167*) | 
          - | 
          - | 
          pathogenic (recessive), VUS | 
          g.77244116C>T | 
          g.77988620C>T | 
          644C>T (Q167X), C644>T | 
          - | 
          ATP7A_000055 | 
          Decreased level with NB | 
          PubMed: Das 1994 PubMed: Bell 2011, PubMed: Gu 2001 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Gerard C.P. Schaafsma, Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.520A>C | 
          r.(?) | 
          p.(Lys174Gln) | 
          - | 
          - | 
          VUS | 
          g.77244137A>C | 
          - | 
          ATP7A(NM_000052.7):c.520A>C (p.(Lys174Gln)) | 
          - | 
          PGAM4_000080 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | +/+? | 
          1 | 
          3 | 
          c.521del | 
          r.(?) | 
          p.(Lys174Argfs*2) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244138del | 
          g.77988642del | 
          521delA | 
          - | 
          ATP7A_000003 | 
          - | 
          Tümer 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          3 | 
          c.526_529dup | 
          r.(?) | 
          p.(Val177Glufs*12) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244143_77244146dup | 
          g.77988647_77988650dup | 
          177insAAG | 
          - | 
          ATP7A_000004 | 
          - | 
          PubMed: Tümer 1997 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.532G>A | 
          r.(?) | 
          p.(Glu178Lys) | 
          - | 
          - | 
          VUS | 
          g.77244149G>A | 
          g.77988653G>A | 
          - | 
          - | 
          PGAM4_000004 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Nijmegen | 
        
          | +/+? | 
          1 | 
          3 | 
          c.532G>T | 
          r.(?) | 
          p.(Glu178*) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244149G>T | 
          g.77988653G>T | 
          - | 
          - | 
          ATP7A_000056 | 
          Affected females in the family | 
          PubMed: Moller 2012 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.553T>C | 
          r.(?) | 
          p.(Cys185Arg) | 
          - | 
          - | 
          VUS | 
          g.77244170T>C | 
          g.77988674T>C | 
          ATP7A(NM_000052.6):c.553T>C (p.C185R) | 
          - | 
          ATP7A_000369 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_VUmc | 
        
          | -/., -?/. | 
          3 | 
          - | 
          c.565A>G | 
          r.(?) | 
          p.(Ile189Val) | 
          - | 
          - | 
          benign, likely benign | 
          g.77244182A>G | 
          g.77988686A>G | 
          ATP7A(NM_000052.5):c.565A>G (p.(Ile189Val)), ATP7A(NM_000052.7):c.565A>G (p.I189V) | 
          - | 
          ATP7A_000370 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden, VKGL-NL_Groningen, VKGL-NL_AMC | 
        
          | +/+? | 
          1 | 
          3 | 
          c.589C>T | 
          r.(?) | 
          p.(Gln197*) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244206C>T | 
          g.77988710C>T | 
          Q197X | 
          - | 
          ATP7A_000057 | 
          Mutation not described at sequence level in the manuscript | 
          PubMed: Kaler 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          3 | 
          c.601C>T | 
          r.(?) | 
          p.(Arg201*) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244218C>T | 
          g.77988722C>T | 
          nucleotide 746 CGA>UGA | 
          - | 
          ATP7A_000058 | 
          1 more item | 
          PubMed: Kaler 2009, PubMed: Kaler 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/., -?/. | 
          2 | 
          - | 
          c.610+8G>A | 
          r.(=) | 
          p.(=) | 
          - | 
          - | 
          benign, likely benign | 
          g.77244235G>A | 
          g.77988739G>A | 
          ATP7A(NM_000052.5):c.610+8G>A (p.(=)), ATP7A(NM_000052.7):c.610+8G>A | 
          - | 
          ATP7A_000371 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden, VKGL-NL_AMC | 
        
          | +/+? | 
          1 | 
          3i_4i | 
          c.(610+1_611-1)_(1336+1_1337-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77244228_77244728)_(77245455_77253974)del | 
          g.(77988732_77989232)_(77989959_77998477)del | 
          c.611-?_1336+?del | 
          - | 
          ATP7A_000218 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          1 | 
          - | 
          c.637A>G | 
          r.(?) | 
          p.(Ile213Val) | 
          - | 
          - | 
          likely benign | 
          g.77244755A>G | 
          g.77989259A>G | 
          ATP7A(NM_000052.6):c.637A>G (p.I213V) | 
          - | 
          ATP7A_000372 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -?/. | 
          1 | 
          - | 
          c.645T>C | 
          r.(?) | 
          p.(Tyr215=) | 
          - | 
          - | 
          likely benign | 
          g.77244763T>C | 
          g.77989267T>C | 
          ATP7A(NM_000052.6):c.645T>C (p.Y215=) | 
          - | 
          PGAM4_000023 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | +/+?, ./. | 
          2 | 
          4 | 
          c.657_661del | 
          r.(?), r.657_661del | 
          p.(Ile220Serfs*9) | 
          - | 
          - | 
          pathogenic (recessive), VUS | 
          g.77244775_77244779del | 
          g.77989279_77989283del | 
           chrX:77131431_77131435delATCTT, ATCTT deletion from 798-802 | 
          - | 
          ATP7A_000005 | 
          decreased mRNA level with NB | 
          PubMed: Das 1994 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Gerard C.P. Schaafsma, Zeynep Tümer | 
        
          | +/+?, ./. | 
          2 | 
          4 | 
          c.659_663del | 
          r.(?), r.659_663del | 
          p.(Ile220Serfs*9) | 
          - | 
          - | 
          pathogenic (recessive), VUS | 
          g.77244777_77244781del | 
          g.77989281_77989285del | 
           EXON 3, C.658_662DELATCTC, I220FS, CHRX:77131432_77131436DELATCTC, ATCTC deletion from 803-807 | 
          - | 
          ATP7A_000006 | 
          decreased mRNA level with NB | 
          PubMed: Das 1994, PubMed: Vulpe 1993 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Gerard C.P. Schaafsma, Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4 | 
          c.659_666del | 
          r.(?) | 
          p.(Ile220Argfs*8) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244777_77244784del | 
          g.77989281_77989288del | 
          659_666delTCTCAGTA | 
          - | 
          ATP7A_000007 | 
          - | 
          Tümer 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.673A>G | 
          r.(?) | 
          p.(Met225Val) | 
          - | 
          - | 
          VUS | 
          g.77244791A>G | 
          - | 
          ATP7A(NM_000052.6):c.673A>G (p.M225V) | 
          - | 
          ATP7A_000373 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_VUmc | 
        
          | +/+? | 
          1 | 
          4 | 
          c.693del | 
          r.(?) | 
          p.(Met232Trpfs*21) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77244811del | 
          g.77989315del | 
          693delT | 
          - | 
          ATP7A_000008 | 
          - | 
          Tümer 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4 | 
          c.721C>T | 
          r.611_1336del | 
          p.? | 
          2 MBD lacking | 
          - | 
          pathogenic (recessive) | 
          g.77244839C>T | 
          g.77989343C>T | 
          - | 
          - | 
          ATP7A_000059 | 
          Skips Ex4 (in-frame) | 
          PubMed: Moizard 2010 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.743G>C | 
          r.(?) | 
          p.(Gly248Ala) | 
          - | 
          - | 
          VUS | 
          g.77244861G>C | 
          - | 
          ATP7A(NM_000052.7):c.743G>C (p.(Gly248Ala)) | 
          - | 
          PGAM4_000078 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | -?/. | 
          1 | 
          - | 
          c.784T>A | 
          r.(?) | 
          p.(Ser262Thr) | 
          - | 
          - | 
          likely benign | 
          g.77244902T>A | 
          - | 
          ATP7A(NM_000052.6):c.784T>A (p.S262T) | 
          - | 
          PGAM4_000057 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | +/+? | 
          1 | 
          4 | 
          c.890del | 
          r.890del | 
          p.(Ser297Ilefs*9) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245008del | 
          g.77989512del | 
          Del G in codon 297 | 
          - | 
          ATP7A_000009 | 
          Normal size (frame shift) | 
          PubMed: Tümer 1996, PubMed: George and Casey 2001 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          2 | 
          - | 
          c.961T>C | 
          r.(?) | 
          p.(Tyr321His) | 
          - | 
          - | 
          VUS | 
          g.77245079T>C | 
          - | 
          ATP7A(NM_000052.6):c.961T>C (p.Y321H) | 
          - | 
          PGAM4_000005 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam, VKGL-NL_VUmc | 
        
          | ?/. | 
          1 | 
          - | 
          c.1000G>A | 
          r.(?) | 
          p.(Ala334Thr) | 
          - | 
          - | 
          VUS | 
          g.77245118G>A | 
          - | 
          ATP7A(NM_000052.6):c.1000G>A (p.A334T) | 
          - | 
          PGAM4_000058 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -/-? | 
          1 | 
          4 | 
          c.1007A>T | 
          r.(?) | 
          p.(Glu336Val) | 
          - | 
          - | 
          benign | 
          g.77245125A>T | 
          - | 
          1152T>A (Val336Glu) | 
          - | 
          ATP7A_000276 | 
          - | 
          PubMed: Hahn 2001 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -/., -?/., ?/? | 
          5 | 
          4 | 
          c.1009G>A | 
          r.(?) | 
          p.(Ala337Thr) | 
          - | 
          - | 
          benign, likely benign, VUS | 
          g.77245127G>A | 
          g.77989631G>A | 
          A337T, 1 more item | 
          - | 
          ATP7A_000312 | 
          VKGL data sharing initiative Nederland, 1 more item | 
          PubMed: Tarpey 2009 | 
          - | 
          - | 
          CLASSIFICATION record, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer, VKGL-NL_Leiden, VKGL-NL_Rotterdam, VKGL-NL_Utrecht, VKGL-NL_AMC | 
        
          | +/+? | 
          1 | 
          4 | 
          c.1028dup | 
          r.(?) | 
          p.(Tyr343*) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245146dup | 
          g.77989650dup | 
          1173 ins A | 
          - | 
          ATP7A_000010 | 
          - | 
          PubMed: Ogawa 1999 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.1060A>T | 
          r.(?) | 
          p.(Thr354Ser) | 
          - | 
          - | 
          VUS | 
          g.77245178A>T | 
          - | 
          ATP7A(NM_000052.5):c.1060A>T (p.(Thr354Ser)) | 
          - | 
          PGAM4_000074 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | ?/. | 
          1 | 
          - | 
          c.1072C>T | 
          r.(?) | 
          p.(Pro358Ser) | 
          - | 
          - | 
          VUS | 
          g.77245190C>T | 
          - | 
          - | 
          - | 
          PGAM4_000047 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Nijmegen | 
        
          | -/. | 
          1 | 
          - | 
          c.1128A>C | 
          r.(?) | 
          p.(Thr376=) | 
          - | 
          - | 
          benign | 
          g.77245246A>C | 
          g.77989750A>C | 
          ATP7A(NM_000052.6):c.1128A>C (p.T376=) | 
          - | 
          ATP7A_000376 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | +/+? | 
          1 | 
          4 | 
          c.1135del | 
          r.(?) | 
          p.(Thr379Leufs*2) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245253del | 
          g.77989757del | 
          379delA | 
          - | 
          ATP7A_000011 | 
          - | 
          PubMed: Tümer 1997 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/. | 
          1 | 
          - | 
          c.1139_1140del | 
          r.(?) | 
          p.(Val380AspfsTer4) | 
          - | 
          - | 
          pathogenic | 
          g.77245257_77245258del | 
          g.77989761_77989762del | 
          ATP7A(NM_000052.6):c.1139_1140delTG (p.V380Dfs*4) | 
          - | 
          ATP7A_000377 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | +/. | 
          1 | 
          - | 
          c.1145dup | 
          r.(?) | 
          p.(Asn382LysfsTer3) | 
          - | 
          - | 
          pathogenic | 
          g.77245263dup | 
          g.77989767dup | 
          ATP7A(NM_000052.6):c.1145dupA (p.N382Kfs*3) | 
          - | 
          ATP7A_000378 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -?/. | 
          1 | 
          - | 
          c.1156A>G | 
          r.(?) | 
          p.(Met386Val) | 
          - | 
          - | 
          likely benign | 
          g.77245274A>G | 
          - | 
          ATP7A(NM_000052.7):c.1156A>G (p.M386V) | 
          - | 
          PGAM4_000066 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Groningen | 
        
          | ?/. | 
          1 | 
          - | 
          c.1179G>T | 
          r.(?) | 
          p.(Gln393His) | 
          - | 
          - | 
          VUS | 
          g.77245297G>T | 
          g.77989801G>T | 
          ATP7A(NM_000052.5):c.1179G>T (p.(Gln393His)) | 
          - | 
          ATP7A_000379 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | +/+? | 
          1 | 
          4 | 
          c.1189_1192del | 
          r.(?) | 
          p.(Gly397Serfs*8) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245307_77245310del | 
          g.77989811_77989814del | 
          1189_1192delGGTG | 
          - | 
          ATP7A_000012 | 
          - | 
          Tümer 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | ?/. | 
          1 | 
          - | 
          c.1198T>A | 
          r.(?) | 
          p.(Ser400Thr) | 
          - | 
          - | 
          VUS | 
          g.77245316T>A | 
          - | 
          - | 
          - | 
          PGAM4_000048 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Nijmegen | 
        
          | ?/. | 
          1 | 
          - | 
          c.1220C>T | 
          r.(?) | 
          p.(Ser407Phe) | 
          - | 
          - | 
          VUS | 
          g.77245338C>T | 
          - | 
          ATP7A(NM_000052.5):c.1220C>T (p.(Ser407Phe)) | 
          - | 
          PGAM4_000075 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | +/+? | 
          3 | 
          4 | 
          c.1225C>T | 
          r.(?) | 
          p.(Arg409*) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245343C>T | 
          g.77989847C>T | 
          Arg409Ter (CGA>TGA) | 
          - | 
          ATP7A_000060 | 
          - | 
          Tümer 2011, PubMed: Tümer 1997 | 
          - | 
          - | 
          De novo | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4 | 
          c.1234del | 
          r.(?) | 
          p.(Ala413Glnfs*13) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245352del | 
          g.77989856del | 
          412delC | 
          - | 
          ATP7A_000013 | 
          - | 
          PubMed: Tümer 1997 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          1 | 
          - | 
          c.1270C>T | 
          r.(?) | 
          p.(Leu424=) | 
          - | 
          - | 
          likely benign | 
          g.77245388C>T | 
          g.77989892C>T | 
          ATP7A(NM_000052.6):c.1270C>T (p.L424=) | 
          - | 
          ATP7A_000380 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | -/-?, -/. | 
          2 | 
          4 | 
          c.1299A>T | 
          r.(?) | 
          p.(Gly433=) | 
          - | 
          - | 
          benign | 
          g.77245417A>T | 
          g.77989921A>T | 
          1444A>T (G433G), ATP7A(NM_000052.6):c.1299A>T (p.G433=) | 
          - | 
          ATP7A_000282, ATP7A_000381 | 
          VKGL data sharing initiative Nederland | 
          PubMed: Gu 2001 | 
          - | 
          - | 
          CLASSIFICATION record, Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer, VKGL-NL_Rotterdam | 
        
          | ?/. | 
          1 | 
          - | 
          c.1301C>A | 
          r.(?) | 
          p.(Ala434Glu) | 
          - | 
          - | 
          VUS | 
          g.77245419C>A | 
          - | 
          - | 
          - | 
          ATP7A_000421 | 
          - | 
          PubMed: Fliedner 2020, Journal: Fliedner 2020 | 
          - | 
          - | 
          Unknown | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Johan den Dunnen | 
        
          | ?/. | 
          1 | 
          - | 
          c.1303A>G | 
          r.(?) | 
          p.(Ile435Val) | 
          - | 
          - | 
          VUS | 
          g.77245421A>G | 
          g.77989925A>G | 
          ATP7A(NM_000052.6):c.1303A>G (p.I435V) | 
          - | 
          ATP7A_000382 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Rotterdam | 
        
          | +/+? | 
          1 | 
          4 | 
          c.1329del | 
          r.(?) | 
          p.(Leu444Cysfs*9) | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.77245447del | 
          g.77989951del | 
          1474delC | 
          - | 
          ATP7A_000315 | 
          - | 
          PubMed: Gu 2012 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | -?/. | 
          1 | 
          - | 
          c.1337-4C>T | 
          r.spl? | 
          p.? | 
          - | 
          - | 
          likely benign | 
          g.77253971C>T | 
          g.77998474C>T | 
          ATP7A(NM_000052.5):c.1337-4C>T (p.?) | 
          - | 
          PGAM4_000006 | 
          VKGL data sharing initiative Nederland | 
          - | 
          - | 
          - | 
          CLASSIFICATION record | 
          - | 
          - | 
          - | 
          - | 
          - | 
          VKGL-NL_Leiden | 
        
          | +/+? | 
          1 | 
          4i_6i | 
          c.(1336+1_1337-1)_(1707+1_1708-1)dup | 
          r.[=,1337_1707dup] | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77245455_77253974)_(77258736_77264600)dup | 
          g.(77989959_77998477)_(78003239_78009103)dup | 
          c.1337-?_1707+?dup | 
          - | 
          ATP7A_000317 | 
          - | 
          PubMed: Mogensen 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          2 | 
          4i_7i, 4i_8i | 
          c.(1336+1_1337-1)_(1869+1_1870-1)del | 
          r.[1337_1869del,1337_1946del] | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77245455_77253974)_((77264761_77266672)del | 
          g.(77989959_77998477)_((78009264_78011175)del | 
          c.1337-?_1869+?del, del ex5-8 | 
          - | 
          ATP7A_000219 | 
          - | 
          PubMed: Poulsen 2002b, PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4i_7i | 
          c.(1336+1_1337-1)_(1869+1_1870-1)dup | 
          r.[=,1337_1869dup] | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77245455_77253974)_((77264761_77266672)dup | 
          g.(77989959_77998477)_((78009264_78011175)dup | 
          c.1337-?_1869+?dup | 
          - | 
          ATP7A_000321 | 
          r.1337_1869dup (frame shift); r.= (wild-type) | 
          PubMed: Mogensen 2011 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4i_12i | 
          c.(1336+1_1337-1)_(2626+1_2627-1)del | 
          r.1337_2626del | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77245455_77253974)_(77271380_77275741)del | 
          g.(77989959_77998477)_(78015883_78020244)del | 
          c.1337-?_2626+?del | 
          - | 
          ATP7A_000221 | 
          - | 
          PubMed: Tümer 1994a, PubMed: 7807930, PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer | 
        
          | +/+? | 
          1 | 
          4i_18i | 
          c.(1336+1_1337-1)_(3658+1_3659-1)del | 
          r.? | 
          p.? | 
          - | 
          - | 
          pathogenic (recessive) | 
          g.(77245455_77253974)_(77294481_77296088)del | 
          g.(77989959_77998477)_(78038983_78040590)del | 
          c.1337-?_3658+?del | 
          - | 
          ATP7A_000222 | 
          - | 
          PubMed: Tümer 2003 | 
          - | 
          - | 
          Germline | 
          - | 
          - | 
          - | 
          - | 
          - | 
          Zeynep Tümer |