Dear Maida,
indeed, proposal SVD-WG010 has been rejected which means that the recommendations stay unchanged, i.e.;
- substitutions involving two or more consecutive nucleotides are described as deletion/insertion (delins) variants.
- two variants separated by one or more nucleotides should be described individually and not as a "delins" of the sequence affected. Exception: two variants separated by one nucleotide, together affecting one amino acid, should be described as a "delins".
The proposal was rejected because there were too many objections. At first sight it might be the proposal simplified HGVS nomenclature but, as several have pointed out, not all cases can be covered unequivocally by the proposal. Accepting the proposal would thus give conflicts.
Regarding your other questions;
- does the recommendation "changes involving two or more consecutive amino acids are described as a deletion/insertion variant (delins)." still apply: YES.
- the description NM_019109.5:c.[740G>T;740+5G>A] is correct, c.740_740+5delinsTGTAGA does not follow current HGVS recommendations.
- the description NM_001365308.1:c.496_498delinsA is following HGVS nomenclature, in a case like this it is allowed to shift in the opposite direction to determine the point of closest distance
Best regards,
Johan den Dunnen
HUGO HGVS Variant Nomenclature Committee (HVNC)