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ACMG Recommendations for Reporting of Secondary Findings in Clinical Exome and Genome Sequencing

The American College of Medical Genetics and Genomics has published recommendations for reporting secondary findings in clinical exome and genome sequencing.

The most recent recommendation is ACMG SF v3.2. Compared to the previous version, three genes were added - CALM1, CALM2, and CALM3. No genes were removed between the v3.2 and v3.1 lists.

The original published recommendation (PubMed 23788249) and the original PDF file are available, as well as clarifications and updates. Please note that NTRK1 was removed in an update to the original list.

NCBI adapted Table 1 of the original recommendation to facilitate access to information about the genes and diseases the table cites and to provide links to variation asserted to be pathogenic or likely pathogenic by at least one submitter to ClinVar. The content was generated from the MIM numbers reported in the ACMG recommendations, but disease names may be updated to correspond to what is used in MedGen for that MIM number. The link to ClinVar is provided only to support access; the results should not be interpreted as a statement that these alleles are universally accepted to be pathogenic or likely pathogenic.

YH7

Disease name and MIM number MedGen Gene via GTR Variations that may
be pathogenic
Adenomatous polyposis coli (MIM 175100) MedGen C2713442 APC (MIM 611731) ClinVar
Aortic aneurysm, familial thoracic 4 (MIM 132900) MedGen C1851504 MYH11 (MIM 160745) ClinVar
Aortic aneurysm, familial thoracic 6 (MIM 611788) MedGen C2673186 ACTA2 (MIM 102620) ClinVar
Arrhythmogenic right ventricular cardiomyopathy, type 5 (MIM 604400) MedGen C1858379 TMEM43 (MIM 612048) ClinVar
Arrhythmogenic right ventricular cardiomyopathy, type 8 (MIM 607450) MedGen C1843896 DSP (MIM 125647) ClinVar
Arrhythmogenic right ventricular cardiomyopathy, type 9 (MIM 609040) MedGen C1836906 PKP2 (MIM 602861) ClinVar
Arrhythmogenic right ventricular cardiomyopathy, type 10 (MIM 610193) MedGen C1857777 DSG2 (MIM 125671) ClinVar
Arrhythmogenic right ventricular cardiomyopathy, type 11 (MIM 610476) MedGen C1864850 DSC2 (MIM 125645) ClinVar
Biotinidase deficiency (MIM 253260) MedGen C0220754 BTD (MIM 609019) ClinVar
Breast-ovarian cancer, familial 1 (MIM 604370) MedGen C2676676 BRCA1 (MIM 113705) ClinVar
Breast-ovarian cancer, familial 2 (MIM 612555) MedGen C2675520 BRCA2 (MIM 600185) ClinVar
Brugada syndrome 1 (MIM 601144) MedGen CN029323 SCN5A (MIM 600163) ClinVar
Catecholaminergic polymorphic ventricular tachycardia 1 (MIM 604772) MedGen C4053736 RYR2 (MIM 180902) ClinVar
Catecholaminergic polymorphic ventricular tachycardia 2 (MIM 611938) MedGen C2677794 CASQ2 (MIM 114251) ClinVar
Catecholaminergic polymorphic ventricular tachycardia 4 (MIM 614916) MedGen C3554047 CALM1 (MIM 614916) ClinVar
Catecholaminergic polymorphic ventricular tachycardia 5 (MIM 615441) MedGen C3809536 TRDN (MIM 603283) ClinVar
Dilated cardiomyopathy (MIM 617047) MedGen C4310749 FLNC (MIM 102565) ClinVar
Dilated cardiomyopathy 1A (MIM 115200) MedGen C1449563 LMNA (MIM 150330) ClinVar
Dilated cardiomyopathy 1D (MIM 601494) MedGen C1832243 TNNT2 (MIM 191045) ClinVar
Dilated cardiomyopathy 1E (MIM 601154) MedGen C1832680 SCN5A (MIM 600163) ClinVar
Dilated cardiomyopathy 1I (MIM 604765) MedGen C1858154 DES (MIM 125660) ClinVar
Dilated cardiomyopathy 1S (MIM 613426) MedGen C1834481 MYH7 (MIM 160760) ClinVar
Dilated cardiomyopathy 1Z (MIM 611879) MedGen C2678475 TNNC1 (MIM 191040) ClinVar
Dilated cardiomyopathy 1DD (MIM 613172) MedGen C2750995 RBM20 (MIM 613171) ClinVar
Dilated cardiomyopathy 1HH (MIM 613881) MedGen C3151293 BAG3 (MIM 603883) ClinVar
Dilated cardiomyopathy (truncating variants only) (MIM 604145) MedGen C1858763 TTN (MIM 188840) ClinVar
Dilated cardiomyopathy with woolly hair, palmoplantar keratoderma, and tooth agenesis (MIM 615821) MedGen C4014393 DSP (MIM 125647) ClinVar
Ehlers-Danlos syndrome, type 4 (MIM 130050) MedGen C0268338 COL3A1 (MIM 120180) ClinVar
Fabry's disease (MIM 301500) MedGen C0002986 GLA (MIM 300644) ClinVar
Familial hypercholesterolemia 1 (MIM 143890) MedGen C0745103 LDLR (MIM 606945) ClinVar
Familial hypercholesterolemia 2 (MIM 144010) MedGen C1704417 APOB (MIM 107730) ClinVar
Familial hypertrophic cardiomyopathy 1 (MIM 192600) MedGen C3495498 MYH7 (MIM 160760) ClinVar
Familial hypertrophic cardiomyopathy 2 (MIM 115195) MedGen C1861864 TNNT2 (MIM 191045) ClinVar
Familial hypertrophic cardiomyopathy 3 (MIM 115196) MedGen C1861863 TPM1 (MIM 191010) ClinVar
Familial hypertrophic cardiomyopathy 4 (MIM 115197) MedGen C1861862 MYBPC3 (MIM 600958) ClinVar
Familial hypertrophic cardiomyopathy 6 (MIM 600858) MedGen C1833236 PRKAG2 (MIM 602743) ClinVar
Familial hypertrophic cardiomyopathy 7 (MIM 613690) MedGen CN069699 TNNI3 (MIM 191044) ClinVar
Familial hypertrophic cardiomyopathy 8 (MIM 608751) MedGen C1837471 MYL3 (MIM 160790) ClinVar
Familial hypertrophic cardiomyopathy 10 (MIM 608758) MedGen C1834460 MYL2 (MIM 160781) ClinVar
Familial hypertrophic cardiomyopathy 11 (MIM 612098) MedGen C2677506 ACTC1 (MIM 102540) ClinVar
Familial medullary thyroid carcinoma (MIM 155240) MedGen C1833921 RET (MIM 164761) ClinVar
Hereditary breast cancer (MIM 114480) MedGen C0346153 PALB2 (MIM 610355) ClinVar
Hereditary hemochromatosis (c.845G>A; p.C282Y homozygotes only) (MIM 235200) MedGen C3469186 HFE (MIM 613609) ClinVar
Hereditary hemorrhagic telangiectasia type 1 (MIM 187300) MedGen C4551861 ENG (MIM 131195) ClinVar
Hereditary hemorrhagic telangiectasia type 2 (MIM 600376) MedGen C1838163 ACVRL1 (MIM 601284) ClinVar
Hereditary paraganglioma-pheochromocytoma syndrome (MIM 168000, MIM 171300) MedGen C3494181, C0031511 SDHD (MIM 602690) ClinVar
Hereditary paraganglioma-pheochromocytoma syndrome (MIM 115310, MIM 171300) MedGen C1861848, C0031511 SDHB (MIM 185470) ClinVar
Hereditary transthyretin-related amyloidosis (MIM 105210) MedGen C2751492 TTR (MIM 176300) ClinVar
Hypercholesterolemia, autosomal dominant, 3 (MIM 603776) MedGen C1863551 PCSK9 (MIM 607786) ClinVar
Juvenile polyposis syndrome (MIM 174900) MedGen C0345893 BMPR1A (MIM 601299) ClinVar
Juvenile polyposis syndrome (MIM 174900) MedGen C0345893 SMAD4 (MIM 600993) ClinVar
Juvenile polyposis/hereditary hemorrhagic telangiectasia syndrome (MIM 175050) MedGen C1832942 SMAD4 (MIM 600993) ClinVar
Li-Fraumeni syndrome 1 (MIM 151623) MedGen C1835398 TP53 (MIM 191170) ClinVar
Loeys-Dietz syndrome type 1A (MIM 609192) MedGen C1836635 TGFBR1 (MIM 190181) ClinVar
Loeys-Dietz syndrome type 1B (MIM 610168) MedGen C2674876 TGFBR2 (MIM 190182) ClinVar
Loeys-Dietz syndrome type 3 (MIM 613795) MedGen C3151087 SMAD3 (MIM 603109) ClinVar
Long QT syndrome MedGen C0023976 TRDN (MIM 603283) ClinVar
Long QT syndrome 1 (MIM 192500) MedGen C0035828 KCNQ1 (MIM 607542) ClinVar
Long QT syndrome 2 (MIM 613688) MedGen C1835325 KCNH2 (MIM 152427) ClinVar
Long QT syndrome 3 (MIM 603830) MedGen C1859062 SCN5A (MIM 600163) ClinVar
Long QT syndrome 14 (MIM 616247) MedGen C4015671 CALM1 (MIM 114180) ClinVar
Long QT syndrome 15 (MIM 616249); also associated with catecholaminergic polymorphic ventricular tachycardia MedGen C4015695 CALM2 (MIM 114182) ClinVar
Long QT syndrome 16 (MIM 618782); also associated with catecholaminergic polymorphic ventricular tachycardia MedGen C5394068 CALM3 (MIM 114183) ClinVar
Lynch syndrome 1 (MIM 120435) MedGen C2936783 MSH2 (MIM 609309) ClinVar
Lynch syndrome 2 (MIM 609310) MedGen C1333991 MLH1 (MIM 120436) ClinVar
Lynch syndrome 4 (MIM 614337) MedGen C1838333 PMS2 (MIM 600259) ClinVar
Lynch syndrome 5 (MIM 614350) MedGen C1833477 MSH6 (MIM 600678) ClinVar
Malignant hyperthermia (MIM 145600) MedGen C0024591 RYR1 (MIM 180901) ClinVar
Malignant hyperthermia (MIM 601887) MedGen C1866077 CACNA1S (MIM 114208) ClinVar
Marfan's syndrome (MIM 154700) MedGen C0024796 FBN1 (MIM 134797) ClinVar
Maturity-Onset of Diabetes of the Young (MIM 600496) MedGen C1838100 HNF1A (MIM 142410) ClinVar
Multiple endocrine neoplasia, type 1 (MIM 131100) MedGen C0025267 MEN1 (MIM 613733) ClinVar
Multiple endocrine neoplasia, type 2a (MIM 171400) MedGen C0025268 RET (MIM 164761) ClinVar
Multiple endocrine neoplasia, type 2b (MIM 162300) MedGen C0025269 RET (MIM 164761) ClinVar
MYH-associated polyposis (MIM 608456) MedGen C1837991 MUTYH (MIM 604933) ClinVar
Myofibrillar myopathy 1 (MIM 601419) MedGen C1832370 DES (MIM 125660) ClinVar
Myofibrillar myopathy 5 (MIM 609524) MedGen C1836050 FLNC (MIM 102565) ClinVar
Myofibrillar myopathy 6 (MIM 612954) MedGen C2751831 BAG3 (MIM 603883) ClinVar
Neurofibromatosis, type 2 (MIM 101000) MedGen C0027832 NF2 (MIM 607379) ClinVar
Ornithine carbamoyltransferase deficiency (MIM 311250) MedGen C0268542 OTC (MIM 300461) ClinVar
Paragangliomas 2 (MIM 601650) MedGen C1866552 SDHAF2 (MIM 613019) ClinVar
Paragangliomas 3 (MIM 605373) MedGen C1854336 SDHC (MIM 602413) ClinVar
Peutz-Jeghers syndrome (MIM 175200) MedGen C0031269 STK11 (MIM 602216) ClinVar
Pheochromocytoma (MIM 171300) MedGen C0031511 MAX (MIM 154950) ClinVar
Pheochromocytoma (MIM 171300) MedGen C0031511 TMEM127 (MIM 613403) ClinVar
Pompe disease (MIM 232300) MedGen C0017921 GAA (MIM 606800) ClinVar
PTEN hamartoma tumor syndrome (MIM 158350) MedGen C1959582 PTEN (MIM 601728) ClinVar
Retinoblastoma (MIM 180200) MedGen C0035335 RB1 (MIM 614041) ClinVar
RPE65-related retinopathy (MIM 204100, MIM 613794) MedGenC1859844, C3151086 RPE65 (MIM 180069) ClinVar
Tuberous sclerosis 1 (MIM 191100) MedGen C1854465 TSC1 (MIM 605284) ClinVar
Tuberous sclerosis 2 (MIM 613254) MedGen C1860707 TSC2 (MIM 191092) ClinVar
Von Hippel-Lindau syndrome (MIM 193300) MedGen C0019562 VHL (MIM 608537) ClinVar
Wilms' tumor (MIM 194070) MedGen C0027708 WT1 (MIM 607102) ClinVar
Wilson disease (MIM 277900) MedGen C0019202 ATP7B (MIM 606882) ClinVar

Last updated: 2023-06-27T20:44:00Z