大规模人类外显子组测序数据对 XLID 致病突变及相关基因的挑战。
XLID-causing mutations and associated genes challenged in light of data from large-scale human exome sequencing.
机构信息
Department of Translational Medicine and Neurogenetics, Institut de Génétique et de Biologie Moléculaire et Cellulaire, Centre National de la Recherche Scientifique Unité Mixte de Recherche 7104, Institut National de la Santé et de la Recherche Médicale Unité 964, University of Strasbourg, 67404 Illkirch Cedex, France; Chaire de Génétique Humaine, Collège de France, 75231 Paris Cedex 05, France.
出版信息
Am J Hum Genet. 2013 Aug 8;93(2):368-83. doi: 10.1016/j.ajhg.2013.06.013. Epub 2013 Jul 18.
Because of the unbalanced sex ratio (1.3-1.4 to 1) observed in intellectual disability (ID) and the identification of large ID-affected families showing X-linked segregation, much attention has been focused on the genetics of X-linked ID (XLID). Mutations causing monogenic XLID have now been reported in over 100 genes, most of which are commonly included in XLID diagnostic gene panels. Nonetheless, the boundary between true mutations and rare non-disease-causing variants often remains elusive. The sequencing of a large number of control X chromosomes, required for avoiding false-positive results, was not systematically possible in the past. Such information is now available thanks to large-scale sequencing projects such as the National Heart, Lung, and Blood (NHLBI) Exome Sequencing Project, which provides variation information on 10,563 X chromosomes from the general population. We used this NHLBI cohort to systematically reassess the implication of 106 genes proposed to be involved in monogenic forms of XLID. We particularly question the implication in XLID of ten of them (AGTR2, MAGT1, ZNF674, SRPX2, ATP6AP2, ARHGEF6, NXF5, ZCCHC12, ZNF41, and ZNF81), in which truncating variants or previously published mutations are observed at a relatively high frequency within this cohort. We also highlight 15 other genes (CCDC22, CLIC2, CNKSR2, FRMPD4, HCFC1, IGBP1, KIAA2022, KLF8, MAOA, NAA10, NLGN3, RPL10, SHROOM4, ZDHHC15, and ZNF261) for which replication studies are warranted. We propose that similar reassessment of reported mutations (and genes) with the use of data from large-scale human exome sequencing would be relevant for a wide range of other genetic diseases.
由于在智力障碍(ID)中观察到的性别比例失衡(1.3-1.4 比 1),以及鉴定出显示 X 连锁分离的大型 ID 受影响家族,因此人们对 X 连锁智力障碍(XLID)的遗传学产生了浓厚的兴趣。现在已经在 100 多个基因中报告了导致单基因 XLID 的突变,其中大多数基因通常包含在 XLID 诊断基因面板中。尽管如此,真正的突变和罕见的非致病变体之间的界限常常难以捉摸。过去,由于需要对大量的控制 X 染色体进行测序以避免假阳性结果,因此通常无法系统地进行。由于像美国国立心肺血液研究所(NHLBI)外显子测序计划这样的大规模测序项目提供了来自普通人群的 10563 条 X 染色体的变异信息,现在可以获得这种信息。我们利用这个 NHLBI 队列系统地重新评估了 106 个被认为参与单基因形式的 XLID 的基因的含义。我们特别质疑其中十个基因(AGTR2、MAGT1、ZNF674、SRPX2、ATP6AP2、ARHGEF6、NXF5、ZCCHC12、ZNF41 和 ZNF81)在 XLID 中的意义,在该队列中,截短变体或以前发表的突变以相对较高的频率观察到。我们还强调了其他 15 个基因(CCDC22、CLIC2、CNKSR2、FRMPD4、HCFC1、IGBP1、K IAA2022、KLF8、MAOA、NAA10、NLGN3、RPL10、SHROOM4、ZDHHC15 和 ZNF261)需要进行复制研究。我们建议,使用大规模人类外显子测序的数据对报告的突变(和基因)进行类似的重新评估,对于广泛的其他遗传疾病也具有相关性。