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Developmental brain dysfunction: revival and expansion of old concepts based on new genetic evidence
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Neurodevelopmental disorders can be caused by many different genetic abnormalities that are individually rare but collectively common. Specific genetic causes, including certain copy number variants and single-gene mutations, are shared among disorders that are thought to be clinically distinct. This evidence of variability in the clinical manifestations of individual genetic variants and sharing of genetic causes among clinically distinct brain disorders is consistent with the concept of developmental brain dysfunction, a term we use to describe the abnormal brain function underlying a group of neurodevelopmental and neuropsychiatric disorders and to encompass a subset of various clinical diagnoses. Although many pathogenic genetic variants are currently thought to be variably penetrant, we hypothesise that when disorders encompassed by developmental brain dysfunction are considered as a group, the penetrance will approach 100%. The penetrance is also predicted to approach 100% when the phenotype being considered is a specific trait, such as intelligence or autistic-like social impairment, and the trait could be assessed using a continuous, quantitative measure to compare probands with non-carrier family members rather than a qualitative, dichotomous trait and comparing probands with the healthy population.
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Pathogenic variants in the same genes are identified in individuals with a variety of different clinically defined brain disorders, including ASD, ID, epilepsy, schizophrenia, and other neurodevelopmental and neuropsychiatric conditions.
“It has also become clear that pathogenic variants in the same genes are identified in individuals with a variety of different clinically defined brain disorders, including ASD, intellectual disability (ID), epilepsy, schizophrenia, and other neurodevelopmental and neuropsychiatric conditions.”
From Insufficient Evidence for “Autism-Specific” Genes (2020) · cites this paper as [4]
Genotype-first studies with comprehensive clinical characterization of cohorts sharing an etiology show high variability in expressivity of recurrent CNVs and single-gene mutations.
“Using a genotype-first approach, studies reporting the comprehensive clinical characterization of cohorts of patients with shared etiology have shown a high degree of variability in the expressivity of recurrent CNVs and mutations in single genes (95).”
From Genetics and genomics of autism spectrum disorder: embracing complexity (2015) · cites this paper as [95]
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on behalf of the Simons VIP consortium, Green Snyder, L., D’Angelo, D., Chen, Q., Bernier, R., Goin-Kochel, R. P., Wallace, A. S., Gerdts, J., Kanne, S., Berry, L., et al. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2807-4 · Cited by 61
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Metadata
- Authors
- Moreno-De-Luca, A., Myers, S. M., Challman, T. D., Moreno-De-Luca, D., Evans, D. W., & Ledbetter, D. H.
- Affiliations
- Geisinger Medical Center (US)
- Bucknell University (US)
- Corresponding author
- Ledbetter, David H
- Venue
- The Lancet Neurology
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 12
- Issue
- 4
- Pages
- 406-414
- ISSN
- 1474-4422 (ISSN-L)
- PMC
- PMC4013791
- OpenAlex
- W1995809507
- Cited by
- 330
- References
- 64
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 27 · 2023: 21 · 2022: 23 · 2021: 29 · 2020: 25 · 2019: 22 · 2018: 25 · 2017: 23 · 2016: 33 · 2015: 32 · 2014: 27 · 2013: 17
- FWCI
- 4.47
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The Lancet Neurology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Bucknell Digital Commons (Bucknell University) (submittedVersion)
- Funders
- National Institute of Mental Health (MH074090, R01MH074090)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD064525, RC2HD064525)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
- Keywords
- neurodevelopmental disorders, neuropsychiatric disorders, copy number variation, single-gene mutations, genetic heterogeneity, penetrance, phenotypic variability, intelligence
- MeSH terms
- Animals, Autistic Disorder, Brain Diseases, Developmental Disabilities, Humans, Nervous System Diseases, Genetic Predisposition to Disease
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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