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    <p>Hi Amandine,</p>
    <p> The IMPACT column is a subjective classification of the severity
      of the variant consequence. It is a separate rating given for
      compatibility with other variant annotation tools e.g. snpEff. As
      this rating is subjective, you can always get the full set of
      consequences for each allele and make your own severity judgement.</p>
    <p>Information on all of our consequences can be found here: <a
        rel="nofollow"
href="https://www.ensembl.org/info/genome/variation/prediction/predicted_data.html">https://www.ensembl.org/info/genome/variation/prediction/predicted_data.html</a></p>
    <p><br>
    </p>
    <p>Best wishes,</p>
    <p>Diana <br>
    </p>
    <p><br>
    </p>
    <div class="moz-cite-prefix">On 28/10/2021 08:44, AMANDINE SEPTIER
      wrote:<br>
    </div>
    <blockquote type="cite"
      cite="mid:20211028074636.71A5762A233_17A555CB@hh-mx3.ebi.ac.uk">
      <meta http-equiv="content-type" content="text/html; charset=UTF-8">
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                  <div>Hello VEP team,<br>
                    <br>
                    Thank you very much for your tool.<br>
                    I send you this mail because I'm analyzing Exome
                    data and making CNV calls on a patients cohort.<br>
                    When I annotate SVs with VEP, it returns "MODIFIER"
                    hits for CNVs covering several exons/introns without
                    covering the entire impacted gene(s).(details below)<br>
                    Some of them are experimentally validated, so it is
                    a pity that VEP doesn't send back these CNVs. (ex :
                    CFAP251)<br>
                    Is it possible to put more weight on the
                    'feature_truncation' or 'feature_elongation'
                    variants consequences so that they have a greater
                    impact?<br>
                    This is just a discussion I'm opening up.<br>
                    Thanks in advance for your future return.<br>
                    Regards.<br>
                    <div>-- <br>
                    </div>
                    <div>
                      <div><span style="font-family: 'arial',
                          'helvetica', sans-serif; font-size: 11pt;
                          color: #000000;" data-mce-style="font-family:
                          'arial', 'helvetica', sans-serif; font-size:
                          11pt; color: #000000;">----------------------------------------------------------------------<br>
                        </span></div>
                      <div><span style="font-family: 'arial',
                          'helvetica', sans-serif; font-size: 11pt;
                          color: #000000;" data-mce-style="font-family:
                          'arial', 'helvetica', sans-serif; font-size:
                          11pt; color: #000000;">Amandine SEPTIER</span><br>
                      </div>
                      <div><span style="font-size: 11pt; font-family:
                          'arial', 'helvetica', sans-serif; color:
                          #000000;" data-mce-style="font-size: 11pt;
                          font-family: 'arial', 'helvetica', sans-serif;
                          color: #000000;">Doctorante</span><br>
                        <span style="font-family: 'arial', 'helvetica',
                          sans-serif; font-size: 11pt; color: #000000;"
                          data-mce-style="font-family: 'arial',
                          'helvetica', sans-serif; font-size: 11pt;
                          color: #000000;">Laboratoire TIMC-IMAG/MAGe,
                          CNRS UMR 5525</span><br>
                        <span style="font-family: 'arial', 'helvetica',
                          sans-serif; font-size: 11pt; color: #000000;"
                          data-mce-style="font-family: 'arial',
                          'helvetica', sans-serif; font-size: 11pt;
                          color: #000000;">Pavillon Taillefer, Faculté
                          de Médecine</span><br>
                        <span style="font-family: 'arial', 'helvetica',
                          sans-serif; font-size: 11pt; color: #000000;"
                          data-mce-style="font-family: 'arial',
                          'helvetica', sans-serif; font-size: 11pt;
                          color: #000000;">38700 La Tronche, France </span><br>
---------------------------------------------------------------</div>
                    </div>
                    <br>
                    VCF INPUT:<br>
                    ##fileformat=VCFv4.3<br>
                    ##fileDate=20211027<br>
                    ##ALT=<ID=DEL,Description="Deletion"><br>
                    ##ALT=<ID=DUP,Description="Duplication"><br>
                    ##ALT=<ID=CNV,Description="Copy number variable
                    region"><br>
##INFO=<ID=SVTYPE,Number=1,Type=String,Description="Type of
                    structural variant"><br>
##INFO=<ID=END,Number=1,Type=Integer,Description="End position of the
                    variant described in this record"><br>
##FORMAT=<ID=GT,Number=1,Type=Integer,Description="Genotype"><br>
##FORMAT=<ID=CN,Number=1,Type=Integer,Description="Copy number
                    genotype for imprecise events"><br>
                    #CHROM    POS    ID    REF    ALT    QUAL   
                    FILTER    INFO    FORMAT    S1    S2    S3<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT472_com_zimbra_phone"><a
                        href="callto:4 146867498"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:4 146867498"
                        moz-do-not-send="true">4    146867498</a></span>   
                    TTC29_HetDEL    .    <DEL>    .    .   
                    SVTYPE=DEL;END=146867583    GT:CN    0/1:1   
                    ./.:2    ./.:2<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT473_com_zimbra_phone"><a
                        href="callto:12 121908103"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121908103"
                        moz-do-not-send="true">12    121908103</a></span>   
                    CFAP251_AllGene    .    <DEL>    .    .   
                    SVTYPE=DEL;END=122003919    GT:CN    1/1:0   
                    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT474_com_zimbra_phone"><a
                        href="callto:12 121999716"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121999716"
                        moz-do-not-send="true">12    121999716</a></span>   
                    CFAP251_HomoDEL    .    <DEL>    .    .   
                    SVTYPE=DEL;END=122001598    GT:CN    1/1:0   
                    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT475_com_zimbra_phone"><a
                        href="callto:12 121999716"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121999716"
                        moz-do-not-send="true">12    121999716</a></span>   
                    CFAP251_exon20/22    .    <DEL>    .    .   
                    SVTYPE=DEL;END=121999944    GT:CN    1/1:0   
                    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT476_com_zimbra_phone"><a
                        href="callto:12 122001497"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 122001497"
                        moz-do-not-send="true">12    122001497</a></span>   
                    CFAP251_exon21/22    .    <DEL>    .    .   
                    SVTYPE=DEL;END=122001598    GT:CN    1/1:0   
                    1/1:0    1/1:0<br>
                    <br>
                    COMMAND LINE:<br>
                    vep -i VEPtest_211027.vcf --cache --offline
                    --force_overwrite --format vcf --vcf -o
                    OutVEP_211027.csv<br>
                    <br>
                    OUTPUT<br>
                    ##fileformat=VCFv4.3<br>
                    ##fileDate=20211027<br>
                    ##ALT=<ID=DEL,Description="Deletion"><br>
                    ##ALT=<ID=DUP,Description="Duplication"><br>
                    ##ALT=<ID=CNV,Description="Copy number variable
                    region"><br>
##INFO=<ID=SVTYPE,Number=1,Type=String,Description="Type of
                    structural variant"><br>
##INFO=<ID=END,Number=1,Type=Integer,Description="End position of the
                    variant described in this record"><br>
##FORMAT=<ID=GT,Number=1,Type=Integer,Description="Genotype"><br>
##FORMAT=<ID=CN,Number=1,Type=Integer,Description="Copy number
                    genotype for imprecise events"><br>
                    ##VEP="v104" time="<span class="Object" role="link"
                      id="OBJ_PREFIX_DWT477_com_zimbra_phone"><a
                        href="callto:2021-10-27 11"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:2021-10-27 11"
                        moz-do-not-send="true">2021-10-27 11</a></span>:56:04"
                    cache="/home/septiera/.vep/homo_sapiens/104_GRCh38"
                    ensembl-funcgen=104.59ae779
                    ensembl-variation=104.6154f8b ensembl=104.1af1dce
                    ensembl-io=104.1d3bb6e 1000genomes="phase3"
                    COSMIC="92" ClinVar="20210102" ESP="V2-SSA137"
                    HGMD-PUBLIC="20204" assembly="GRCh38.p13"
                    dbSNP="154" gencode="GENCODE 38" genebuild="2014-07"
                    gnomAD="r2.1.1" polyphen="2.2.2" regbuild="1.0"
                    sift="sift5.2.2"<br>
##INFO=<ID=CSQ,Number=.,Type=String,Description="Consequence
                    annotations from Ensembl VEP. Format:
Allele|Consequence|IMPACT|SYMBOL|Gene|Feature_type|Feature|BIOTYPE|EXON|INTRON|HGVSc|HGVSp|cDNA_position|CDS_position|Protein_position|Amino_acids|Codons|Existing_variation|DISTANCE|STRAND|FLAGS|SYMBOL_SOURCE|HGNC_ID"><br>
                    #CHROM    POS    ID    REF    ALT    QUAL   
                    FILTER    INFO    FORMAT    S1    S2    S3<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT478_com_zimbra_phone"><a
                        href="callto:4 146867498"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:4 146867498"
                        moz-do-not-send="true">4    146867498</a></span>   
                    TTC29_HetDEL    .    <DEL>    .    .   
SVTYPE=DEL;END=146867583;CSQ=deletion|frameshift_variant&feature_truncation|HIGH|TTC29|ENSG00000137473|Transcript|ENST00000325106|protein_coding|8/13||||1009-1093|800-884|267-295|||||-1||HGNC|HGNC:29936,deletion|frameshift_variant&feature_truncation|HIGH|TTC29|ENSG00000137473|Transcript|ENST00000504425|protein_coding|8/13||||1027-1111|800-884|267-295|||||-1||HGNC|HGNC:29936,deletion|frameshift_variant&NMD_transcript_variant&feature_truncation|HIGH|TTC29|ENSG00000137473|Transcript|ENST00000508306|nonsense_mediated_decay|8/14||||978-1062|800-884|267-295|||||-1||HGNC|HGNC:29936,deletion|frameshift_variant&feature_truncation|HIGH|TTC29|ENSG00000137473|Transcript|ENST00000513335|protein_coding|9/14||||1078-1162|878-962|293-321|||||-1||HGNC|HGNC:29936   
                    GT:CN    0/1:1    ./.:2    ./.:2<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT479_com_zimbra_phone"><a
                        href="callto:12 121908103"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121908103"
                        moz-do-not-send="true">12    121908103</a></span>   
                    CFAP251_AllGene    .    <DEL>    .    .   
SVTYPE=DEL;END=122003919;CSQ=deletion|stop_lost&coding_sequence_variant&3_prime_UTR_variant&intron_variant&feature_truncation|HIGH|PSMD9|ENSG00000110801|Transcript|ENST00000261817|protein_coding|5-6/6|4-5/5||||||||||1||HGNC|HGNC:9567,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000288912|protein_coding||||||||||||1||HGNC|HGNC:28506,deletion|transcript_ablation|HIGH|PSMD9|ENSG00000110801|Transcript|ENST00000361485|retained_intron||||||||||||1||HGNC|HGNC:9567,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000397454|protein_coding||||||||||||1||HGNC|HGNC:28506,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000428465|retained_intron||||||||||||1||HGNC|HGNC:28506,deletion|non_coding_transcript_exon_variant&feature_truncation|MODIFIER|RNU7-170P|ENSG00000239082|Transcript|ENST00000459303|snRNA|1/1||||2-?|||||||1||HGNC|HGNC:45704,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000535257|retained_intron||||||||||||1||HGNC|HGNC:28506,deletion|3_prime_UTR_variant&intron_variant&NMD_transcript_variant&feature_truncation|MODIFIER|PSMD9|ENSG00000110801|Transcript|ENST00000535293|nonsense_mediated_decay|4-5/5|3-4/4||||||||||1||HGNC|HGNC:9567,deletion|stop_lost&coding_sequence_variant&3_prime_UTR_variant&intron_variant&NMD_transcript_variant&feature_truncation|HIGH|PSMD9|ENSG00000110801|Transcript|ENST00000537407|nonsense_mediated_decay|5-7/7|4-6/6||||||||||1||HGNC|HGNC:9567,deletion|downstream_gene_variant|MODIFIER||ENSG00000255856|Transcript|ENST00000538710|lncRNA|||||||||||3515|-1|||,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000540779|retained_intron||||||||||||1||HGNC|HGNC:28506,deletion|3_prime_UTR_variant&intron_variant&NMD_transcript_variant&feature_truncation|MODIFIER|PSMD9|ENSG00000110801|Transcript|ENST00000540962|nonsense_mediated_decay|4-5/5|3-4/4||||||||||1||HGNC|HGNC:9567,deletion|stop_lost&coding_sequence_variant&3_prime_UTR_variant&intron_variant&feature_truncation|HIGH|PSMD9|ENSG00000110801|Transcript|ENST00000541212|protein_coding|5-6/6|4-5/5||||||||||1||HGNC|HGNC:9567,deletion|stop_lost&coding_sequence_variant&3_prime_UTR_variant&intron_variant&feature_truncation|HIGH|PSMD9|ENSG00000110801|Transcript|ENST00000542602|protein_coding|3-4/4|2-3/3||||||||||1||HGNC|HGNC:9567,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000543211|retained_intron||||||||||||1||HGNC|HGNC:28506,deletion|3_prime_UTR_variant&intron_variant&NMD_transcript_variant&feature_truncation|MODIFIER|PSMD9|ENSG00000110801|Transcript|ENST00000543699|nonsense_mediated_decay|5-6/6|4-5/5||||||||||1||HGNC|HGNC:9567,deletion|non_coding_transcript_exon_variant&intron_variant&feature_truncation|MODIFIER|PSMD9|ENSG00000110801|Transcript|ENST00000544254|retained_intron|2-3/3|1-2/2||||||||||1||HGNC|HGNC:9567,deletion|non_coding_transcript_exon_variant&intron_variant&feature_truncation|MODIFIER|PSMD9|ENSG00000110801|Transcript|ENST00000544724|retained_intron|3-4/4|2-3/3||||||||||1||HGNC|HGNC:9567,deletion|transcript_ablation|HIGH||ENSG00000256950|Transcript|ENST00000544911|retained_intron||||||||||||1|||,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000545752|processed_transcript||||||||||||1||HGNC|HGNC:28506,deletion|non_coding_transcript_exon_variant&intron_variant&feature_truncation|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000545988|processed_transcript|1-2/2|1/1|||?-484|||||||1||HGNC|HGNC:28506,deletion|transcript_ablation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000546044|retained_intron||||||||||||1||HGNC|HGNC:28506,deletion|3_prime_UTR_variant&intron_variant&NMD_transcript_variant&feature_truncation|MODIFIER||ENSG00000256950|Transcript|ENST00000546333|nonsense_mediated_decay|4/4|3/3||||||||||1|||   
                    GT:CN    1/1:0    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT480_com_zimbra_phone"><a
                        href="callto:12 121999716"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121999716"
                        moz-do-not-send="true">12    121999716</a></span>   
                    CFAP251_HomoDEL    .    <DEL>    .    .   
SVTYPE=DEL;END=122001598;CSQ=deletion|coding_sequence_variant&intron_variant&feature_truncation|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000288912|protein_coding|20-21/22|20/21|||3132-3461|3008-3337|1003-1113|||||1||HGNC|HGNC:28506,deletion|non_coding_transcript_exon_variant&intron_variant&feature_truncation|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000428465|retained_intron|1-2/3|1/2|||2832-3161|||||||1||HGNC|HGNC:28506,deletion|upstream_gene_variant|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000545988|processed_transcript|||||||||||106|1||HGNC|HGNC:28506   
                    GT:CN    1/1:0    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT481_com_zimbra_phone"><a
                        href="callto:12 121999716"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 121999716"
                        moz-do-not-send="true">12    121999716</a></span>   
                    CFAP251_Corrpad_exon20/22    .    <DEL>   
                    .    .   
SVTYPE=DEL;END=121999944;CSQ=deletion|inframe_deletion&feature_truncation|MODERATE|CFAP251|ENSG00000158023|Transcript|ENST00000288912|protein_coding|20/22||||3132-3359|3008-3235|1003-1079|||||1||HGNC|HGNC:28506,deletion|non_coding_transcript_exon_variant&feature_truncation|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000428465|retained_intron|1/3||||2832-3059|||||||1||HGNC|HGNC:28506,deletion|upstream_gene_variant|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000545988|processed_transcript|||||||||||1760|1||HGNC|HGNC:28506   
                    GT:CN    1/1:0    1/1:0    1/1:0<br>
                    <span class="Object" role="link"
                      id="OBJ_PREFIX_DWT482_com_zimbra_phone"><a
                        href="callto:12 122001497"
                        onclick="window.top.Com_Zimbra_Phone.unsetOnbeforeunload()"
                        data-mce-href="callto:12 122001497"
                        moz-do-not-send="true">12    122001497</a></span>   
                    CFAP251_Corrpad_exon21/22    .    <DEL>   
                    .    .   
SVTYPE=DEL;END=122001598;CSQ=deletion|frameshift_variant&feature_truncation|HIGH|CFAP251|ENSG00000158023|Transcript|ENST00000288912|protein_coding|21/22||||3361-3461|3237-3337|1079-1113|||||1||HGNC|HGNC:28506,deletion|non_coding_transcript_exon_variant&feature_truncation|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000428465|retained_intron|2/3||||3061-3161|||||||1||HGNC|HGNC:28506,deletion|upstream_gene_variant|MODIFIER|CFAP251|ENSG00000158023|Transcript|ENST00000545988|processed_transcript|||||||||||106|1||HGNC|HGNC:28506   
                    GT:CN    1/1:0    1/1:0    1/1:0<br>
                    <br>
                    <div>
                      <h3>System</h3>
                      <ul>
                        <li>VEP version: 104.3</li>
                        <li>VEP Cache version:
                          homo_sapiens_vep_104_GRCh38</li>
                        <li>Perl version: perl-5.16.3-299.el7_9.x86_64</li>
                        <li>OS: centos 7</li>
                        <li>tabix installed ? yes</li>
                      </ul>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div>
          <br>
        </div>
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