Whole exome sequencing was performed on eight parent-patient trios (families 1–6). Genomic DNA was captured using the SureSelect XT Human All Exon V5 capture library (Agilent Technologies, Santa Clara, CA, USA), and sequenced using the Illumina HiSeq 2000 (Illumina, San Diego, CA, USA) with 100 bp paired-end reads. Exome data processing, variant calling and variant annotation were performed as described previously35 (link), 36 (link). Multiplex targeted sequencing analysis was performed on one additional patient (patient 7.1). Amplicon libraries corresponding to the 44 exons of the EPG5 gene were prepared with an Ion AmpliSeq Custom Panel (Thermo Fisher Scientific, Waltham, MA, USA), and sequenced with an Ion Torrent Personal Genome Machine (PGM) system37 (link). Sequence data was analyzed using a CLC Genomics Workbench 7.0 (CLC bio, Aarhus, Denmark) and Ion reporter (Thermo Fisher Scientific). Identified mutations were validated in all nine patients by Sanger sequencing. The breakpoints in patient 7.1 were PCR amplified and sequenced. The ClinVar accession numbers for the DNA variants reported in this paper are SCV000328413, SCV000328414, SCV000328415, SCV000328416, SCV000328417, SCV000328418, and SCV000328419 (ClinVar, https://www.ncbi.nlm.nih.gov/clinvar/).
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