Cited by 24Genomics and Rare DiseasesGenomic variations and chromosomal abnormalitiesGenetics and Neurodevelopmental Disorders

Genome sequencing and comprehensive rare-variant analysis of 465 families with neurodevelopmental disorders

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Sanchis-Juan, Alba, Megy, Karyn, Stephens, Jonathan, Armirola Ricaurte, Camila, Dewhurst, Eleanor, Low, Kayyi, French, Courtney E., Grozeva, Detelina +23 more·2023·The American Journal of Human Genetics

Published version of a preprint

Abstract

Despite significant progress in unraveling the genetic causes of neurodevelopmental disorders (NDDs), a substantial proportion of individuals with NDDs remain without a genetic diagnosis after microarray and/or exome sequencing. Here, we aimed to assess the power of short-read genome sequencing (GS), complemented with long-read GS, to identify causal variants in participants with NDD from the National Institute for Health and Care Research (NIHR) BioResource project. Short-read GS was conducted on 692 individuals (489 affected and 203 unaffected relatives) from 465 families. Additionally, long-read GS was performed on five affected individuals who had structural variants (SVs) in technically challenging regions, had complex SVs, or required distal variant phasing. Causal variants were identified in 36% of affected individuals (177/489), and a further 23% (112/489) had a variant of uncertain significance after multiple rounds of re-analysis. Among all reported variants, 88% (333/380) were coding nuclear SNVs or insertions and deletions (indels), and the remainder were SVs, non-coding variants, and mitochondrial variants. Furthermore, long-read GS facilitated the resolution of challenging SVs and invalidated variants of difficult interpretation from short-read GS. This study demonstrates the value of short-read GS, complemented with long-read GS, in investigating the genetic causes of NDDs. GS provides a comprehensive and unbiased method of identifying all types of variants throughout the nuclear and mitochondrial genomes in individuals with NDD.

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  • Another nonsense variant, p.Gln520Ter, has also been reported in one individual.

    “Another nonsense variant, p.Gln520Ter, has also been reported in one individual98,99.”

    From The WAVE complex in developmental and adulthood brain disorders (2025) · cites this paper as [98]

    The cohort-results section reports variants in individuals, but the passages in our copy do not identify p.Gln520Ter. Searches for “p.Gln520Ter,” “Gln520*,” and “520Ter” found no passage establishing that this nonsense variant was reported in one individual. (LLM, conf=0.72)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 40

  1. Deciphering Developmental Disorders Study (2017). Preva- lence and architecture of de novo mutations in developmental disorders. Nature 542, 433-438. https://doi.org/10.1038/ nature21062. · DOI · Paper page
  2. 100000 Genomes Project Pilot Investigators, Smedley, D., Smith, K.R., Martin, A., Thomas, E.A., McDonagh, E.M., Ci- priani, V., Ellingford, J.M., Arno, G., Tucci, A., et al. (2021). 100,000 Genomes pilot on rare-disease diagnosis in health care -preliminary report. N. Engl. J. Med. 385, 1868-1880. https://doi.org/10.1056/NEJMoa2035790. · DOI · Paper page
  3. Belyeu, J.R., Brand, H., Wang, H., Zhao, X., Pedersen, B.S., Feusier, J., Gupta, M., Nicholas, T.J., Brown, J., Baird, L., et al. (2021). De novo structural mutation rates and gamete- of-origin biases revealed through genome sequencing of 2,396 families. Am. J. Hum. Genet. 108, 597-607. https:// doi.org/10.1016/j.ajhg.2021.02.012. · DOI
  4. Mitsuhashi, S., and Matsumoto, N. (2020). Long-read sequencing for rare human genetic diseases. J. Hum. Genet. 65, 11-19. https://doi.org/10.1038/s10038-019-0671-8. · DOI
  5. Turro, E., Astle, W.J., Megy, K., Gra ¨f, S., Greene, D., Shamar- dina, O., Allen, H.L., Sanchis-Juan, A., Frontini, M., Thys, C., et al. (2020). Whole-genome sequencing of patients with rare diseases in a national health system. Nature 583, 96- 102. https://doi.org/10.1038/s41586-020-2434-2. · DOI · Paper page
  6. Meyer, E., Carss, K.J., Rankin, J., Nichols, J.M.E., Grozeva, D., Joseph, A.P., Mencacci, N.E., Papandreou, A., Ng, J., Barral, S., et al. (2017). Mutations in the histone methyltransferase gene KMT2B cause complex early-onset dystonia. Nat. Genet. 49, 223-237. https://doi.org/10.1038/ng.3740. · DOI
  7. Helbig, K.L., Lauerer, R.J., Bahr, J.C., Souza, I.A., Myers, C.T., Uysal, B., Schwarz, N., Gandini, M.A., Huang, S., Keren, B., et al. (2018). De novo pathogenic variants in CACNA1E cause developmental and epileptic encephalopathy with contractures, macrocephaly, and dyskinesias. Am. J. Hum. Genet. 103, 666-678. https://doi.org/10.1016/j.ajhg.2018. 09.006. · DOI
  8. Ito, Y., Carss, K.J., Duarte, S.T., Hartley, T., Keren, B., Kurian, M.A., Marey, I., Charles, P., Mendonc ¸a, C., Nava, C., et al. (2018). De novo truncating mutations in WASF1 cause intel- lectual disability with seizures. Am. J. Hum. Genet. 103, 144-153. https://doi.org/10.1016/j.ajhg.2018.06.001. · DOI · Paper page
  9. Sanchis-Juan, A., Hasenahuer, M.A., Baker, J.A., McTague, A., Barwick, K., Kurian, M.A., Duarte, S.T., NIHR BioResource, Carss, K.J., Thornton, J., and Raymond, F.L. (2020). Structural analysis of pathogenic missense mutations in GABRA2 and identification of a novel de novo variant in the desensitization gate. Mol. Genet. Genomic Med. 8, e1106. https://doi.org/10. 1002/mgg3.1106. · DOI
  10. Sobreira, N., Schiettecatte, F., Valle, D., and Hamosh, A. (2015). GeneMatcher: a matching tool for connecting investi- gators with an interest in the same gene. Hum. Mutat. 36, 928-930. https://doi.org/10.1002/humu.22844. · DOI · Paper page
  11. Martin, A.R., Williams, E., Foulger, R.E., Leigh, S., Daugherty, L.C., Niblock, O., Leong, I.U.S., Smith, K.R., Gerasimenko, O., Haraldsdottir, E., et al. (2019). PanelApp crowdsources expert knowledge to establish consensus diagnostic gene panels. Nat. Genet. 51, 1560-1565. https://doi.org/10.1038/ s41588-019-0528-2. · DOI · Paper page
  12. Wright, C.F., Fitzgerald, T.W., Jones, W.D., Clayton, S., McRae, J.F., van Kogelenberg, M., King, D.A., Ambridge, K., Barrett, D.M., Bayzetinova, T., et al. (2015). Genetic diagnosis of devel- opmental disorders in the DDD study: a scalable analysis of genome-wide research data. Lancet 385, 1305-1314. https:// doi.org/10.1016/S0140-6736(14)61705-0. · DOI
  13. Stenson, P.D., Ball, E.V., Mort, M., Phillips, A.D., Shiel, J.A., Thomas, N.S.T., Abeysinghe, S., Krawczak, M., and Cooper, D.N. (2003). Human Gene Mutation Database (HGMDâ): 2003 update. Hum. Mutat. 21, 577-581. https://doi.org/10. 1002/humu.10212. · DOI
  14. Robinson, J.T., Thorvaldsdo ´ttir, H., Wenger, A.M., Zehir, A., and Mesirov, J.P. (2017). Variant review with the Integrative Genomics Viewer. Cancer Res. 77, e31-e34. https://doi.org/ 10.1158/0008-5472.CAN-17-0337. · DOI
  15. Rimmer, A., Phan, H., Mathieson, I., Iqbal, Z., Twigg, S.R.F., WGS500 Consortium, Wilkie, A.O.M., McVean, G., and Lunter, G. (2014). Integrating mapping-assembly-and haplo- type-based approaches for calling variants in clinical sequencing applications. Nat. Genet. 46, 912-918. https:// doi.org/10.1038/ng.3036. · DOI
  16. French, C.E., Delon, I., Dolling, H., Sanchis-Juan, A., Shamardina, O., Me ´gy, K., Abbs, S., Austin, T., Bowdin, S., Branco, R.G., et al. (2019). Whole genome sequencing reveals that genetic condi- tions are frequent in intensively ill children. Intensive Care Med. 45, 627-636. https://doi.org/10.1007/s00134-019-05552-x. · DOI
  17. de la Morena-Barrio, B., Stephens, J., de la Morena-Barrio, M.E., Stefanucci, L., Padilla, J., Min ˜ano, A., Gleadall, N., Garcı ´a, J.L., Lo ´pez-Ferna ´ndez, M.F., Morange, P.E., et al. (2022). Long-read sequencing identifies the first retrotranspo- son insertion and resolves structural variants causing anti- thrombin deficiency. Thromb. Haemost. 122, 1369-1378. https://doi.org/10.1055/s-0042-1749345. · DOI
  18. Sanchis-Juan, A., Bitsara, C., Low, K.Y., Carss, K.J., French, C.E., Spasic-Boskovic, O., Jarvis, J., Field, M., Raymond, F.L., and Grozeva, D. (2019). Rare genetic variation in 135 families with family history suggestive of X-linked intellectual disability. Front. Genet. 10, 578. https://doi.org/10.3389/ fgene.2019.00578. · DOI
  19. Carss, K.J., Arno, G., Erwood, M., Stephens, J., Sanchis-Juan, A., Hull, S., Megy, K., Grozeva, D., Dewhurst, E., Malka, S., et al. (2017). Comprehensive rare variant analysis via whole- genome sequencing to determine the molecular pathology of inherited retinal disease. Am. J. Hum. Genet. 100, 75-90. https://doi.org/10.1016/j.ajhg.2016.12.003. · DOI
  20. Nellist, M., Brouwer, R.W.W., Kockx, C.E.M., van Veghel- Plandsoen, M., Withagen-Hermans, C., Prins-Bakker, L., Hoo- geveen-Westerveld, M., Mrsic, A., van den Berg, M.M.P., Koop- mans, A.E., et al. (2015). Targeted next generation sequencing reveals previously unidentified TSC1 and TSC2 mutations. BMC Med. Genet. 16, 10. https://doi.org/10.1186/s12881- 015-0155-4. · DOI
  21. Lo ´pez-Gallardo, E., Emperador, S., Solano, A., Llobet, L., Martı ´n-Navarro, A., Lo ´pez-Pe ´rez, M.J., Briones, P., Pineda, M., Artuch, R., Barraquer, E., et al. (2014). Expanding the clinical phenotypes of MT-ATP6 mutations. Hum. Mol. Genet. 23, 6191-6200. https://doi.org/10.1093/hmg/ ddu339. · DOI
  22. Yu-Wai-Man, P., and Chinnery, P.F. (1993). Leber hereditary optic neuropathy. In GeneReviews((R)), M.P. Adam, H.H. Ar- dinger, R.A. Pagon, S.E. Wallace, L.J.H. Bean, K.W. Gripp, G.M. Mirzaa, and A. Amemiya, eds. 28. Murakami, T., Mita, S., Tokunaga, M., Maeda, H., Ueyama, H., Kumamoto, T., Uchino, M., and Ando, M. (1996). Hered- itary cerebellar ataxia with Leber's hereditary optic neuropathy mitochondrial DNA 11778 mutation. J. Neurol. Sci. 142, 111-113. https://doi.org/10.1016/0022- 510x(96)00165-7. · DOI
  23. Grazina, M.M., Diogo, L.M., Garcia, P.C., Silva, E.D., Garcia, T.D., Robalo, C.B., and Oliveira, C.R. (2007). Atypical presen- tation of Leber's hereditary optic neuropathy associated to mtDNA 11778G>A point mutation-a case report. Eur. J. Pae- diatr. Neurol. 11, 115-118. https://doi.org/10.1016/j.ejpn. 2006.11.015. · DOI
  24. Beyter, D., Ingimundardottir, H., Oddsson, A., Eggertsson, H.P., Bjornsson, E., Jonsson, H., Atlason, B.A., Kristmundsdot- tir, S., Mehringer, S., Hardarson, M.T., et al. (2021). Long-read sequencing of 3,622 Icelanders provides insight into the role of structural variants in human diseases and other traits. Nat. Genet. 53, 779-786. https://doi.org/10.1038/s41588- 021-00865-4. · DOI
  25. Krzywinski, M., Schein, J., Birol, I., Connors, J., Gascoyne, R., Horsman, D., Jones, S.J., and Marra, M.A. (2009). Circos: an in- formation aesthetic for comparative genomics. Genome Res. 19, 1639-1645. https://doi.org/10.1101/gr.092759.109. · DOI
  26. Acuna-Hidalgo, R., Veltman, J.A., and Hoischen, A. (2016). New insights into the generation and role of de novo muta- tions in health and disease. Genome Biol. 17, 241. https:// doi.org/10.1186/s13059-016-1110-1. · DOI
  27. Kaer, K., and Speek, M. (2013). Retroelements in human dis- ease. Gene 518, 231-241. https://doi.org/10.1016/j.gene. 2013.01.008. · DOI
  28. Wright, C.F., Campbell, P., Eberhardt, R.Y., Aitken, S., Perrett, D., Brent, S., Danecek, P., Gardner, E.J., Chundru, V.K., Lind- say, S.J., et al. (2022). Optimising diagnostic yield in highly penetrant genomic disease. Preprint at medRxiv. https://doi. org/10.1101/2022.07.25.22278008. · DOI
  29. Grozeva, D., Carss, K., Spasic-Boskovic, O., Tejada, M.I., Gecz, J., Shaw, M., Corbett, M., Haan, E., Thompson, E., Friend, K., et al. (2015). Targeted next-generation sequencing analysis of 1,000 individuals with intellectual disability. Hum. Mutat. 36, 1197-1204. https://doi.org/10.1002/humu.22901. · DOI
  30. Riggs, E.R., Andersen, E.F., Cherry, A.M., Kantarci, S., Kearney, H., Patel, A., Raca, G., Ritter, D.I., South, S.T., Thorland, E.C., et al. (2020). Technical standards for the interpretation and re- porting of constitutional copy-number variants: a joint consensus recommendation of the American College of Med- ical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). Genet. Med. 22, 245-257. https://doi.org/10.1038/s41436-019-0686-8. · DOI
  31. The All of Us Research Program Investigators, Denny, J.C., Rutter, J.L., Goldstein, D.B., Philippakis, A., Smoller, J.W., Jen- kins, G., and Dishman, E. (2019). The "All of Us" research pro- gram. N. Engl. J. Med. 381, 668-676. https://doi.org/10.1056/ NEJMsr1809937. · DOI · Paper page
  32. Dafsari, H.S., Sprute, R., Wunderlich, G., Daimagu ¨ler, H.S., Karaca, E., Contreras, A., Becker, K., Schulze-Rhonhof, M., Ki- ening, K., Karakulak, T., et al. (2019). Novel mutations in KMT2B offer pathophysiological insights into childhood- onset progressive dystonia. J. Hum. Genet. 64, 803-813. https://doi.org/10.1038/s10038-019-0625-1. · DOI
  33. Ziobro, J., Eschbach, K., Sullivan, J.E., and Knupp, K.G. (2018). Current treatment strategies and future treatment options for Dravet syndrome. Curr. Treat. Options Neurol. 20, 52. https:// doi.org/10.1007/s11940-018-0537-y. · DOI
  34. Lowther, C., Valkanas, E., Giordano, J.L., Wang, H.Z., Currall, B.B., O'Keefe, K., Pierce-Hoffman, E., Kurtas, N.E., Whelan, C.W., Hao, S.P., et al. (2022). Systematic evaluation of genome sequencing for the assessment of fetal structural anomalies. Preprint at bioRxiv. https://doi.org/10.1101/2020.08.12. 248526. · DOI
  35. Lavelle, T.A., Feng, X., Keisler, M., Cohen, J.T., Neumann, P.J., Prichard, D., Schroeder, B.E., Salyakina, D., Espinal, P.S., Weid- ner, S.B., and Maron, J.L. (2022). Cost-effectiveness of exome and genome sequencing for children with rare and undiag- nosed conditions. Genet. Med. 24, 2415-2417. https://doi. org/10.1016/j.gim.2022.03.005. · DOI
  36. Logsdon, G.A., Vollger, M.R., and Eichler, E.E. (2020). Long- read human genome sequencing and its applications. Nat. Rev. Genet. 21, 597-614. https://doi.org/10.1038/s41576- 020-0236-x. · DOI
  37. Collins, R.L., Brand, H., Karczewski, K.J., Zhao, X., Alfo ¨ldi, J., Francioli, L.C., Khera, A.V., Lowther, C., Gauthier, L.D., Wang, H., et al. (2020). A structural variation reference for medical and population genetics. Nature 581, 444-451. https://doi.org/10.1038/s41586-020-2287-8. · DOI · Paper page
  38. Sanchis-Juan, A., Stephens, J., French, C.E., Gleadall, N., Me ´gy, K., Penkett, C., Shamardina, O., Stirrups, K., Delon, I., Dewhurst, E., et al. (2018). Complex structural variants in Mendelian disorders: identification and breakpoint resolution using short-and long-read genome sequencing. Genome Med. 10, 95. https://doi.org/10.1186/s13073-018-0606-6. · DOI
  39. Thibodeau, M.L., O'Neill, K., Dixon, K., Reisle, C., Mungall, K.L., Krzywinski, M., Shen, Y., Lim, H.J., Cheng, D., Tse, K., et al. (2020). Improved structural variant interpretation for he- reditary cancer susceptibility using long-read sequencing. Genet. Med. 22, 1892-1897. https://doi.org/10.1038/ s41436-020-0880-8. · DOI
  40. Jain, M., Koren, S., Miga, K.H., Quick, J., Rand, A.C., Sasani, T.A., Tyson, J.R., Beggs, A.D., Dilthey, A.T., Fiddes, I.T., et al. (2018). Nanopore sequencing and assembly of a human genome with ultra-long reads. Nat. Biotechnol. 36, 338-345. https://doi.org/10.1038/nbt.4060. · DOI · Paper page

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Authors
Sanchis-Juan, A., Megy, K., Stephens, J., Armirola Ricaurte, C., Dewhurst, E., Low, K., French, C. E., Grozeva, D., Stirrups, K., Erwood, M., McTague, A., Penkett, C. J., Shamardina, O., Tuna, S., Daugherty, L. C., Gleadall, N., Duarte, S. T., Hedrera-Fernández, A., Vogt, J., Ambegaonkar, G., Chitre, M., Josifova, D., Kurian, M. A., Parker, A., Rankin, J., Reid, E., Wakeling, E., Wassmer, E., Woods, C. G., Raymond, F. L., & Carss, K. J.
Affiliations
  • University of Cambridge (GB)
  • National Health Service (GB)
  • Unidade Local de Saúde de São José (PT)
  • Hospital Universitario Central de Asturias (ES)
  • Birmingham Women's Hospital (GB)
  • Cambridge University Hospitals NHS Foundation Trust (GB)
  • Guy's Hospital (GB)
  • Great Ormond Street Hospital for Children NHS Foundation Trust (GB)
  • Royal Devon University Healthcare NHS Foundation Trust (GB)
  • AstraZeneca (United Kingdom) (GB)
Corresponding author
  • Raymond, F. Lucy
  • Carss, Keren J.
Venue
The American Journal of Human Genetics
Publisher
Elsevier BV
Published
2023-08
Volume
110
Issue
8
Pages
1343-1355
ISSN
0002-9297 (ISSN-L)
OpenAlex
W4385546089
Cited by
24
References
6
Citations by year
2026: 7 · 2025: 9 · 2024: 8
FWCI
3.97
Type
journal article
Language
en
Open access
Locations
  • The American Journal of Human Genetics (publishedVersion)
  • medRxiv (acceptedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Royal Devon and Exeter Research Repository (Royal Devon and Exeter) (submittedVersion)
Funders
  • NIHR Cambridge Biomedical Research Centre (BRC-1215-20014)
  • AstraZeneca
  • NIHR Great Ormond Street Hospital Biomedical Research Centre
  • NIHR BioResource (RG65966)
  • National Institute for Health and Care Research
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
Keywords
neurodevelopmental disorders, rare variants, long-read genome sequencing, structural variants, variant phasing, variants of uncertain significance, causal variant identification, mitochondrial DNA variants
MeSH terms
Base Sequence, Chromosome Mapping, Humans, Genome, Human, INDEL Mutation, Neurodevelopmental Disorders

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