Discovery of four recessive developmental disorders using probabilistic genotype and phenotype matching among 4,125 families

作者：Akawi Nadia; McRae Jeremy; Ansari Morad; Balasubramanian Meena; Blyth Moira; Brady Angela F; Clayton Stephen; Cole Trevor; Deshpande Charu; Fitzgerald Tomas W; Foulds Nicola; Francis Richard; Gabriel George; Gerety Sebastian S; Goodship Judith; Hobson Emma; Jones Wendy D; Joss Shelagh; King Daniel; Klena Nikolai; Kumar Ajith; Lees Melissa; Lelliott Chris; Lord Jenny; McMullan Dominic; O' Regan Mary; Osio Deborah; Piombo Virginia; Prigmore Elena

来源：Nature Genetics, 2015, 47(11): 1363-+.

DOI：10.1038/ng.3410

Discovery of most autosomal recessive disease-associated genes has involved analysis of large, often consanguineous multiplex families or small cohorts of unrelated individuals with a well-defined clinical condition. Discovery of new dominant causes of rare, genetically heterogeneous developmental disorders has been revolutionized by exome analysis of large cohorts of phenotypically diverse parent-offspring trios(1,2). Here we analyzed 4,125 families with diverse, rare and genetically heterogeneous developmental disorders and identified four new autosomal recessive disorders. These four disorders were identified by integrating Mendelian filtering (selecting probands with rare, biallelic and putatively damaging variants in the same gene) with statistical assessments of (i) the likelihood of sampling the observed genotypes from the general population and (ii) the phenotypic similarity of patients with recessive variants in the same candidate gene. This new paradigm promises to catalyze the discovery of novel recessive disorders, especially those with less consistent or nonspecific clinical presentations and those caused predominantly by compound heterozygous genotypes.

• 出版日期2015-11
• 单位河北医科大学