Publications by authors named "Britt Marie Anderlid"

Inversions are balanced structural variants that often remain undetected in genetic diagnostics. We present a female proband with a de novo Chromosome 15 paracentric inversion, disrupting MEIS2 and NUSAP1. The inversion was detected by short-read genome sequencing and confirmed with adaptive long-read sequencing.

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  • Genetic changes affecting a protein called HNRNPU are found in several brain disorders in kids.
  • HNRNPU is important for the brain's growth, especially in the part called the cerebellum, but we don’t know how it affects this area yet.
  • Researchers found that when HNRNPU is missing, it changes how brain cells develop, which might connect to issues like epilepsy, autism, and learning challenges.
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We describe a boy born with hypospadias and later diagnosed with vesicoureteral reflux and mild cognitive disability. Routine diagnostic investigation by karyotyping, chromosomal microarray (CMA) and trio analysis with whole exome sequencing was normal. However, later CMA performed on DNA from genital tissue showed trisomy 15, which prompted further analysis.

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Polymicrogyria is estimated to be one of the most common brain malformations, accounting for ∼16% of malformations of cortical development. However, the prevalence and incidence of polymicrogyria is unknown. Our aim was to estimate the prevalence, incidence rate, neuroimaging diversity, aetiology, and clinical phenotype of polymicrogyria in a population-based paediatric cohort.

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  • Neuromuscular disorders (NMDs) have various causes, and getting a genetic diagnosis is essential for personalized treatment.
  • The study analyzed 861 patients using genome sequencing to identify genetic variants associated with NMDs, finding that 27% had pathogenic variants, with one-third involving short tandem repeats (STRs) and structural variants (SVs).
  • The findings suggest that a comprehensive genome-wide analysis, especially for children with vague symptoms, is more effective than just focusing on specific disease-related genes, emphasizing the need to include STR and SV analyses in NMD diagnostics.
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This paper focuses on genetic counselling in Phelan-McDermid syndrome (PMS), a rare neurodevelopmental disorder caused by a deletion 22q13.3 or a pathogenic variant in SHANK3. It is one of a series of papers written by the European PMS consortium as a consensus guideline.

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  • Dominant variants in the RARB gene cause MCOPS12, a type of microphthalmia that comes with various birth defects and developmental delays, impacting 25 individuals in this study.
  • The research employed transcriptional assays and structural analysis to evaluate how these RARB variants affect its typical function, revealing both gain-of-function and loss-of-function activities.
  • Findings indicate that while RARB disruption leads to a variety of clinical outcomes, some affected individuals may not show key symptoms like eye abnormalities or motor issues, highlighting the complexity of these genetic variations.
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The TRIO gene encodes a rho guanine exchange factor, the function of which is to exchange GDP to GTP, and hence to activate Rho GTPases, and has been described to impact neurodevelopment. Specific genotype-to-phenotype correlations have been established previously describing striking differentiating features seen in variants located in specific domains of the TRIO gene that are associated with opposite effects on RAC1 activity. Currently, 32 cases with a TRIO gene alteration have been published in the medical literature.

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Mowat-Wilson syndrome (MWS) is a severe neurodevelopmental disorder caused by heterozygous variants in the gene encoding transcription factor . Affected individuals present with structural brain abnormalities, speech delay and epilepsy. In mice, conditional loss of Zeb2 causes hippocampal degeneration, altered migration and differentiation of GABAergic interneurons, a heterogeneous population of mainly inhibitory neurons of importance for maintaining normal excitability.

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  • Individuals with intellectual disabilities (ID) and neurodevelopmental disorders (NDD) are assessed using various genetic testing methods, including genome sequencing (GS) and chromosomal microarrays (CMA).
  • A study comparing three diagnostic approaches found that GS as the first test had a 35% diagnostic yield, while GS as a secondary test yielded 26%, and CMA/FMR1 yielded only 11%.
  • The research suggests that GS should be the preferred first-line genetic test for ID/NDD due to its higher effectiveness, lower costs, and potential to provide earlier diagnoses.
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  • - This research focuses on a neurodevelopmental syndrome linked to pathogenic variants in the Jumonji gene, which results in developmental delays, cognitive impairment, and various other symptoms, highlighting a lack of understanding of its molecular causes.
  • - The study analyzes DNA methylation profiles from 56 controls and 11 patients, revealing a clear differentiation in methylation patterns between patients with pathogenic variants and healthy individuals.
  • - A new DNA methylation signature has been identified as a potential biomarker for the syndrome, which may aid in diagnosis and improve care by distinguishing affected patients from those with variants of uncertain significance.
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Objective: Existing data suggest that epilepsy presenting in the first few years of life carries a worse prognosis than later onset. However, studies are few and methods differ, making interpretations of data uncertain. This study analyzes outcome at age 7 and potential prognostic factors in a well-characterized population-based cohort with epilepsy onset during the first 2 years of life.

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  • Pathogenic variants in the MYH3 gene are linked to ultra-rare conditions such as distal arthrogryposis and syndromes characterized by joint contractures and vertebral malformations.
  • This study analyzed 17 patients from 10 families, identifying 12 new pathogenic variants, some inherited in dominant and others in recessive patterns, and noted a significant overlap in clinical features between the different inheritance patterns.
  • The research suggests disturbances in TGF-β signaling pathways contribute to the disorders, expanding the understanding of MYH3-associated skeletal conditions.
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Objective: Incomplete partition type 3 (IP3) malformation deafness is a rare hereditary cause of congenital or rapid progressive hearing loss. The children present with a severe to profound mixed hearing loss and temporal bone imaging show a typical inner ear malformation classified as IP3. Cochlear implantation is one option of hearing restoration in severe cases.

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  • Skeletal ciliopathies are a group of disorders marked by bone issues and internal abnormalities, linked to mutations in over 30 different genes that affect cilia proteins.
  • The study analyzed 34 affected individuals from 29 families using advanced genetic testing methods, discovering disease-causing mutations in seven key genes, including DYNC2H1 and EVC.
  • Notably, the research identified a new gene, IFT74, associated with skeletal ciliopathies, contributing to a high genetic diagnosis success rate of 90% in this patient cohort.
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  • The study analyzes whole genome sequencing data from 4,437 individuals (3,219 patients and 1,218 relatives) at the Genomic Medicine Center Karolinska-Rare Diseases to advance genomics-based diagnostics in Stockholm's healthcare system.
  • Results show that 40% of patients received a molecular diagnosis, with variation in detection rates among different disease groups and involving 754 different causative genes.
  • The initiative also contributes to research by sharing data internationally, leading to the discovery of 17 new disease-causing genes and fostering collaboration among expert teams for complex cases.
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Deletion 1p36 (del1p36) syndrome is the most common human disorder resulting from a terminal autosomal deletion. This condition is molecularly and clinically heterogeneous. Deletions involving two non-overlapping regions, known as the distal (telomeric) and proximal (centromeric) critical regions, are sufficient to cause the majority of the recurrent clinical features, although with different facial features and dysmorphisms.

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Introduction: Lissencephaly is a rare malformation of cortical development due to abnormal transmantle migration resulting in absent or reduced gyration. The lissencephaly spectrum consists of agyria, pachygyria and subcortical band heterotopia. In this study we compared genetic aetiology, neuroradiology, clinical phenotype and response to antiepileptic drugs in patients with epilepsy and lissencephaly spectrum malformations.

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  • JARID2 is located on chromosome 6p22.3 and is linked to intellectual disability (ID) through deletions and variants that affect its expression in human neurons.
  • Previous studies had identified 13 individuals with de novo deletions involving JARID2 but could not definitively attribute their clinical features solely to this gene due to other neighboring gene deletions.
  • This study expands the findings to 16 individuals who show developmental delay and overlapping clinical characteristics, confirming that haploinsufficiency of JARID2 is responsible for a distinct neurodevelopmental syndrome.
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Most genes associated with neurodevelopmental disorders (NDDs) were identified with an excess of de novo mutations (DNMs) but the significance in case-control mutation burden analysis is unestablished. Here, we sequence 63 genes in 16,294 NDD cases and an additional 62 genes in 6,211 NDD cases. By combining these with published data, we assess a total of 125 genes in over 16,000 NDD cases and compare the mutation burden to nonpsychiatric controls from ExAC.

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Objective: Population-based data on epilepsy syndromes and etiologies in early onset epilepsy are scarce. The use of next-generation sequencing (NGS) has hitherto not been reported in this context. The aim of this study is to describe children with epilepsy onset before 2 years of age, and to explore to what degree whole exome and whole genome sequencing (WES/WGS) can help reveal a molecular genetic diagnosis.

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CASK-related disorders are genetically defined neurodevelopmental syndromes. There is limited information about the effects of CASK mutations in human neurons. Therefore, we sought to delineate CASK-mutation consequences and neuronal effects using induced pluripotent stem cell-derived neurons from two mutation carriers.

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Physical examinations are recommended as part of a comprehensive evaluation for individuals with neurodevelopmental disorders (NDDs), such as autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder. These examinations should include assessment for morphological variants. Previous studies have shown an increase in morphological variants in individuals with NDDs, particularly ASD, and that these variants may be present in greater amounts in individuals with genetic alterations.

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