De novo variants in neurodevelopmental disorders with epilepsy

Henrike O. Heyne*, Tarjinder Singh, Hannah Stamberger, Rami Abou Jamra, Hande Caglayan, Dana Craiu, Peter De Jonghe, Renzo Guerrini, Katherine L. Helbig, Bobby P.C. Koeleman, Jack A. Kosmicki, Tarja Linnankivi, Patrick May, Hiltrud Muhle, Rikke S. Møller, Bernd A. Neubauer, Aarno Palotie, Manuela Pendziwiat, Pasquale Striano, Sha TangSitao Wu, EuroEPINOMICS RES Consortium, Zaid Afawi, Carolien De Kovel, Petia Dimova, Tania Djémié, Milda Endziniene, Dorota Hoffman-Zacharska, Johanna Jähn, Christian Korff, Anna Elina Lehesjoki, Carla Marini, Stefanie H. Müller, Deb Pal, Niklas Schwarz, Kaja Selmer, Jose Serratosa, Ulrich Stephani, Katalin Štěrbová, Arvid Suls, Steffen Syrbe, Inga Talvik, Shan Tang, Sarah Von Spiczak, Federico Zara, Annapurna Poduri, Yvonne G. Weber, Sarah Weckhuysen, Sanjay M. Sisodiya, Mark J. Daly, Ingo Helbig

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

205 Citations (Scopus)

Abstract

Epilepsy is a frequent feature of neurodevelopmental disorders (NDDs), but little is known about genetic differences between NDDs with and without epilepsy. We analyzed de novo variants (DNVs) in 6,753 parent-offspring trios ascertained to have different NDDs. In the subset of 1,942 individuals with NDDs with epilepsy, we identified 33 genes with a significant excess of DNVs, of which SNAP25 and GABRB2 had previously only limited evidence of disease association. Joint analysis of all individuals with NDDs also implicated CACNA1E as a novel disease-associated gene. Comparing NDDs with and without epilepsy, we found missense DNVs, DNVs in specific genes, age of recruitment, and severity of intellectual disability to be associated with epilepsy. We further demonstrate the extent to which our results affect current genetic testing as well as treatment, emphasizing the benefit of accurate genetic diagnosis in NDDs with epilepsy.

Original languageEnglish
Pages (from-to)1048-1053
Number of pages6
JournalNature Genetics
Volume50
Issue number7
Early online date25 Jun 2018
DOIs
Publication statusPublished - 1 Jul 2018

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