For P7, exomes were captured with the Agilent SureSelect Human All Exon V4+UTR kit (Agilent Technologies, Santa Clara, CA) and sequencing was performed on Illumina
HiSeq 2000 machines using standard pair-end read sequencing protocol (Illumina, San Diego, CA). Analysis was as per Falk et al. 2014 and Li et al. 2014 . Possible pathological variants found were confirmed by Sanger sequencing.
Exome sequencing for P13 was performed clinically at the Baylor Whole Genome Lab. Briefly, exomes were captured using VCRome 2.1 in-solution capture, and sequenced on Illumina HiSeq using 100 bp paired-end reads. Data analysis and interpretation was as per Yang et al. 2013 . Possible pathological variants found were confirmed by Sanger sequencing.
Exome sequencing was performed in the affected individual P14 as well as in the nonaffected parents. Exomes were enriched in solution with
SureSelect XT Target Enrichment System (Agilent Technologies) or
SeqCap EZ VCRome 2.0 (Roche NimbleGen, Madison, WI) and sequenced as 100 bp paired-end runs on a HISeq2000 or
HISeq 2500 system (Illumina).
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