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De novo and inherited variants in ZNF292 underlie a neurodevelopmental disorder with features of autism spectrum disorder

  • Undiagnosed Diseases Network,
  • , University of Washington Center for Mendelian Genomics (UW-CMG),
  • National Institutes of Health
  • Department of Genome Sciences
  • University of Washington
  • Seattle Children’s Research Institute
  • Brotman Baty Institute for Precision Medicine
  • Université de Strasbourg
  • Friedrich-Alexander University Erlangen-Nürnberg
  • Central South University
  • Centre for Addiction & Mental Health (CAMH)
  • University of Toronto
  • Ambry Genetics
  • WuXi NextCODE
  • Université d'Angers
  • Institut national de la santé et de la recherche médicale
  • Kennedy Krieger Institute
  • Leipzig University
  • Yale New Haven Health System
  • Oregon Health and Science University
  • University of Texas Health Science Center at Houston
  • Indiana University Health
  • United States Army
  • University of Texas Health Science Center at San Antonio
  • New York State Office for People with Developmental Disabilities
  • Centre Hospitalier, France
  • Département de Génétique Médicale, Maladies Rares et Médecine Personnalisée
  • CHU Montpellier
  • Université Montpellier
  • Utrecht University
  • Stanford University
  • Memorial Hermann Healthcare System
  • Orlando Regional Medical Center
  • University of Colorado School of Medicine
  • Columbia University
  • Division of Genetics
  • Case Western Reserve University
  • Université de Lille
  • Illkirch-Graffenstaden
  • CHU de Poitiers
  • CHU Amiens-Picardie

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Purpose: Intellectual disability (ID) and autism spectrum disorder (ASD) are genetically heterogeneous neurodevelopmental disorders. We sought to delineate the clinical, molecular, and neuroimaging spectrum of a novel neurodevelopmental disorder caused by variants in the zinc finger protein 292 gene (ZNF292). Methods: We ascertained a cohort of 28 families with ID due to putatively pathogenic ZNF292 variants that were identified via targeted and exome sequencing. Available data were analyzed to characterize the canonical phenotype and examine genotype–phenotype relationships. Results: Probands presented with ID as well as a spectrum of neurodevelopmental features including ASD, among others. All ZNF292 variants were de novo, except in one family with dominant inheritance. ZNF292 encodes a highly conserved zinc finger protein that acts as a transcription factor and is highly expressed in the developing human brain supporting its critical role in neurodevelopment. Conclusion: De novo and dominantly inherited variants in ZNF292 are associated with a range of neurodevelopmental features including ID and ASD. The clinical spectrum is broad, and most individuals present with mild to moderate ID with or without other syndromic features. Our results suggest that variants in ZNF292 are likely a recurrent cause of a neurodevelopmental disorder manifesting as ID with or without ASD.

Original languageEnglish
Pages (from-to)538-546
Number of pages9
JournalGenetics in Medicine
Volume22
Issue number3
DOIs
StatePublished - 1 Mar 2020

Keywords

  • ZNF292
  • autism spectrum disorders
  • exome sequencing
  • intellectual disability
  • next-generation sequencing

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