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Population-level deficit of homozygosity unveils CPSF3 as an intellectual disability syndrome gene.


ABSTRACT: Predicting the pathogenicity of biallelic missense variants can be challenging. Here, we use a deficit of observed homozygous carriers of missense variants, versus an expected number in a set of 153,054 chip-genotyped Icelanders, to identify potentially pathogenic genotypes. We follow three missense variants with a complete deficit of homozygosity and find that their pathogenic effect in homozygous state ranges from severe childhood disease to early embryonic lethality. One of these variants is in CPSF3, a gene not previously linked to disease. From a set of clinically sequenced Icelanders, and by sequencing archival samples targeted through the Icelandic genealogy, we find four homozygous carriers. Additionally, we find two homozygous carriers of Mexican descent of another missense variant in CPSF3. All six homozygous carriers of missense variants in CPSF3 show severe intellectual disability, seizures, microcephaly, and abnormal muscle tone. Here, we show how the absence of certain homozygous genotypes from a large population set can elucidate causes of previously unexplained recessive diseases and early miscarriage.

SUBMITTER: Arnadottir GA 

PROVIDER: S-EPMC8817032 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Population-level deficit of homozygosity unveils CPSF3 as an intellectual disability syndrome gene.

Arnadottir Gudny A GA   Oddsson Asmundur A   Jensson Brynjar O BO   Gisladottir Svanborg S   Simon Mariella T MT   Arnthorsson Asgeir O AO   Katrinardottir Hildigunnur H   Fridriksdottir Run R   Ivarsdottir Erna V EV   Jonasdottir Adalbjorg A   Jonasdottir Aslaug A   Barrick Rebekah R   Saemundsdottir Jona J   le Roux Louise L   Oskarsson Gudjon R GR   Asmundsson Jurate J   Steffensen Thora T   Gudmundsson Kjartan R KR   Ludvigsson Petur P   Jonsson Jon J JJ   Masson Gisli G   Jonsdottir Ingileif I   Holm Hilma H   Jonasson Jon G JG   Magnusson Olafur Th OT   Thorarensen Olafur O   Abdenur Jose J   Norddahl Gudmundur L GL   Gudbjartsson Daniel F DF   Bjornsson Hans T HT   Thorsteinsdottir Unnur U   Sulem Patrick P   Stefansson Kari K  

Nature communications 20220204 1


Predicting the pathogenicity of biallelic missense variants can be challenging. Here, we use a deficit of observed homozygous carriers of missense variants, versus an expected number in a set of 153,054 chip-genotyped Icelanders, to identify potentially pathogenic genotypes. We follow three missense variants with a complete deficit of homozygosity and find that their pathogenic effect in homozygous state ranges from severe childhood disease to early embryonic lethality. One of these variants is  ...[more]

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