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Truncating Variants in NAA15 Are Associated with Variable Levels of Intellectual Disability, Autism Spectrum Disorder, and Congenital Anomalies.

Hanyin Cheng | Avinash V Dharmadhikari | Sylvia Varland | Ning Ma | Deepti Domingo | Robert Kleyner | Alan F Rope | Margaret Yoon | Asbjørg Stray-Pedersen | Jennifer E Posey | Sarah R Crews | Mohammad K Eldomery | Zeynep Coban Akdemir | Andrea M Lewis | Vernon R Sutton | Jill A Rosenfeld | Erin Conboy | Katherine Agre | Fan Xia | Magdalena Walkiewicz | Mauro Longoni | Frances A High | Marjon A van Slegtenhorst | Grazia M S Mancini | Candice R Finnila | Arie van Haeringen | Nicolette den Hollander | Claudia Ruivenkamp | Sakkubai Naidu | Sonal Mahida | Elizabeth E Palmer | Lucinda Murray | Derek Lim | Parul Jayakar | Michael J Parker | Stefania Giusto | Emanuela Stracuzzi | Corrado Romano | Jennifer S Beighley | Raphael A Bernier | Sébastien Küry | Mathilde Nizon | Mark A Corbett | Marie Shaw | Alison Gardner | Christopher Barnett | Ruth Armstrong | Karin S Kassahn | Anke Van Dijck | Geert Vandeweyer | Tjitske Kleefstra | Jolanda Schieving | Marjolijn J Jongmans | Bert B A de Vries | Rolph Pfundt | Bronwyn Kerr | Samantha K Rojas | Kym M Boycott | Richard Person | Rebecca Willaert | Evan E Eichler | R Frank Kooy | Yaping Yang | Joseph C Wu | James R Lupski | Thomas Arnesen | Gregory M Cooper | Wendy K Chung | Jozef Gecz | Holly A F Stessman | Linyan Meng | Gholson J Lyon
American journal of human genetics | 2018

N-alpha-acetylation is a common co-translational protein modification that is essential for normal cell function in humans. We previously identified the genetic basis of an X-linked infantile lethal Mendelian disorder involving a c.109T>C (p.Ser37Pro) missense variant in NAA10, which encodes the catalytic subunit of the N-terminal acetyltransferase A (NatA) complex. The auxiliary subunit of the NatA complex, NAA15, is the dimeric binding partner for NAA10. Through a genotype-first approach with whole-exome or genome sequencing (WES/WGS) and targeted sequencing analysis, we identified and phenotypically characterized 38 individuals from 33 unrelated families with 25 different de novo or inherited, dominantly acting likely gene disrupting (LGD) variants in NAA15. Clinical features of affected individuals with LGD variants in NAA15 include variable levels of intellectual disability, delayed speech and motor milestones, and autism spectrum disorder. Additionally, mild craniofacial dysmorphology, congenital cardiac anomalies, and seizures are present in some subjects. RNA analysis in cell lines from two individuals showed degradation of the transcripts with LGD variants, probably as a result of nonsense-mediated decay. Functional assays in yeast confirmed a deleterious effect for two of the LGD variants in NAA15. Further supporting a mechanism of haploinsufficiency, individuals with copy-number variant (CNV) deletions involving NAA15 and surrounding genes can present with mild intellectual disability, mild dysmorphic features, motor delays, and decreased growth. We propose that defects in NatA-mediated N-terminal acetylation (NTA) lead to variable levels of neurodevelopmental disorders in humans, supporting the importance of the NatA complex in normal human development.

Pubmed ID: 29656860 RIS Download

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Associated grants

  • Agency: NICHD NIH HHS, United States
    Id: U54 HD083091
  • Agency: NHGRI NIH HHS, United States
    Id: U01 HG007301
  • Agency: NHGRI NIH HHS, United States
    Id: UM1 HG006542
  • Agency: NHGRI NIH HHS, United States
    Id: K08 HG008986
  • Agency: NHGRI NIH HHS, United States
    Id: UM1 HG007301
  • Agency: Wellcome Trust, United Kingdom
  • Agency: NICHD NIH HHS, United States
    Id: P01 HD068250
  • Agency: NIMH NIH HHS, United States
    Id: R01 MH101221
  • Agency: NIGMS NIH HHS, United States
    Id: R35 GM133408

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ExAc (tool)

RRID:SCR_004068

THIS RESOURCE IS NO LONGER IN SERVICE. Documented on January 9, 2023. An aggregated data platform for genome sequencing data created by a coalition of investigators seeking to aggregate and harmonize exome sequencing data from a variety of large-scale sequencing projects, and to make summary data available for the wider scientific community. The data set provided on this website spans 61,486 unrelated individuals sequenced as part of various disease-specific and population genetic studies. They have removed individuals affected by severe pediatric disease, so this data set should serve as a useful reference set of allele frequencies for severe disease studies. All of the raw data from these projects have been reprocessed through the same pipeline, and jointly variant-called to increase consistency across projects. They ask that you not publish global (genome-wide) analyses of these data until after the ExAC flagship paper has been published, estimated to be in early 2015. If you''re uncertain which category your analyses fall into, please email them. The aggregation and release of summary data from the exomes collected by the Exome Aggregation Consortium has been approved by the Partners IRB (protocol 2013P001477, Genomic approaches to gene discovery in rare neuromuscular diseases).

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RRID:SCR_014964

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