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Characterisation of mutations of the phosphoinositide-3-kinase regulatory subunit, PIK3R2, in perisylvian polymicrogyria: a next-generation sequencing study.

Identifieur interne : 002589 ( PubMed/Curation ); précédent : 002588; suivant : 002590

Characterisation of mutations of the phosphoinositide-3-kinase regulatory subunit, PIK3R2, in perisylvian polymicrogyria: a next-generation sequencing study.

Auteurs : Ghayda M. Mirzaa [États-Unis] ; Valerio Conti [Italie] ; Andrew E. Timms [États-Unis] ; Christopher D. Smyser [États-Unis] ; Sarah Ahmed [États-Unis] ; Melissa Carter [Canada] ; Sarah Barnett [États-Unis] ; Robert B. Hufnagel [États-Unis] ; Amy Goldstein [États-Unis] ; Yoko Narumi-Kishimoto [Japon] ; Carissa Olds [États-Unis] ; Sarah Collins [États-Unis] ; Kathreen Johnston [États-Unis] ; Jean-François Deleuze [France] ; Patrick Nitschké [France] ; Kathryn Friend [Australie] ; Catharine Harris [États-Unis] ; Allison Goetsch [États-Unis] ; Beth Martin [États-Unis] ; Evan August Boyle [États-Unis] ; Elena Parrini [Italie] ; Davide Mei [Italie] ; Lorenzo Tattini [Italie] ; Anne Slavotinek [États-Unis] ; Ed Blair [Royaume-Uni] ; Christopher Barnett [Australie] ; Jay Shendure [États-Unis] ; Jamel Chelly [France] ; William B. Dobyns [États-Unis] ; Renzo Guerrini [Italie]

Source :

RBID : pubmed:26520804

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English descriptors

Abstract

Bilateral perisylvian polymicrogyria (BPP), the most common form of regional polymicrogyria, causes the congenital bilateral perisylvian syndrome, featuring oromotor dysfunction, cognitive impairment, and epilepsy. The causes of BPP are heterogeneous, but only a few genetic causes have been reported. The aim of this study was to identify additional genetic causes of BPP and characterise their frequency in this population.

DOI: 10.1016/S1474-4422(15)00278-1
PubMed: 26520804

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Le document en format XML

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<name sortKey="Narumi Kishimoto, Yoko" sort="Narumi Kishimoto, Yoko" uniqKey="Narumi Kishimoto Y" first="Yoko" last="Narumi-Kishimoto">Yoko Narumi-Kishimoto</name>
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<name sortKey="Olds, Carissa" sort="Olds, Carissa" uniqKey="Olds C" first="Carissa" last="Olds">Carissa Olds</name>
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<name sortKey="Deleuze, Jean Francois" sort="Deleuze, Jean Francois" uniqKey="Deleuze J" first="Jean-François" last="Deleuze">Jean-François Deleuze</name>
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<wicri:regionArea>Division of Genetics, Birth Defects and Metabolism, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL</wicri:regionArea>
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<name sortKey="Martin, Beth" sort="Martin, Beth" uniqKey="Martin B" first="Beth" last="Martin">Beth Martin</name>
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<name sortKey="Boyle, Evan August" sort="Boyle, Evan August" uniqKey="Boyle E" first="Evan August" last="Boyle">Evan August Boyle</name>
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<nlm:affiliation>Department of Genetics, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation>
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<name sortKey="Parrini, Elena" sort="Parrini, Elena" uniqKey="Parrini E" first="Elena" last="Parrini">Elena Parrini</name>
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<name sortKey="Mei, Davide" sort="Mei, Davide" uniqKey="Mei D" first="Davide" last="Mei">Davide Mei</name>
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<name sortKey="Tattini, Lorenzo" sort="Tattini, Lorenzo" uniqKey="Tattini L" first="Lorenzo" last="Tattini">Lorenzo Tattini</name>
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<nlm:affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</nlm:affiliation>
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<name sortKey="Slavotinek, Anne" sort="Slavotinek, Anne" uniqKey="Slavotinek A" first="Anne" last="Slavotinek">Anne Slavotinek</name>
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<nlm:affiliation>Department of Pediatrics, Division of Genetics, University of California, San Francisco, CA, USA.</nlm:affiliation>
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<wicri:regionArea>Department of Pediatrics, Division of Genetics, University of California, San Francisco, CA</wicri:regionArea>
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<name sortKey="Blair, Ed" sort="Blair, Ed" uniqKey="Blair E" first="Ed" last="Blair">Ed Blair</name>
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<nlm:affiliation>Department of Clinical Genetics, Churchill Hospital, Oxford University Hospitals, Headington, UK.</nlm:affiliation>
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<name sortKey="Barnett, Christopher" sort="Barnett, Christopher" uniqKey="Barnett C" first="Christopher" last="Barnett">Christopher Barnett</name>
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<name sortKey="Shendure, Jay" sort="Shendure, Jay" uniqKey="Shendure J" first="Jay" last="Shendure">Jay Shendure</name>
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<nlm:affiliation>Department of Genome Sciences, University of Washington, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genome Sciences, University of Washington, Seattle, WA</wicri:regionArea>
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<name sortKey="Chelly, Jamel" sort="Chelly, Jamel" uniqKey="Chelly J" first="Jamel" last="Chelly">Jamel Chelly</name>
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<nlm:affiliation>Pôle de biologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; IGBMC, Translational Medicine and Neurogenetics Department, Illkirch, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Pôle de biologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; IGBMC, Translational Medicine and Neurogenetics Department, Illkirch</wicri:regionArea>
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<name sortKey="Dobyns, William B" sort="Dobyns, William B" uniqKey="Dobyns W" first="William B" last="Dobyns">William B. Dobyns</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA; Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA</wicri:regionArea>
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<name sortKey="Guerrini, Renzo" sort="Guerrini, Renzo" uniqKey="Guerrini R" first="Renzo" last="Guerrini">Renzo Guerrini</name>
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<nlm:affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy; IRCCS Stella Maris Foundation, Pisa, Italy. Electronic address: renzo.guerrini@meyer.it.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<title xml:lang="en">Characterisation of mutations of the phosphoinositide-3-kinase regulatory subunit, PIK3R2, in perisylvian polymicrogyria: a next-generation sequencing study.</title>
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<nlm:affiliation>Department of Neurology and Pediatrics, Washington University School of Medicine, St Louis, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology and Pediatrics, Washington University School of Medicine, St Louis, MO</wicri:regionArea>
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<name sortKey="Ahmed, Sarah" sort="Ahmed, Sarah" uniqKey="Ahmed S" first="Sarah" last="Ahmed">Sarah Ahmed</name>
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<nlm:affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA</wicri:regionArea>
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<name sortKey="Carter, Melissa" sort="Carter, Melissa" uniqKey="Carter M" first="Melissa" last="Carter">Melissa Carter</name>
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<nlm:affiliation>Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON</wicri:regionArea>
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<name sortKey="Barnett, Sarah" sort="Barnett, Sarah" uniqKey="Barnett S" first="Sarah" last="Barnett">Sarah Barnett</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Medical Genetics, University of Missouri, St Louis, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Medical Genetics, University of Missouri, St Louis, MO</wicri:regionArea>
</affiliation>
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<name sortKey="Hufnagel, Robert B" sort="Hufnagel, Robert B" uniqKey="Hufnagel R" first="Robert B" last="Hufnagel">Robert B. Hufnagel</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Human Genetics, Cincinnati Children's Hospital, Cincinnati, OH, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Human Genetics, Cincinnati Children's Hospital, Cincinnati, OH</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Goldstein, Amy" sort="Goldstein, Amy" uniqKey="Goldstein A" first="Amy" last="Goldstein">Amy Goldstein</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Child Neurology, Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Child Neurology, Children's Hospital of Pittsburgh, Pittsburgh, PA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Narumi Kishimoto, Yoko" sort="Narumi Kishimoto, Yoko" uniqKey="Narumi Kishimoto Y" first="Yoko" last="Narumi-Kishimoto">Yoko Narumi-Kishimoto</name>
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<nlm:affiliation>Department of Pediatrics, Shimada Ryoiku Center Hachioji, Tokyo, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Pediatrics, Shimada Ryoiku Center Hachioji, Tokyo</wicri:regionArea>
</affiliation>
</author>
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<name sortKey="Olds, Carissa" sort="Olds, Carissa" uniqKey="Olds C" first="Carissa" last="Olds">Carissa Olds</name>
<affiliation wicri:level="1">
<nlm:affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Collins, Sarah" sort="Collins, Sarah" uniqKey="Collins S" first="Sarah" last="Collins">Sarah Collins</name>
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<nlm:affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Johnston, Kathreen" sort="Johnston, Kathreen" uniqKey="Johnston K" first="Kathreen" last="Johnston">Kathreen Johnston</name>
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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Centre National de Génotypage, Evry</wicri:regionArea>
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<author>
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<nlm:affiliation>Plateforme de Bioinformatique Paris-Descartes, Institut Imagine, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Plateforme de Bioinformatique Paris-Descartes, Institut Imagine, Paris</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Friend, Kathryn" sort="Friend, Kathryn" uniqKey="Friend K" first="Kathryn" last="Friend">Kathryn Friend</name>
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<country xml:lang="fr">Australie</country>
<wicri:regionArea>Genetics and Molecular Pathology, Women's and Children's Hospital, North Adelaide, SA</wicri:regionArea>
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<author>
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<nlm:affiliation>Division of Medical Genetics, University of Missouri, St Louis, MO, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Medical Genetics, University of Missouri, St Louis, MO</wicri:regionArea>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Genetics, Birth Defects and Metabolism, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Martin, Beth" sort="Martin, Beth" uniqKey="Martin B" first="Beth" last="Martin">Beth Martin</name>
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<nlm:affiliation>Department of Genome Sciences, University of Washington, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genome Sciences, University of Washington, Seattle, WA</wicri:regionArea>
</affiliation>
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<name sortKey="Boyle, Evan August" sort="Boyle, Evan August" uniqKey="Boyle E" first="Evan August" last="Boyle">Evan August Boyle</name>
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<nlm:affiliation>Department of Genetics, Stanford University School of Medicine, Stanford, CA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genetics, Stanford University School of Medicine, Stanford, CA</wicri:regionArea>
</affiliation>
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<author>
<name sortKey="Parrini, Elena" sort="Parrini, Elena" uniqKey="Parrini E" first="Elena" last="Parrini">Elena Parrini</name>
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<nlm:affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Mei, Davide" sort="Mei, Davide" uniqKey="Mei D" first="Davide" last="Mei">Davide Mei</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Tattini, Lorenzo" sort="Tattini, Lorenzo" uniqKey="Tattini L" first="Lorenzo" last="Tattini">Lorenzo Tattini</name>
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<nlm:affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Slavotinek, Anne" sort="Slavotinek, Anne" uniqKey="Slavotinek A" first="Anne" last="Slavotinek">Anne Slavotinek</name>
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<nlm:affiliation>Department of Pediatrics, Division of Genetics, University of California, San Francisco, CA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Pediatrics, Division of Genetics, University of California, San Francisco, CA</wicri:regionArea>
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<author>
<name sortKey="Blair, Ed" sort="Blair, Ed" uniqKey="Blair E" first="Ed" last="Blair">Ed Blair</name>
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<nlm:affiliation>Department of Clinical Genetics, Churchill Hospital, Oxford University Hospitals, Headington, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Clinical Genetics, Churchill Hospital, Oxford University Hospitals, Headington</wicri:regionArea>
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<author>
<name sortKey="Barnett, Christopher" sort="Barnett, Christopher" uniqKey="Barnett C" first="Christopher" last="Barnett">Christopher Barnett</name>
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<nlm:affiliation>South Australian Clinical Genetics Service, Women's and Children's Hospital/SA Pathology, North Adelaide, SA, Australia; Discipline of Pediatrics, University of Adelaide, Adelaide, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>South Australian Clinical Genetics Service, Women's and Children's Hospital/SA Pathology, North Adelaide, SA, Australia; Discipline of Pediatrics, University of Adelaide, Adelaide</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Shendure, Jay" sort="Shendure, Jay" uniqKey="Shendure J" first="Jay" last="Shendure">Jay Shendure</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Genome Sciences, University of Washington, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Genome Sciences, University of Washington, Seattle, WA</wicri:regionArea>
</affiliation>
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<name sortKey="Chelly, Jamel" sort="Chelly, Jamel" uniqKey="Chelly J" first="Jamel" last="Chelly">Jamel Chelly</name>
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<nlm:affiliation>Pôle de biologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; IGBMC, Translational Medicine and Neurogenetics Department, Illkirch, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Pôle de biologie, Hôpitaux Universitaires de Strasbourg, Strasbourg, France; IGBMC, Translational Medicine and Neurogenetics Department, Illkirch</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Dobyns, William B" sort="Dobyns, William B" uniqKey="Dobyns W" first="William B" last="Dobyns">William B. Dobyns</name>
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<nlm:affiliation>Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA; Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA; Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA</wicri:regionArea>
</affiliation>
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<name sortKey="Guerrini, Renzo" sort="Guerrini, Renzo" uniqKey="Guerrini R" first="Renzo" last="Guerrini">Renzo Guerrini</name>
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<nlm:affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy; IRCCS Stella Maris Foundation, Pisa, Italy. Electronic address: renzo.guerrini@meyer.it.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy; IRCCS Stella Maris Foundation, Pisa</wicri:regionArea>
</affiliation>
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<title level="j">The Lancet. Neurology</title>
<idno type="eISSN">1474-4465</idno>
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<term>DNA Mutational Analysis</term>
<term>Humans</term>
<term>Infant</term>
<term>Intellectual Disability (genetics)</term>
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<term>Mutation</term>
<term>Phosphatidylinositol 3-Kinases (genetics)</term>
<term>Young Adult</term>
</keywords>
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<term>Adolescent</term>
<term>Analyse de mutations d'ADN</term>
<term>Déficience intellectuelle (génétique)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Jeune adulte</term>
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<term>Malformations multiples (génétique)</term>
<term>Mutation</term>
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<front>
<div type="abstract" xml:lang="en">Bilateral perisylvian polymicrogyria (BPP), the most common form of regional polymicrogyria, causes the congenital bilateral perisylvian syndrome, featuring oromotor dysfunction, cognitive impairment, and epilepsy. The causes of BPP are heterogeneous, but only a few genetic causes have been reported. The aim of this study was to identify additional genetic causes of BPP and characterise their frequency in this population.</div>
</front>
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<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">26520804</PMID>
<DateCreated>
<Year>2015</Year>
<Month>11</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>03</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>01</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1474-4465</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>14</Volume>
<Issue>12</Issue>
<PubDate>
<Year>2015</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>The Lancet. Neurology</Title>
<ISOAbbreviation>Lancet Neurol</ISOAbbreviation>
</Journal>
<ArticleTitle>Characterisation of mutations of the phosphoinositide-3-kinase regulatory subunit, PIK3R2, in perisylvian polymicrogyria: a next-generation sequencing study.</ArticleTitle>
<Pagination>
<MedlinePgn>1182-95</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/S1474-4422(15)00278-1</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1474-4422(15)00278-1</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Bilateral perisylvian polymicrogyria (BPP), the most common form of regional polymicrogyria, causes the congenital bilateral perisylvian syndrome, featuring oromotor dysfunction, cognitive impairment, and epilepsy. The causes of BPP are heterogeneous, but only a few genetic causes have been reported. The aim of this study was to identify additional genetic causes of BPP and characterise their frequency in this population.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Children (aged ≤18 years) with polymicrogyria were enrolled into our research programme from July, 1980, to October, 2015, at two centres (Florence, Italy, and Seattle, WA, USA). We obtained samples (blood and saliva) throughout this period at both centres and did whole-exome sequencing on DNA from eight trios (two parents and one affected child) with BPP in 2014. After the identification of mosaic PIK3R2 mutations in two of these eight children, we performed targeted screening of PIK3R2 by two methods in a cohort of 118 children with BPP. First, we performed targeted sequencing of the entire PIK3R2 gene by single molecule molecular inversion probes (smMIPs) on 38 patients with BPP with normal to large head size. Second, we did amplicon sequencing of the recurrent PIK3R2 mutation (Gly373Arg) in 80 children with various types of polymicrogyria including BPP. One additional patient had clinical whole-exome sequencing done independently, and was included in this study because of the phenotypic similarity to our cohort.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">We identified a mosaic mutation (Gly373Arg) in a regulatory subunit of the PI3K-AKT-mTOR pathway, PIK3R2, in two children with BPP. Of the 38 patients with BPP and normal to large head size who underwent targeted next-generation sequencing by smMIPs, we identified constitutional and mosaic PIK3R2 mutations in 17 additional children. In parallel, one patient had the recurrent PIK3R2 mutation identified by clinical whole-exome sequencing. Seven of these 20 patients had BPP alone, and 13 had BPP in association with features of the megalencephaly-polymicrogyria-polydactyly-hydrocephalus (MPPH) syndrome. 19 patients had the same mutation (Gly373Arg), and one had a nearby missense mutation (Lys376Glu). Mutations were constitutional in 12 patients and mosaic in eight patients. In patients with mosaic mutations, we noted substantial variation in alternate (mutant) allele levels, ranging from ten (3%) of 377 reads to 39 (37%) of 106 reads, equivalent to 5-73% of cells analysed. Levels of mosaicism varied from undetectable to 37 (17%) of 216 reads in blood-derived DNA compared with 2030 (29%) of 6889 reads to 275 (43%) of 634 reads in saliva-derived DNA.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Constitutional and mosaic mutations in the PIK3R2 gene are associated with developmental brain disorders ranging from BPP with a normal head size to the MPPH syndrome. The phenotypic variability and low-level mosaicism, which challenge conventional molecular methods, have important implications for genetic testing and counselling.</AbstractText>
<AbstractText Label="FUNDING" NlmCategory="BACKGROUND">US National Institutes of Health.</AbstractText>
<CopyrightInformation>Copyright © 2015 Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Mirzaa</LastName>
<ForeName>Ghayda M</ForeName>
<Initials>GM</Initials>
<AffiliationInfo>
<Affiliation>Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, WA, USA; Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA. Electronic address: gmirzaa@uw.edu.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Conti</LastName>
<ForeName>Valerio</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Timms</LastName>
<ForeName>Andrew E</ForeName>
<Initials>AE</Initials>
<AffiliationInfo>
<Affiliation>Center for Developmental Biology and Regenerative Medicine, Seattle Children's Research Institute, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Smyser</LastName>
<ForeName>Christopher D</ForeName>
<Initials>CD</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology and Pediatrics, Washington University School of Medicine, St Louis, MO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Ahmed</LastName>
<ForeName>Sarah</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Carter</LastName>
<ForeName>Melissa</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Division of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, ON, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Barnett</LastName>
<ForeName>Sarah</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Division of Medical Genetics, University of Missouri, St Louis, MO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hufnagel</LastName>
<ForeName>Robert B</ForeName>
<Initials>RB</Initials>
<AffiliationInfo>
<Affiliation>Division of Human Genetics, Cincinnati Children's Hospital, Cincinnati, OH, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Goldstein</LastName>
<ForeName>Amy</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Division of Child Neurology, Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Narumi-Kishimoto</LastName>
<ForeName>Yoko</ForeName>
<Initials>Y</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Shimada Ryoiku Center Hachioji, Tokyo, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Olds</LastName>
<ForeName>Carissa</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Collins</LastName>
<ForeName>Sarah</ForeName>
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<AffiliationInfo>
<Affiliation>Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Johnston</LastName>
<ForeName>Kathreen</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Genetics Department, Permanente Medical Group, San Francisco, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Deleuze</LastName>
<ForeName>Jean-François</ForeName>
<Initials>JF</Initials>
<AffiliationInfo>
<Affiliation>Centre National de Génotypage, Evry, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nitschké</LastName>
<ForeName>Patrick</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Plateforme de Bioinformatique Paris-Descartes, Institut Imagine, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Friend</LastName>
<ForeName>Kathryn</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Genetics and Molecular Pathology, Women's and Children's Hospital, North Adelaide, SA, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Harris</LastName>
<ForeName>Catharine</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Division of Medical Genetics, University of Missouri, St Louis, MO, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Goetsch</LastName>
<ForeName>Allison</ForeName>
<Initials>A</Initials>
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<Affiliation>Division of Genetics, Birth Defects and Metabolism, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, IL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Martin</LastName>
<ForeName>Beth</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Department of Genome Sciences, University of Washington, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Boyle</LastName>
<ForeName>Evan August</ForeName>
<Initials>EA</Initials>
<AffiliationInfo>
<Affiliation>Department of Genetics, Stanford University School of Medicine, Stanford, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Parrini</LastName>
<ForeName>Elena</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Mei</LastName>
<ForeName>Davide</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Pediatric Neurology, Neurogenetics and Neurobiology Unit and Laboratories, Neuroscience Department, A Meyer Children's Hospital, University of Florence, Florence, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tattini</LastName>
<ForeName>Lorenzo</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
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</AffiliationInfo>
</Author>
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<LastName>Slavotinek</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Division of Genetics, University of California, San Francisco, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Blair</LastName>
<ForeName>Ed</ForeName>
<Initials>E</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Genetics, Churchill Hospital, Oxford University Hospitals, Headington, UK.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Barnett</LastName>
<ForeName>Christopher</ForeName>
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<Affiliation>South Australian Clinical Genetics Service, Women's and Children's Hospital/SA Pathology, North Adelaide, SA, Australia; Discipline of Pediatrics, University of Adelaide, Adelaide, Australia.</Affiliation>
</AffiliationInfo>
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