To address this issue, we have updated the GERP distance threshold to 0.0 and re-annotated LOFTEE in gnomAD v4.1.1. GERP distances measure evolutionary constraint, with positive values indicating conservation and negative values indicating less constraint. Terminal truncations towards the ends of transcripts do not have large negative GERP distance values, as they are not deleting a large number of bases, which meant they were not correctly being flagged with the previous threshold value (-58.0). Changing the GERP distance threshold to 0.0 updates the behavior of this flag to indicate that terminal truncations with negative GERP scores (i.e., variants that delete less evolutionarily constrained bases) are low-confidence pLoFs.
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