Abstract
Methods: We investigated exome and genome sequencing from the Deciphering Developmental Disorders Study and the 100,000 Genomes Project to identify novel microcephaly genes.
Results: Starting from a cohort of patients with extreme microcephaly, 13 individuals with heterozygous variants in the two human B-type lamins were identified. Recurrent variants were established to be de novo in nine cases and shown to affect highly conserved residues within the lamin ɑ-helical rod domain, likely disrupting interactions required for higher-order assembly of lamin filaments.
Conclusion: We identify dominant pathogenic variants in LMNB1 and LMNB2 as a genetic cause of primary microcephaly, implicating a major structural component of the nuclear envelope in its etiology and defining a new form of laminopathy. The distinct nature of this lamin B-associated phenotype highlights the strikingly different developmental requirements for lamin paralogs and suggests a novel mechanism for primary microcephaly warranting future investigation.
Original language | English |
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Pages (from-to) | 408-414 |
Number of pages | 7 |
Journal | Genetics in medicine : official journal of the American College of Medical Genetics |
Volume | 23 |
Issue number | 3 |
DOIs | |
Publication status | Published - 29 Jun 2021 |
Keywords
- LMNB1
- LMNB2
- laminopathy
- primary microcephaly
- neurodevelopmental disorder