Rare and de novo variants in 827 congenital diaphragmatic hernia probands implicate LONP1 as candidate risk gene

Autor: Julie Khlevner, Julia Wynn, Frances A. High, Usha Krishnan, Aliva De, Xin Sun, Jane B. Lyon, Lan Yu, David J. McCulley, Howard Needelman, Gudrun Aspelund, Yufeng Shen, Timothy M. Crombleholme, Elizabeth A. Fialkowski, Kenneth S. Azarow, Rebecca Hernan, Vincent Duron, Le Xu, Christiana Farkouh-Karoleski, Douglas A. Potoka, Foong-Yen Lim, Xueya Zhou, Brad W. Warner, Dai Chung, Mahmoud Elfiky, Jill M. Zalieckas, Samuel Z. Soffer, David T. Schindel, Melissa E. Danko, Wendy K. Chung, Badri N. Vardarajan, Patricia K. Donahoe, Przemyslaw Kosinski, Amy J. Wagner, Lu Qiao, Robert A. Cusick, George B. Mychaliska, Annette Zygmunt
Rok vydání: 2021
Předmět:
Proband
Male
Inbred C57BL
Medical and Health Sciences
congenital diaphragmatic hernia
Pathogenesis
Cohort Studies
Craniofacial Abnormalities
Congenital
Mice
ATP-Dependent Proteases
Infant Mortality
Hip Dislocation
2.1 Biological and endogenous factors
Eye Abnormalities
Aetiology
de novo variants
Lung
Genetics (clinical)
Growth Disorders
Hernias
Genetics
Pediatric
Genetics & Heredity
Mice
Knockout

LONP1
High mortality
Biological Sciences
Phenotype
Pedigree
medicine.anatomical_structure
Female
DNA Copy Number Variations
Knockout
Mutation
Missense

Risk gene
Biology
Osteochondrodysplasias
Article
Mitochondrial Proteins
Rare Diseases
Clinical Research
medicine
Animals
Humans
Gene
Hip Dislocation
Congenital

Tooth Abnormalities
Human Genome
Congenital diaphragmatic hernia
Perinatal Period - Conditions Originating in Perinatal Period
medicine.disease
Mice
Inbred C57BL

Good Health and Well Being
ALYREF
Case-Control Studies
Mutation
Congenital Structural Anomalies
Missense
Digestive Diseases
Hernias
Diaphragmatic
Congenital

Diaphragmatic
Zdroj: Am J Hum Genet
American journal of human genetics, vol 108, iss 10
ISSN: 1537-6605
Popis: Congenital diaphragmatic hernia (CDH) is a severe congenital anomaly that is often accompanied by other anomalies. Although the role of genetics in the pathogenesis of CDH has been established, only a small number of disease-associated genes have been identified. To further investigate the genetics of CDH, we analyzed de novo coding variants in 827 proband-parent trios and confirmed an overall significant enrichment of damaging de novo variants, especially in constrained genes. We identified LONP1 (lon peptidase 1, mitochondrial) and ALYREF (Aly/REF export factor) as candidate CDH-associated genes on the basis of de novo variants at a false discovery rate below 0.05. We also performed ultra-rare variant association analyses in 748 affected individuals and 11,220 ancestry-matched population control individuals and identified LONP1 as a risk gene contributing to CDH through both de novo and ultra-rare inherited largely heterozygous variants clustered in the core of the domains and segregating with CDH in affected familial individuals. Approximately 3% of our CDH cohort who are heterozygous with ultra-rare predicted damaging variants in LONP1 have a range of clinical phenotypes, including other anomalies in some individuals and higher mortality and requirement for extracorporeal membrane oxygenation. Mice with lung epithelium-specific deletion of Lonp1 die immediately after birth, most likely because of the observed severe reduction of lung growth, a known contributor to the high mortality in humans. Our findings of both de novo and inherited rare variants in the same gene may have implications in the design and analysis for other genetic studies of congenital anomalies.
Databáze: OpenAIRE