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Exome sequencing identifies homozygous variants in MBOAT7 associated with neurodevelopmental disorder
Authors:Gul Nazmina  Amjad Khan  Jiuhong Jiang  Zhichao Miao  Shahid Niaz Khan  Muhammad Ismail Khan  Abdul Haleem Shah  Ayesha Haleem Shah  Muhammad Khisroon  Tobias B Haack
Affiliation:1. Department of Zoology, University of Peshawar, Peshawar, Pakistan;2. Faculty of Biological Sciences, Department of Zoology, University of Lakki Marwat, Khyber Pakhtunkhwa, Pakistan;3. Guangzhou National Laboratory, Guangzhou International Bio Island, Guangzhou, China;4. GMU-GIBH Joint School of Life Sciences, The Guangdong-Hong Kong-Macau Joint Laboratory for Cell Fate Regulation and Diseases, Guangzhou National Laboratory, Guangzhou Medical University, Guangzhou, China

Shanghai Key Laboratory of Anesthesiology and Brain Functional Modulation, Clinical Research Center for Anesthesiology and Perioperative Medicine Translational Research Institute of Brain and Brain-Like Intelligence, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China;5. Department of Zoology, Kohat University of Science and Technology, Kohat, Pakistan;6. Department of Zoology, Islamia College University Peshawar, Peshawar, Pakistan;7. Institute of Biological sciences, Gomal University, Dera Ismail Khan, Pakistan;8. Institute for Medical Genetics and Applied Genomics, University of Tübingen, Tübingen, Germany

Abstract:Intellectual disability (ID) is a large group of neurodevelopmental disorders characterized by a congenital limitation in intellectual functioning (reasoning, learning, and problem solving), adaptive behavior (conceptual, social, and practical skills), originated at birth and manifested before the age of 18. By whole exome sequencing of five consanguineous Pakistani families presenting hallmark features of ID, global developmental delay, aggressive and self-injurious behaviors, microcephaly, febrile seizures and facial dysmorphic features, we identified three novel homozygous missense variants (NM_024298.5: c.588G > T; p.Trp196Cys, c.736 T > C; p.Tyr246His and c.524A > C; p. Asp175Ala) and one rare homozygous in-frame deletion variant (c.758_778del;p.Glu253_Ala259del) in membrane-bound O-acyltransferase family member 7 (MBOAT7) gene previously associated with autosomal recessive neurodevelopmental disorder. The segregation of the variants was validated by Sanger sequencing in all family members. In silico homology modeling of wild-type and mutated proteins revealed substantial changes in the structure of both proteins, indicating a possible effect on function. The identification and validation of new pathogenic MBOAT7 variants in five cases of autosomal recessive ID further highlight the importance of this genes in proper brain function and development.
Keywords:intellectual disability  MBOAT7 gene  Pakistani consanguineous families  whole exome sequencing
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