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The genetic cause of neurodevelopmental disorders in 30 consanguineous families

  • Sohail Aziz Paracha
  • , Shoaib Nawaz
  • , Muhammad Tahir Sarwar
  • , Asmat Shaheen
  • , Gohar Zaman
  • , Jawad Ahmed
  • , Fahim Shah
  • , Sundus Khwaja
  • , Abid Jan
  • , Nida Khan
  • , Mohammad Azhar Kamal
  • , Qamre Alam
  • , Safdar Abbas
  • , Saman Farman
  • , Ahmed Waqas
  • , Afnan Alkathiri
  • , Abdullah Hamadi
  • , Federico Santoni
  • , Naseeb Ullah
  • , Bisma Khalid
  • Stylianos E. Antonarakis, Khalid A. Fakhro, Muhammad Umair, Muhammad Ansar
  • Khyber Medical University
  • Sidra Medical and Research Center
  • Abbottabad University of Science and Technology
  • District Headquarter Hospital
  • University of Azad Jammu and Kashmir
  • Kohat University of Science and Technology
  • Hayatabad Medical Complex
  • Express Med Diagnostics and Research
  • Dartmouth College
  • COMSATS University Islamabad
  • Emerson University
  • Al Baha University
  • University of Tabuk
  • University of Lausanne
  • National Research Council of Italy
  • University of Balochistan
  • University of Geneva
  • Weill Cornell Medicine-Qatar
  • Hamad bin Khalifa University
  • National Guard Hospital
  • University of Management and Technology
  • Dow University of Health Sciences

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Objective: This study aims to clinically and genetically assess 30 unrelated consanguineous Pakistani families from various ethnic backgrounds, all exhibiting features of neurodevelopmental disorders (NDDs). Methods: We conducted clinical, genetic, biochemical, and molecular analyses on 30 consanguineous families with NDDs enrolled from various regions of Pakistan. The likely molecular causes of primary microcephaly and NDDs were identified. Detailed clinical investigations and molecular diagnoses were performed using whole exome sequencing (WES) of the proband, followed by Sanger sequencing for validation and segregation in the available family members of the affected families. Results: WES identified likely disease-causing homozygous variants in 30 unrelated consanguineous families. Six families presented newly described variants in known NDD-related genes: ABAT (c.1439 T > G; p.Phe480Cys) [OMIM613163], SLC12A6 (c.2865_2865insT; p.Glu955Asnfs*5) [OMIM 218000], SHANK3 (c.1305-3_1,305-2delTT; p.Gln29-_Gly305del) [OMIM 606232], BCKDK (c.356_356insC; p.Gly119Alafs*24) [OMIM 614923], DDHD2 (c.2065G > T; p.Asp689Tyr) [OMIM 615033], ERCC2 (c.1255G > A; p.Glu419Lys) [OMIM 610756]. Additionally, 12 families had previously reported disease-causing variants associated with different types of NDDs: ATRX (c.109C > T; p.Arg37*) [OMIM 309580], GPR56 [ADGRG1] (c.1423C > T; p.Arg475*) [OMIM 606854], NAGLU (c.1694G > A; p.Arg565Gln) [OMIM 252920], DOLK (c.3G > A; p.Met1Ile) [OMIM 610768], GPT2 (c.815C > T; p.Ser272Leu) [OMIM 616281], DYNC1I2 (c.607 + 1G > A; p.?) [OMIM 618492], FBXL3 (c.885delT; p.Leu295Phefs25*) [OMIM 606220], LINGO1 (c.869G > A; p.Arg290His) [OMIM 618103], and ASPM (c.3978G > A; Trp1326*, c.9557C > G; p.Ser3186*, c.6994C > T; p.Arg2332*) [OMIM 608716]. All the identified variants showed segregation compatible with autosomal recessive inheritance. Conclusion: In the present study, we observed a high frequency of ASPM variants in the genetic analysis of 30 consanguineous families exhibiting features of NDDs, particularly those associated with autosomal recessive primary microcephaly. These findings contribute to studies on genotype–phenotype correlation, genetic counseling for families, and a deeper understanding of human brain function and development.

Original languageEnglish
Article number1424753
JournalFrontiers in Medicine
Volume11
DOIs
StatePublished - 2024

Keywords

  • 30 families
  • ASPM
  • WES
  • consanguineous marriages
  • neurodevelopmental disorders
  • novel variants

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