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SETD1B-associated neurodevelopmental disorder.

Alexandra Roston1, Dan Evans2, Harinder Gill3,4

  • 1Department of Medical Genetics, The University of British Columbia, Vancouver, British Columbia, Canada alexandra.roston@phsa.ca.

Journal of Medical Genetics
|June 18, 2020
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Summary
This summary is machine-generated.

Rare variants in the SETD1B gene are linked to a neurodevelopmental syndrome featuring intellectual disability, seizures, and language delays. This finding may also indicate a risk for epilepsy and autism spectrum disorder.

Keywords:
clinical geneticsepilepsy and seizuresgeneticsmolecular genetics

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Area of Science:

  • Genetics
  • Neuroscience
  • Epigenetics

Background:

  • Histone methyltransferases and chromatin modifiers are implicated in neurodevelopmental disorders and cancers.
  • SETD1B encodes a lysine-specific methyltransferase crucial for transcriptional activation via H3K4 methylation.
  • Previous reports link rare SETD1B variants to seizures, global developmental delay, and intellectual disability.

Purpose of the Study:

  • To report clinical findings in four patients with rare coding variants in SETD1B.
  • To characterize the shared phenotype associated with SETD1B variants.
  • To investigate the role of SETD1B in neurodevelopmental disorders.

Main Methods:

  • Clinical data collection from four patients with rare SETD1B coding variants.
  • Genome-wide and exome-wide testing, including microarray and trio exome sequencing.
  • Next-generation sequencing analysis in a cohort of pediatric epilepsy patients.

Main Results:

  • Four patients presented with a shared phenotype including intellectual disability, language delay, specific musculoskeletal findings, and seizures.
  • Seizures in these patients were potentially treatment-refractory.
  • Supporting evidence was found in a cohort of pediatric epilepsy patients.

Conclusions:

  • Rare coding variants in SETD1B can lead to a diagnosable syndrome.
  • SETD1B variants may be a risk factor for epilepsy, autism, and other neurodevelopmental phenotypes.
  • Longitudinal studies are needed to understand SETD1B's role in neurodevelopmental and other complex diseases.