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Discovery of four recessive developmental disorders using probabilistic genotype and phenotype matching among 4,125 families.

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Akawi, Nadia 
McRae, Jeremy 
Ansari, Morad 
Balasubramanian, Meena 
Blyth, Moira 

Abstract

Discovery of most autosomal recessive disease-associated genes has involved analysis of large, often consanguineous multiplex families or small cohorts of unrelated individuals with a well-defined clinical condition. Discovery of new dominant causes of rare, genetically heterogeneous developmental disorders has been revolutionized by exome analysis of large cohorts of phenotypically diverse parent-offspring trios. Here we analyzed 4,125 families with diverse, rare and genetically heterogeneous developmental disorders and identified four new autosomal recessive disorders. These four disorders were identified by integrating Mendelian filtering (selecting probands with rare, biallelic and putatively damaging variants in the same gene) with statistical assessments of (i) the likelihood of sampling the observed genotypes from the general population and (ii) the phenotypic similarity of patients with recessive variants in the same candidate gene. This new paradigm promises to catalyze the discovery of novel recessive disorders, especially those with less consistent or nonspecific clinical presentations and those caused predominantly by compound heterozygous genotypes.

Description

Keywords

Cell Cycle Proteins, Developmental Disabilities, Exome, Family Health, Female, Genes, Recessive, Genetic Association Studies, Genetic Predisposition to Disease, Genetic Variation, Genotype, Humans, Male, Matrix Metalloproteinases, Secreted, Pedigree, Phenotype, Protein-Arginine N-Methyltransferases, Sequence Analysis, DNA, Ubiquitin-Protein Ligases, United Kingdom

Journal Title

Nat Genet

Conference Name

Journal ISSN

1061-4036
1546-1718

Volume Title

47

Publisher

Springer Science and Business Media LLC

Rights

All rights reserved