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Genetics in medicine : official journal of the American College of Medical Genetics · 2019

Recessive variants in ZNF142 cause a complex neurodevelopmental disorder with intellectual disability, speech impairment, seizures, and dystonia.

Клинический случайСтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Khan Kamal, Zech Michael, Morgan Angela T, Amor David J, Skorvanek Matej, Khan Tahir N, Hildebrand Michael S, Jackson Victoria E, Scerri Thomas S, Coleman Matthew, Rigbye Kristin A, Scheffer Ingrid E, Bahlo Melanie, Wagner Matias, Lam Daniel D, Berutti Riccardo, Havránková Petra, Fečíková Anna, Strom Tim M, Han Vladimir, Dosekova Petra, Gdovinova Zuzana, Laccone Franco, Jameel Muhammad, Mooney Marie R, Baig Shahid M, Jech Robert, Davis Erica E, Katsanis Nicholas, Winkelmann Juliane

Аннотация

PURPOSE: The purpose of this study was to expand the genetic architecture of neurodevelopmental disorders, and to characterize the clinical features of a novel cohort of affected individuals with variants in ZNF142, a C2H2 domain-containing transcription factor.

METHODS: Four independent research centers used exome sequencing to elucidate the genetic basis of neurodevelopmental phenotypes in four unrelated families. Following bioinformatic filtering, query of control data sets, and secondary variant confirmation, we aggregated findings using an online data sharing platform. We performed in-depth clinical phenotyping in all affected individuals.

RESULTS: We identified seven affected females in four pedigrees with likely pathogenic variants in ZNF142 that segregate with recessive disease. Affected cases in three families harbor either nonsense or frameshifting likely pathogenic variants predicted to undergo nonsense mediated decay. One additional trio bears ultrarare missense variants in conserved regions of ZNF142 that are predicted to be damaging to protein function. We performed clinical comparisons across our cohort and noted consistent presence of intellectual disability and speech impairment, with variable manifestation of seizures, tremor, and dystonia.

CONCLUSION: Our aggregate data support a role for ZNF142 in nervous system development and add to the emergent list of zinc finger proteins that contribute to neurocognitive disorders.

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