High prevalence of multilocus pathogenic variation in neurodevelopmental disorders in the Turkish population.


Journal

American journal of human genetics
ISSN: 1537-6605
Titre abrégé: Am J Hum Genet
Pays: United States
ID NLM: 0370475

Informations de publication

Date de publication:
07 10 2021
Historique:
received: 09 03 2021
accepted: 20 08 2021
pubmed: 29 9 2021
medline: 16 11 2021
entrez: 28 9 2021
Statut: ppublish

Résumé

Neurodevelopmental disorders (NDDs) are clinically and genetically heterogenous; many such disorders are secondary to perturbation in brain development and/or function. The prevalence of NDDs is > 3%, resulting in significant sociocultural and economic challenges to society. With recent advances in family-based genomics, rare-variant analyses, and further exploration of the Clan Genomics hypothesis, there has been a logarithmic explosion in neurogenetic "disease-associated genes" molecular etiology and biology of NDDs; however, the majority of NDDs remain molecularly undiagnosed. We applied genome-wide screening technologies, including exome sequencing (ES) and whole-genome sequencing (WGS), to identify the molecular etiology of 234 newly enrolled subjects and 20 previously unsolved Turkish NDD families. In 176 of the 234 studied families (75.2%), a plausible and genetically parsimonious molecular etiology was identified. Out of 176 solved families, deleterious variants were identified in 218 distinct genes, further documenting the enormous genetic heterogeneity and diverse perturbations in human biology underlying NDDs. We propose 86 candidate disease-trait-associated genes for an NDD phenotype. Importantly, on the basis of objective and internally established variant prioritization criteria, we identified 51 families (51/176 = 28.9%) with multilocus pathogenic variation (MPV), mostly driven by runs of homozygosity (ROHs) - reflecting genomic segments/haplotypes that are identical-by-descent. Furthermore, with the use of additional bioinformatic tools and expansion of ES to additional family members, we established a molecular diagnosis in 5 out of 20 families (25%) who remained undiagnosed in our previously studied NDD cohort emanating from Turkey.

Identifiants

pubmed: 34582790
pii: S0002-9297(21)00308-6
doi: 10.1016/j.ajhg.2021.08.009
pmc: PMC8546040
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1981-2005

Subventions

Organisme : NIGMS NIH HHS
ID : T32 GM007526
Pays : United States
Organisme : NHGRI NIH HHS
ID : K08 HG008986
Pays : United States
Organisme : NHGRI NIH HHS
ID : U01 HG011758
Pays : United States
Organisme : NHGRI NIH HHS
ID : UM1 HG006542
Pays : United States
Organisme : NHGRI NIH HHS
ID : U54 HG003273
Pays : United States
Organisme : NINDS NIH HHS
ID : R35 NS105078
Pays : United States
Organisme : NIGMS NIH HHS
ID : R01 GM132589
Pays : United States

Informations de copyright

Copyright © 2021 American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of interests J.R.L. has stock ownership in 23andMe, is a paid consultant for the Regeneron Genetics Center, and is a co-inventor on multiple United States and European patents related to molecular diagnostics for inherited neuropathies, eye diseases, and bacterial genomic fingerprinting. The Department of Molecular and Human Genetics at Baylor College of Medicine receives revenue from clinical genetic testing conducted at Baylor Genetics (BG) Laboratories. J.R.L. serves on the Scientific Advisory Board of BG. Other authors have no potential conflicts to report.

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Auteurs

Tadahiro Mitani (T)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Sedat Isikay (S)

Department of Pediatric Neurology, Faculty of Medicine, University of Gaziantep, Gaziantep 27310, Turkey.

Alper Gezdirici (A)

Department of Medical Genetics, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, Turkey.

Elif Yilmaz Gulec (EY)

Department of Medical Genetics, Kanuni Sultan Suleyman Training and Research Hospital, 34303 Istanbul, Turkey.

Jaya Punetha (J)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Jawid M Fatih (JM)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Isabella Herman (I)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Section of Pediatric Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.

Gulsen Akay (G)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Haowei Du (H)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Daniel G Calame (DG)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Section of Pediatric Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA.

Akif Ayaz (A)

Department of Medical Genetics, Adana City Training and Research Hospital, Adana 01170, Turkey; Departments of Medical Genetics, School of Medicine, Istanbul Medipol University, Istanbul 34810, Turkey.

Tulay Tos (T)

University of Health Sciences Zubeyde Hanim Research and Training Hospital of Women's Health and Diseases, Department of Medical Genetics, Ankara 06080, Turkey.

Gozde Yesil (G)

Istanbul Faculty of Medicine, Department of Medical Genetics, Istanbul University, Istanbul 34093, Turkey.

Hatip Aydin (H)

Centre of Genetics Diagnosis, Zeynep Kamil Maternity and Children's Training and Research Hospital, Istanbul, Turkey; Private Reyap Istanbul Hospital, Istanbul 34515, Turkey.

Bilgen Geckinli (B)

Centre of Genetics Diagnosis, Zeynep Kamil Maternity and Children's Training and Research Hospital, Istanbul, Turkey; Department of Medical Genetics, School of Medicine, Marmara University, Istanbul 34722, Turkey.

Nursel Elcioglu (N)

Department of Pediatric Genetics, School of Medicine, Marmara University, Istanbul 34722, Turkey; Eastern Mediterranean University Medical School, Magosa, Mersin 10, Turkey.

Sukru Candan (S)

Medical Genetics Section, Balikesir Ataturk Public Hospital, Balikesir 10100, Turkey.

Ozlem Sezer (O)

Department of Medical Genetics, Samsun Education and Research Hospital, Samsun 55100, Turkey.

Haktan Bagis Erdem (HB)

Department of Medical Genetics, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara 06110, Turkey.

Davut Gul (D)

Department of Medical Genetics, Gulhane Military Medical School, Ankara 06010, Turkey.

Emine Demiral (E)

Department of Medical Genetics, School of Medicine, University of Inonu, Malatya 44280, Turkey.

Muhsin Elmas (M)

Department of Medical Genetics, Afyon Kocatepe University, School of Medicine, Afyon 03218, Turkey.

Osman Yesilbas (O)

Division of Critical Care Medicine, Department of Pediatrics, School of Medicine, Bezmialem Foundation University, Istanbul 34093, Turkey; Department of Pediatrics, Division of Pediatric Critical Care Medicine, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.

Betul Kilic (B)

Department of Pediatrics and Pediatric Neurology, Faculty of Medicine, Inonu University, Malatya 34218, Turkey.

Serdal Gungor (S)

Department of Pediatrics and Pediatric Neurology, Faculty of Medicine, Inonu University, Malatya 34218, Turkey.

Ahmet C Ceylan (AC)

Department of Medical Genetics, University of Health Sciences, Ankara Training and Research Hospital, Ankara 06110, Turkey.

Sevcan Bozdogan (S)

Department of Medical Genetics, Cukurova University Faculty of Medicine, Adana 01330, Turkey.

Ozge Ozalp (O)

Department of Medical Genetics, Adana City Training and Research Hospital, Adana 01170, Turkey.

Salih Cicek (S)

Department of Medical Genetics, Konya Training and Research Hospital, Konya 42250, Turkey.

Huseyin Aslan (H)

Department of Medical Genetics, Adana City Training and Research Hospital, Adana 01170, Turkey.

Sinem Yalcintepe (S)

Department of Medical Genetics, School of Medicine, Trakya University, Edirne 22130, Turkey.

Vehap Topcu (V)

Department of Medical Genetics, Ankara City Hospital, Ankara 06800, Turkey.

Yavuz Bayram (Y)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Christopher M Grochowski (CM)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Angad Jolly (A)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Medical Scientist Training Program, Baylor College of Medicine, Houston, TX 77030, USA.

Moez Dawood (M)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Medical Scientist Training Program, Baylor College of Medicine, Houston, TX 77030, USA; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Ruizhi Duan (R)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Shalini N Jhangiani (SN)

Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Harsha Doddapaneni (H)

Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Jianhong Hu (J)

Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Donna M Muzny (DM)

Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Dana Marafi (D)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Zeynep Coban Akdemir (ZC)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Ender Karaca (E)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Claudia M B Carvalho (CMB)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

Richard A Gibbs (RA)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.

Jennifer E Posey (JE)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.

James R Lupski (JR)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA; Texas Children's Hospital, Houston, TX 77030, USA. Electronic address: jlupski@bcm.edu.

Davut Pehlivan (D)

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Section of Pediatric Neurology and Developmental Neuroscience, Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA; Jan and Dan Duncan Neurological Research Institute at Texas Children's Hospital, Houston, TX 77030, USA. Electronic address: pehlivan@bcm.edu.

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