MRC-Holland MLPA. Description version 29; 31 July 2015

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SALSA MLPA probemix P081-C1/P082-C1 NF1 P081 Lot C1-0114. As compared to the previous B2 version (lot 0813 and 0912), 11 target probes are replaced or added, and 10 new reference probes are included. P082 Lot C1-0114. As compared to the previous B2 version (lot 0813 and 0912), 13 new target probes are replaced or added, and 8 new reference probes are included. NEUROFIBROMATOSIS is an autosomal dominant disorder characterised particularly by café-au-lait spots and fibromatous tumours of the skin. Neurofibromatosis type I (MIM162200) is caused by defects in the NF1 gene on 17q11.2. Type II is caused by defects in the NF2 gene on chromosome 22, for which the P044 NF2 MLPA probemix can be used. These P081 and P082 MLPA probemixes can be used to identify copy number changes of the NF1 gene. Deletions of part of the NF1 gene as well as deletions and duplications of the complete NF1 gene have been described. Relatively common (5-10% of NF1 cases) is a deletion of a 1500 kb chromosomal region that includes the complete NF1 gene. This interstitial 17q11.2 microdeletion arises from unequal crossover between two highly homologous 60 kb duplications. The phenotype of the 17q11.2 microdeletion is usually much more severe than most other NF1 cases and may include severe developmental delay. The P122 NF1 area MLPA probemix can be used to determine the extent of the deletion as it contains many probes for other genes in the frequently deleted 1.5 Mb region. The NF1 gene (58 exons) spans ~200 kb of genomic DNA and is located on 17q11,2, 29 Mb from the p- telomere. The probemixes P081-C1 and P082-C1 contain one probe for each exon, three probes for exon 1, one probe for intron 1, and two probes for the exons 15, 23, 51 and 58 of the NF1 gene. These probemixes furthermore contain two probes for the OMG gene which is located within intron 36 of the NF1 gene. The database of genomic variants mentions several copy number changes in this genomic region that have been found in healthy individuals (see http://dgv.tcag.ca/dgv/app/home). In addition, 11 reference probes in probemix P081-C1 and 9 reference probes in probemix P082-C1 are included, detecting several different autosomal chromosomal locations. This SALSA probemix is designed to detect deletions/duplications of one or more sequences in the aforementioned gene(s) in a DNA sample. Heterozygous deletions of recognition sequences should give a 35-50% reduced relative peak height of the amplification product of that probe. Note that a mutation or polymorphism in the sequence detected by a probe can also cause a reduction in relative peak height, even when not located exactly on the ligation site! In addition, some probe signals are more sensitive to sample purity and small changes in experimental conditions. Therefore, deletions and duplications detected by MLPA should always be confirmed by other methods. Not all deletions and duplications detected by MLPA will be pathogenic; users should always verify the latest scientific literature when interpreting their findings. We have no information on what percentage of defects in these genes is caused by deletions/duplications of complete exons. Finally, note that most defects in this gene are expected to be small (point) mutations which will not be detected by this SALSA test. SALSA probemixes and reagents are sold by for research purposes and to demonstrate the possibilities of the MLPA technique. They are not CE/FDA certified for use in diagnostic procedures. Purchase of the SALSA test probemixes and reagents includes a limited license to use these products for research purposes. The use of a SALSA probemix and reagents requires a thermocycler with heated lid and sequence type electrophoresis equipment. Different fluorescent PCR primers are available. The MLPA technique has been first described in Nucleic Acid Research 30, e57 (2002). More information Website : www.mlpa.com E-mail : info@mlpa.com (information & technical questions); order@mlpa.com (for orders) Mail : bv; Willem Schoutenstraat 6, 1057 DN Amsterdam, the Netherlands SALSA P081/082 NF1 probemixes Page 1 of 9

Related SALSA probemixes P044 NF2: Contains probes for the NF2 gene, involved in Neurofibromatosis type 2. P122 NF1 Area: Contains probes for the 17q11.2 region, involved in Neurofibromatosis type 1. P295 SPRED1: Contains probes for the SPRED1 gene at 15q14, involved in Neurofibromatosis type I-like syndrome. References Conforti R et al. (2014). Giant thrombosed intracavernous carotid artery aneurysm presenting as Tolosa Hunt syndrome in a patient harboring a new pathogenic neurofibromatosis type 1 mutation: a case report and review of the literature. Neuropsychiatr Dis Treat. 10:135-140. Ben-Salem S et al. (2014). The mutational spectrum of the NF1 gene in neurofibromatosis type I patients from UAE. Childs Nerv Syst. 30:1183-9. Callum P et al. (2012). Gonosomal mosaicism for an NF1 deletion in a sperm donor: evidence of the need for coordinated, long-term communication of health information among relevant parties. Hum. Reprod. 27:1223-26. Thomas L et al. (2012). Exploring the somatic NF1 mutational spectrum associated with NF1 cutaneous neurofibromas. Eur J Hum Genet. 20:411-9. Valero MC et al. (2011). A highly sensitive genetic protocol to detect NF1 mutations. J Mol Diagn. 13:113-22. Havlovicova M et al. (2007). A girl with neurofibromatosis type 1, atypical autism and mosaic ring chromosome 17. Am J Med Genet A. 143:76-81. Wimmer K et al. (2006). Spectrum of single- and multi-exon NF1 copy number changes in a cohort of 1,100 unselected NF1 patients. Genes Chromosomes Cancer. 45:265-76. Data analysis The P081-C1 NF1 probemix-1 contains 45 MLPA probes with amplification products between 130 nt and 463 nt. The P082-C1 NF1 probemix-2 contains 44 MLPA probes with amplification products between 130 nt and 481 nt. In addition, both probemixes contain 9 control fragments generating an amplification product smaller than 120 nt: four DNA Quantity fragments (Q-fragments) at 64-70-76-82 nt, three DNA Denaturation control fragments (D-fragments) at 88-92-96 nt, one X-fragment at 100 nt and one Y-fragment at 105 nt. More information on how to interpret observations on these control fragments can be found in the MLPA protocol. Data generated by this probemix can first be normalised intra-sample by dividing the peak height of each probe s amplification product by the total peak height of only the reference probes in this probemix (block normalisation). Secondly, inter-sample normalisation can be achieved by dividing the intra-normalised probe ratio in a sample by the average intra-normalised probe ratio of all reference samples. Please note that this type of normalisation assumes no changes occurred in the genomic regions recognised by the reference probes. Data normalisation should be performed within one experiment. Only samples purified by the same method should be compared. Confirmation of most exons deletions and amplifications can be done by e.g. Southern blotting, long range PCR, qpcr, FISH. Note that Coffalyser, the MLPA analysis tool developed at, can be downloaded free of charge from our website www.mlpa.com. Many copy number alterations in healthy individuals are described in the database of genomic variants: http://dgv.tcag.ca/dgv/app/home. For example, a duplication of a complete gene might not be pathogenic, while a partial duplication or a deletion may result in disease. For some genes, certain in-frame deletions may result in a very mild, or no disease. Copy number changes of reference probes are unlikely to be the cause of the condition tested for. Users should always verify the latest scientific literature when interpreting their findings. This probemix was developed at. Info/remarks/suggestions for improvement: info@mlpa.com. SALSA P081/082 NF1 probemixes Page 2 of 9

Table 1a. SALSA MLPA P081-C1 NF1 probemix-1 Length (nt) SALSA MLPA probe Chromosomal position reference NF1 OMG 64-70-76-82 Q-fragments: DNA quantity; only visible with less than 100 ng sample DNA 88-92-96 D-fragments: Low signal of 88 or 96 nt fragment indicates incomplete denaturation 92 Ligation-dependent control fragment at 2q14 100 X-fragment: Specific for the X chromosome 105 Y-fragment: Specific for the Y chromosome 130 Reference probe 00797-L00463 5q31 136 * «NF1 probe 18363-L23328 downstream 142 NF1 probe 02491-L01922 Exon 1 148 * NF1 probe 18364-L23329 Exon 28 154 NF1 probe 05220-L03309 Exon 57 160 NF1 probe 02493-L01924 Exon 2 166 NF1 probe 02513-L01944 Exon 32 172 * Reference probe 09940-L10399 8q13 178 NF1 probe 02865-L02617 Exon 4 184 * NF1 probe 18367-L23332 Exon 35 190 * Reference probe 09836-L10246 11q24 196 * NF1 probe 18368-L23333 upstream 202 NF1 probe 02497-L03706 Exon 6 208 * «NF1 probe 19361-L26126 Exon 58 214 NF1 probe 02517-L26127 Exon 37 220 * NF1 probe 18032-L22398 Exon 7 226 * NF1 probe 19363-L25737 Exon 51 232 NF1 probe 13221-L26128 Exon 11 238 NF1 probe 02519-L01950 Exon 39 247 NF1 probe 03849-L03300 Exon 26 256 * Ж NF1 probe 18033-SP0601-L22399 Exon 24 264 * Reference probe 09265-L10877 10q21 272 NF1 probe 02521-L22646 Exon 41 279 * Reference probe 12437-L13438 14q24 289 NF1 probe 04071-L01954 Exon 47 298 ± NF1 probe 02503-L22647 Exon 13 304 * Reference probe 16436-L18889 18q21 312 NF1 probe 04076-L22649 Exon 15 319 NF1 probe 02525-L22650 Exon 49 328 * Reference probe 05388-L04785 12p11 337 * Ж NF1 probe 18431-SP0652-L23404 Exon 23 346 NF1 probe 02526-L01957 Exon 50 353 NF1 probe 02507-L22658 Exon 17 364 * Reference probe 16627-L19157 1q32 373 NF1 probe 02528-L01959 Exon 52 382 * Ж NF1 probe 18371-SP0647-L23336 Exon 21 391 «NF1 probe 02530-L01961 Exon 58 400 NF1 probe 04072-L03709 Exon 29 409 * Reference probe 08725-L08736 9q21 418 * Ж NF1 probe 18408-SP0653-L23405 Exon 23 427 NF1 probe 12024-L26426 Exon 18 436 NF1 probe 03853-L26427 Exon 42 445 * Reference probe 05026-L21400 2q32 454 Ø OMG probe 04075-L03310 Intron 36 of NF1 463 * Reference probe 09908-L10321 16p13 SALSA P081/082 NF1 probemixes Page 3 of 9

Table 1b. SALSA MLPA P082-C1 NF1 probemix-2 Length (nt) SALSA MLPA probe Chromosomal position reference NF1 OMG 64-70-76-82 Q-fragments: DNA quantity; only visible with less than 100 ng sample DNA 88-92-96 D-fragments: Low signal of 88 or 96 nt fragment indicates incomplete denaturation 92 Ligation-dependent control fragment at 2q14 100 X-fragment: Specific for the X chromosome 105 Y-fragment: Specific for the Y chromosome 130 Reference probe 00797-L00463 5q31 136 NF1 probe 18382-L03316 Exon 1 147 NF1 probe 02512-L01943 Exon 30 154 NF1 probe 12018-L12866 Exon 53 160 NF1 probe 02494-L01925 Exon 3 166 NF1 probe 02514-L01945 Exon 34 172 * NF1 probe 18173-L22738 Exon 5 178 * Reference probe 11571-L12318 16q21 184 * Reference probe 17862-L22121 19q13 190 Ø NF1 probe 12019-L12867 Intron 1 197 * NF1 probe 18374-L26502 Exon 36 205 NF1 probe 02498-L22716 Exon 8 211 NF1 probe 02518-L01949 Exon 38 220 * Reference probe 12427-L13428 22q12 227 * NF1 probe 19362-L26201 Exon 1 233 NF1 probe 02500-L26202 Exon 10 241 ± NF1 probe 02520-L26200 Exon 40 249 NF1 probe 12021-L26199 Exon 44 257 NF1 probe 03778-L26198 Exon 12 265 NF1 probe 02522-L01953 Exon 46 271 * Reference probe 15957-L26197 6q15 281 * Ж NF1 probe 19364-SP0809-L25738 Exon 15a 292 NF1 probe 02504-L26817 Exon 14 300 NF1 probe 02524-L22720 Exon 48 307 * NF1 probe 18034-L22721 Exon 54 317 * Ж NF1 probe 18369-SP0646-L23334 Exon 16 328 NF1 probe 13217-L22725 Exon 51 337 * NF1 probe 18370-L23335 Exon 20 345 NF1 probe 02529-L01960 Exon 55 353 * Reference probe 06708-L26176 10p11 362 * Ж NF1 probe 18174-SP0619-L22739 Exon 25 372 * Reference probe 08893-L23475 14q24 382 * NF1 probe 18035-L22401 Exon 56 391 * NF1 probe 18365-L23330 Exon 33 400 * Reference probe 08742-L12855 9q21 409 NF1 probe 18170-L26175 Exon 27 419 NF1 probe 03854-L23156 Exon 43 427 NF1 probe 12025-L23157 Exon 19 436 * NF1 probe 18036-L22765 Exon 22 444 Ø OMG probe 04069-L03311 Intron 36 of NF1 454 NF1 probe 03856-L03307 Exon 45 463 * Ж NF1 probe 18037-SP0602-L22403 Exon 9 472 * NF1 probe 18038-L26174 Exon 31 481 * Reference probe 09772-L10187 15q21 * New in version C1 (from lot C1-0114 onwards). Changed in version C1 (from lot C1-0114 onwards). Small change in length, no change in sequence detected. More variable. This probe has a high standard deviation. «This probe is located within, or close to, a very strong CpG island. A low signal of this probe can be due to incomplete sample DNA denaturation, e.g. due to the presence of salt in the sample DNA. SALSA P081/082 NF1 probemixes Page 4 of 9

Ж This probe consists of three parts and has two ligation sites. A low signal of this probe can be due to depurination of the sample DNA, e.g. due to insufficient buffering capacity or a prolonged denaturation time. Flanking probe. Included to facilitate the determination of the extent of a deletion/duplication. Copy number alterations of flanking and reference probes are unlikely to be related to the condition tested. Ø Intron probe. Only included to facilitate the determination of the extent of a deletion / duplication. Copy number alterations of a single intron probe are unlikely to be related to the condition tested. ± SNPs rs137854557 (P081: Exon 13 298 nt) and rs199474792 (P082: Exon 40 241 nt) could influence the probe signals. In case of apparent deletions, it is recommended to sequence the region targeted by this probe. Note: We have adopted the NCBI exon numbering that is present in the NM_001042492.2 and NM_000267.3 sequences for this gene. This exon numbering used here may differ from literature! The exon numbering used in previous versions of this product description, according to Hum Genet. (2001) 109:487-497 and J Med Genet. (2004) 41:e48, can be found between brackets in Table 2. Complete probe sequences are available on request: info@mlpa.com. Please notify us of any mistakes: info@mlpa.com. SALSA P081/082 NF1 probemixes Page 5 of 9

Table 2. NF1 probes arranged according to chromosomal location Length (nt) P081 P082 SALSA MLPA probe Exon Ligation site NM_000267.3 Partial sequence (24 nt adjacent to ligation site) Distance to next probe start codon 384-386 (exon 1) 196 * 18368-L23333 upstream 8.0 kb before exon 1 CAAAGCAAGTTC-AGCATCAGAGGA 7.7 kb 142 02491-L01922 Exon 1 (1) 335 nt before exon 1 GCAGAGATCCGC-GCGCTGGGAGAA 0.4 kb 227 * 19362-L26201 Exon 1 (1) 53-54 AAGGATCCCACT-TCCGGTGGGGTG 0.4 kb 136 18382-L03316 Exon 1 (1) 415-414 reverse TGACCACGGCCT-GGACCCATTCCA 0.6 kb 190 Ø 12019-L12867 Intron 1 597 nt after exon 1 TCGTCTCATCCT-GCCCCGAGAGCT 60.1 kb 160 02493-L01924 Exon 2 (2) 475-476 GCAGAACACACA-TACCAAAGTCAG 3.0 kb 160 02494-L01925 Exon 3 (2) 631-632 ATATCTCTCTCA-GTTGATTATATT 4.2 kb 178 02865-L02617 Exon 4 (4a) 735-736 TGCCAGAAATCT-GCCATTTTCTTC 6.7 kb 172 * 18173-L22738 Exon 5 (4b) 958-959 AAAATTAAAACG-ACTCCTGAAGGG 11.5 kb 202 02497-L03706 Exon 6 (4c) 1000-1001 AGCCCTAAAGAA-GGTTGCGCAGTT 0.3 kb 220 * 18032-L22398 Exon 7 (5) 1046-1047 TAGGCATTTTGG-AACTGGGTAGAA 0.9 kb 205 02498-L22716 Exon 8 (6) 1167-1168 AAAGCACCAAAC-GTAAAGCAGCAG 17.9 kb 463 * Ж 18037-SP0602 1341-1342; TGACAGAAAGTG-31 nt spanning Exon 9 (7) -L22403 1372-1373 oligo-aagtacttacat 0.6 kb 233 02500-L26202 Exon 10 (8) 1508-1509 GATGTGGATCTA-ATGATTGACTGC 0.7 kb 232 13221-L26128 Exon 11 (9) 291 nt after exon 11 TGAGAAAAATGT-CACTGAAAATAC 4.5 kb 257 03778-L26198 Exon 12 (10a) 1722-1723 TTGGTGAAACAC-TTCATAAAGCAG 8.2 kb 298 ± 02503-L22647 Exon 13 (10b) 1849-1850 GACAAGAAGCTA-TAAGTATCTTCT 4.6 kb 292 02504-L26817 Exon 14 (10c) 1985-1986 CAACTGGTCCCT-CAGTCACACATG 2.5 kb 312 04076-L22649 Exon 15a (11) 235 nt before exon 15a reverse TAACTGGCATGT-ACATATAAAGCT 0.3 kb 281 * Ж 19364-SP0809 TCAGTTAGATAG-30 nt spanning Exon 15a (11) 2053-2054; 2083-2084 -L25738 oligo-agaaacattttg 1.5 kb 317 * Ж 18369-SP0646 35 nt before exon 16; TTAGGTTATTGA-38 nt spanning Exon 16 (12a) -L23334 2107-2108 oligo-acaaatgctttt 1.8 kb 353 02507-L22658 Exon 17 (12b) 2329-2330 GGATCATGAAGA-ATTACTACGTAC 1.4 kb 427 12024-L26426 Exon 18 (13) 2587-2588 CTTGCCCAACTA-TAACACATTCAT 0.7 kb 427 12025-L23157 Exon 19 (14) 2 nt after exon 19 AACACTGAGGTA-TGCCCTTAGCAA 0.2 kb 337 * 18370-L23335 Exon 20 (15) 34 nt before exon 20 AGCTCTAGACTA-AGTTGCTTTCAA 1.9 kb 382 * Ж 18371-SP0647 3133-3134; ACGGACCAATGT-43 nt spanning Exon 21 (16) -L23336 3176-3177 oligo-atgctatttaac 0.5 kb 436 * 18036-L22765 Exon 22 (17) 3269-3270 CAATTTGTAGAA-CAAACCATAGCT 0.5 kb 418 * Ж 18408-SP0653 3434-3435; AAACTGTGTCAA-34 nt spanning Exon 23 (18) -L23405 3468-3469 oligo-tctcattttgcc 0.2 kb 337 * Ж 18431-SP0652 179 nt and 213 nt after GCCTGTGACAAT-34 nt spanning Exon 23 (18) -L23404 exon 23 oligo-taagaatttgat 0.2 kb 256 * Ж 18033-SP0601 37 nt before exon 24; GGCTTCAAAAAC-39 nt spanning Exon 24 (19a) -L22399 3498-3499 oligo-ataagatggtag 1.4 kb 362 * Ж 18174-SP0619 3681-3682; TGGAAGCCAAAT-51 nt spanning Exon 25 (19b) -L22739 34 nt after exon 25 oligo-gcaaataaagcc 0.7 kb 247 03849-L03300 Exon 26 (20) 3816-3817 TGAGGCACTGTA-CGGTCCTTGCAA 0.3 kb 409 18170-L26175 Exon 27 (21) 4002-4003 ATCGGTTTGAGA-GATTGGTGGAAC 2.6 kb 148 * 18364-L23329 Exon 28 (22) 4196-4197 GCAGACTCCATG-CAGACTCTCTTC 0.3 kb 400 04072-L03709 Exon 29 (23-1) 4323-4324 CATCCTCTGATT-GGCAACATGTTA 13.0 kb 147 02512-L01943 Exon 30 (23-2) 4390-4391 TGAGGAAAACCA-GCGGAACCTCCT 3.9 kb 472 * 18038-L26174 Exon 31 NM_001042492.2; 4497-4498 TTCTGTAGGCAA-CTTGCCACTCCC 5.5 kb 166 02513-L01944 Exon 32 (24) 4534-4535 CATCGGTGCAGT-AGGAAGTGCCAT 0.7 kb 391 * 18365-L23330 Exon 33 (25) 4732-4733 TGTGAAAAGCAA-CTTTGATGCAGC 1.3 kb 166 02514-L01945 Exon 34 (26) 4816-4817 TCTTTCCTTCAT-AAGTGACGGCAA 1.3 kb 184 * 18367-L23332 Exon 35 (27a) 4958-4959 CTTGCATACCTG-GGTCCTCCAGAG 3.4 kb 197 * 18374-L26502 Exon 36 (27b) 12 nt before exon 36 ATTACTCTGTTA-TTTTTCTTTTAG 30.3 kb 444 Ø 04069-L03311 OMG gene; Exon 2 NM_002544.4; 1073-1074, within NF1 intron 36 GCAGACAGTGGA-CACCATTAACTC 0.6 kb SALSA P081/082 NF1 probemixes Page 6 of 9

Length (nt) P081 P082 SALSA MLPA probe 454 Ø 04075-L03310 Exon OMG gene; Exon 2 Ligation site NM_000267.3 NM_002544.4; 507-506 reverse, within NF1 intron 36 Partial sequence (24 nt adjacent to ligation site) CACAGAGACCGA-GGTAAGTGAGCA Distance to next probe 30.1 kb 214 02517-L26127 Exon 37 (28) 5427-5428 GCCTCAAAGGTA-GCAAAAGGCTTG 1.5 kb 211 02518-L01949 Exon 38 (29) 5720-5721 AACCAGTTCACC-TTAACCATTGCA 2.8 kb 238 02519-L01950 Exon 39 (30) 6008-6009 CTAGAGACATCA-GGTTTATGTATC 4.5 kb 241 ± 02520-L26200 Exon 40 (31) 6178-6179 GACTCCATGGCT-GTCAAATCTAGT 1.5 kb 272 02521-L22646 Exon 41 (32) 6390-6391 CAGGTGGCTTGG-GATCAATAAAAG 0.4 kb 436 03853-L26427 Exon 42 (33) 6592-6593 GCTGTCCTTCAA-CAATTCCCTTGA 0.7 kb 419 03854-L23156 Exon 43 (34) 6800-6801 TCATTACCCAAA-TTTTACTTGCTG 0.4 kb 249 12021-L26199 Exon 44 (35) 6989-6990 ATTCCAACGTGC-AAGTGGCTGGAC 0.2 kb 454 03856-L03307 Exon 45 (36) 7075-7076 TCTTGTTGTCTT-TGGGTGTATTAG 0.7 kb 265 02522-L01953 Exon 46 (37) 7162-7163 TTGCTTAAAAGG-ACCTGACACTTA 1.8 kb 289 04071-L01954 Exon 47 (38) 7269-7270 AAGCCCTCTTTT-GGGTAGCTGTGG 2.5 kb 300 02524-L22720 Exon 48 (39) 7425-7426 ATCCTCTGGAGT-GGCACTGCAAGC 6.1 kb 319 02525-L22650 Exon 49 (40) 7535-7536 TCACCTGCTATT-GTTGCAAGAACA 1.0 kb 346 02526-L01957 Exon 50 (41) 7671-7672 AAGAAGTTCGAA-GTCGCTGCAGCC 2.1 kb 328 13217-L22725 Exon 51 (42) 7799-7800 GAGACTCAGCCA-TGGTCCTCTCCC 0.05 kb 226 * 19363-L25737 Exon 51 (42) 7860-7861 CTGTCGGCCAGA-CCAGTCCCCGAG 4.2 kb 373 02528-L01959 Exon 52 (43) 7997-7998 AGGCAAGAAATG-GAATCAGGGATC 0.5 kb 154 12018-L12866 Exon 53 (44) 8107-8108 TTTACGTAAAGT-TTCAGTGTCTGA 0.3 kb 307 * 18034-L22721 Exon 54 (45) 8229-8230 AGTTTGATCAAC-GAATTCTTTATG 1.3 kb 345 02529-L01960 Exon 55 (46) 8386-8387 GCAGAGTGTGGT-GTACCATGAAGA 0.4 kb 382 * 18035-L22401 Exon 56 (47) 2 nt before exon 56 TTGATTTGTTGC-AGGTTTTGGTTT 1.6 kb 154 05220-L03309 Exon 57 (48) 8563-8564 TGGAATTGATGA-AGAAACCAGTGA 13.5 kb 391 «02530-L01961 Exon 58 (49) 8748-8749 GCCACTGTAACA-GTGGACGAACTC 2.0 kb 208 * «19361-L26126 Exon 58 (49) 10796-10797 AGTGCCAAGGAT-GCCAAGCTGCCA 6.4 kb 136 * «18363-L23328 downstream 4.8 kb after exon 58 GGGAAGGAGCTC-AGGCTGTAATGT stop codon 8838-8840 (ex 58) * New in version C1 (from lot C1-0114 onwards). Changed in version C1 (from lot C1-0114 onwards). Small change in length, no change in sequence detected. More variable. This probe has a high standard deviation. «This probe is located within, or close to, a very strong CpG island. A low signal of this probe can be due to incomplete sample DNA denaturation, e.g. due to the presence of salt in the sample DNA. Ж This probe consists of three parts and has two ligation sites. A low signal of this probe can be due to depurination of the sample DNA, e.g. due to insufficient buffering capacity or a prolonged denaturation time. Flanking probe. Included to facilitate the determination of the extent of a deletion/duplication. Copy number alterations of flanking and reference probes are unlikely to be related to the condition tested. Ø Intron probe. Only included to facilitate the determination of the extent of a deletion / duplication. Copy number alterations of a single intron probe are unlikely to be related to the condition tested. ± SNPs rs137854557 (P081: Exon 13 298 nt) and rs199474792 (P082: Exon 40 241 nt) could influence the probe signals. In case of apparent deletions, it is recommended to sequence the region targeted by this probe. The NM_001042492.2 represents transcript variant 1 and the NM_000267.3 sequence represents transcript variant 2, both sequences are a reference standard in the NCBI RefSeqGene project. Exon 31 is not present in the NM_000267.3 transcript variant. Note: We have adopted the NCBI exon numbering that is present in the NM_001042492.2 and NM_000267.3 sequences for this gene. This exon numbering used here may differ from literature! The exon numbering used in previous versions of this product description, according to Hum Genet. (2001) 109:487-497 and J Med Genet. (2004) 41:e48, can be found between brackets in Table 2. Complete probe sequences are available on request: info@mlpa.com. Please notify us of any mistakes: info@mlpa.com. SALSA P081/082 NF1 probemixes Page 7 of 9

SALSA MLPA probemix P081-C1/P082-C1 NF1 sample pictures 50000 45000 40000 35000 30000 25000 20000 15000 96.58 86.59 91.30 105.62 100.78 128.22 139.55 165.05 207.92 202.45 176.97 219.95 146.23 195.79 214.48 134.71 151.73 237.88 231.54 263.73 278.29 170.90 225.80 246.86 270.77 182.78 288.85 157.90 189.32 255.70 319.05 311.62 303.54 297.11 328.87 336.28 352.62 345.30 362.77 372.89 382.79 390.16 399.35 409.23 418.95 464.07 454.77 427.09 446.64 436.21 10000 D ye S ign al 5000 0 79.61 50 100 150 200 250 300 350 400 450 Size (nt) Figure 1. Capillary electrophoresis pattern of a sample of approximately 50 ng human male control DNA analysed with SALSA MLPA probemix P081-C1 NF1 probemix-1 (lot C1-0114). 80000 96.46 70000 60000 50000 40000 86.20 91.20 105.57 128.22 134.16 159.20 176.76 151.68 145.23 165.17 170.68 183.25 189.69 196.45 210.82 205.02 220.18 241.23 233.30 226.83 248.59 256.68 263.24 270.51 280.00 291.64 316.14 306.49 371.44 360.83 381.64 343.94 398.80 337.45 391.97 326.37 352.58 409.36 299.24 419.88 427.32 436.01 443.36 455.25 472.86 464.66 481.63 30000 100.72 20000 D ye Signal 10000 0 66.92 100 150 200 250 300 350 400 450 Size (nt) Figure 2. Capillary electrophoresis pattern of a sample of approximately 50 ng human male control DNA analysed with SALSA MLPA probemix P082-C1 NF1 probemix-2 (lot C1-0114). SALSA P081/082 NF1 probemixes Page 8 of 9

Implemented Changes compared to the previous product description versions. Version 29 31 July 2015 (54) - Warnings added in Table 1 and Table 2. Low signals for probes that consist of three parts can be due to depurination of the sample DNA. Version 28 (53) - Product description adapted to a new product version (version number changed, lot number added, small changes in Table 1 and Table 2, new picture included). - New references added on page 1. Version 27 (53) - Product description adapted to a new lot (lot number added, small changes in Table 1 and Table 2, new picture included). Version 26 (53) - Warning added to NF1 probe 02506-L02619 under table 1 and 2. This probe is more sensitive to experimental variation, due to a less stable binding of the probe to the DNA. Version 25 (48) - Warning added to NF1 probe 02521 L01952 under table 1. This probe is more sensitive to experimental variation, due to a less stable binding of the probe to the DNA. Version 24 (48) - Warning added below Table 1b and 2, probe 178 nt 02496-L01927. Version 23 (48) - Electropherogram pictures using the new MLPA buffer (introduced in December 2012) added. Version 22 (48) - Product description adapted to a new version (lot number added, new pictures included, small textual changes, more reference articles added). Version 21 (46) - Exon numbering mistakes corrected in Table 1 and 2. Version 20 - Product description adapted to a new lot (lot number added, new picture included). - Ligation sites updated according to new version of the NM_reference sequence. - Small changes of probe lengths in Table 1 and 2 in order to better reflect the true lengths of the amplification products. Version 19 - Mistake in exon numbering has been corrected as indicated in the tables. - Various minor textual changes on page 1, minor changes in the data analysis section on page 2. - Tables have been numbered. - Sentence when only small numbers of samples are tested, visual comparison of peak profiles should be sufficient removed from data analysis section. SALSA P081/082 NF1 probemixes Page 9 of 9