The ARID1B spectrum in 143 patients: from nonsyndromic intellectual disability to Coffin–Siris syndrome
Purpose Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin–Siris patients (ARID1B-CSS) and it is unclear whether these data are r...
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Published in | Genetics in medicine Vol. 21; no. 6; pp. 1295 - 1307 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York
Nature Publishing Group US
01.06.2019
Elsevier Limited |
Subjects | |
Online Access | Get full text |
ISSN | 1098-3600 1530-0366 1530-0366 |
DOI | 10.1038/s41436-018-0330-z |
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Abstract | Purpose
Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin–Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting.
Methods
Clinicians entered clinical data in an extensive web-based survey.
Results
79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (
p
< 0.001) in ARID1B-CSS patients. No other significant differences were identified.
Conclusion
There are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features. |
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AbstractList | Purpose
Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin–Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting.
Methods
Clinicians entered clinical data in an extensive web-based survey.
Results
79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (
p
< 0.001) in ARID1B-CSS patients. No other significant differences were identified.
Conclusion
There are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features. PurposePathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin–Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting.MethodsClinicians entered clinical data in an extensive web-based survey.Results79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (p < 0.001) in ARID1B-CSS patients. No other significant differences were identified.ConclusionThere are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features. Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin-Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting.PURPOSEPathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin-Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting.Clinicians entered clinical data in an extensive web-based survey.METHODSClinicians entered clinical data in an extensive web-based survey.79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (p < 0.001) in ARID1B-CSS patients. No other significant differences were identified.RESULTS79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (p < 0.001) in ARID1B-CSS patients. No other significant differences were identified.There are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features.CONCLUSIONThere are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features. Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most studies published thus far describe clinically diagnosed Coffin-Siris patients (ARID1B-CSS) and it is unclear whether these data are representative for patients identified through sequencing of unbiased ID cohorts (ARID1B-ID). We therefore sought to determine genotypic and phenotypic differences between ARID1B-ID and ARID1B-CSS. In parallel, we investigated the effect of different methods of phenotype reporting. Clinicians entered clinical data in an extensive web-based survey. 79 ARID1B-CSS and 64 ARID1B-ID patients were included. CSS-associated dysmorphic features, such as thick eyebrows, long eyelashes, thick alae nasi, long and/or broad philtrum, small nails and small or absent fifth distal phalanx and hypertrichosis, were observed significantly more often (p < 0.001) in ARID1B-CSS patients. No other significant differences were identified. There are only minor differences between ARID1B-ID and ARID1B-CSS patients. ARID1B-related disorders seem to consist of a spectrum, and patients should be managed similarly. We demonstrated that data collection methods without an explicit option to report the absence of a feature (such as most Human Phenotype Ontology-based methods) tended to underestimate gene-related features. |
Author | Baban, Anwar Pottinger, Caroline Martinez, Francisco Ruivenkamp, Claudia A. L. Horn, Denise Mizuno, Seiji Wilson, Louise C. Kayserili, Hülya Kosho, Tomoki Santen, Gijs W. E. Earl, Rachel de Vries, Bert B. A. Kant, Sarina G. Rosello, Monica Soares, Gabriela Lederer, Damien Orellana, Carmen Mancini, Grazia M. S. Chrzanowska, Krystyna van Haeringen, Arie Hunt, David Krajewska-Walasek, Malgorzata Alanay, Yasemin Eichler, Evan Oehl-Jaschkowitz, Barbara Roifman, Maian Robertson, Stephen P. Vilain, Catheline Splitt, Miranda Gardham, Alice Bayat, Allan Pasquier, Laurent Herkert, Johanna C. Elcioglu, Nursel Vincent-Delorme, Catherine Lees, Melissa Utine, G. Eda Laulund, Lone W. Ropers, Fabienne G. Netzer, Christian Stegmann, Alexander P. A. Gener, Blanca López-González, Vanesa Pfundt, Rolph Kilic, Esra Wheeler, Patricia Maas, Saskia Beck-Wödl, Stefanie Wilson, Golder N. Rooryck, Caroline Riehmer, Vera AlKindy, Adila McGuire, Marianne Sonmez, Fatma Mujgan Moeschler, John B. Campeau, Philippe M. Tanabe, Saori Lammers, Kylin Wollnik, Bernd Marcelis, Carlo |
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A. surname: de Vries fullname: de Vries, Bert B. A. organization: Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center – sequence: 105 givenname: Gijs W. E. surname: Santen fullname: Santen, Gijs W. E. email: santen@lumc.nl organization: Department of Clinical Genetics, Leiden University Medical Center |
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Keywords | Coffin–Siris syndrome ARID1B intellectual disability bias |
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Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing... Pathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies. Most... PurposePathogenic variants in ARID1B are one of the most frequent causes of intellectual disability (ID) as determined by large-scale exome sequencing studies.... |
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SubjectTerms | Abnormalities, Multiple - genetics Adolescent Adult Biomedical and Life Sciences Biomedicine Child Child, Preschool Chromosomal Proteins, Non-Histone - genetics DNA-Binding Proteins - genetics DNA-Binding Proteins - metabolism Exome Face - abnormalities Female Genetic Association Studies - methods Genetic Variation - genetics Hand Deformities, Congenital - genetics Human Genetics Humans Infant Infant, Newborn Intellectual disabilities Intellectual Disability - genetics Laboratory Medicine Male Micrognathism - genetics Middle Aged Mutation Neck - abnormalities Penetrance Transcription Factors - genetics Transcription Factors - metabolism |
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Title | The ARID1B spectrum in 143 patients: from nonsyndromic intellectual disability to Coffin–Siris syndrome |
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