학술논문

Neurodevelopmental copy-number variants: A roadmap to improving outcomes by uniting patient advocates, researchers, and clinicians for collective impact
Document Type
article
Source
American Journal of Human Genetics. 109(8)
Subject
Biological Sciences
Biomedical and Clinical Sciences
Genetics
Human Genome
Intellectual and Developmental Disabilities (IDD)
Neurosciences
Brain Disorders
DNA Copy Number Variations
Genome
Humans
Neurodevelopmental Disorders
Patient Advocacy
Phenotype
Commission on Novel Technologies for Neurodevelopmental Copy Number Variants
CNVs
biobank
community engagement
copy-number variants
genomic disorders
iPSCs
inclusion
infrastructure
long-read sequencing
neurodevelopment
neurological
patient centered
patient led
structural variants
systematic phenotyping
team science
Medical and Health Sciences
Genetics & Heredity
Biological sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
Copy-number variants and structural variants (CNVs/SVs) drive many neurodevelopmental-related disorders. While many neurodevelopmental-related CNVs/SVs give rise to complex phenotypes, the overlap in phenotypic presentation between independent CNVs can be extensive and provides a motivation for shared approaches. This confluence at the level of clinical phenotype implies convergence in at least some aspects of the underlying genomic mechanisms. With this perspective, our Commission on Novel Technologies for Neurodevelopmental CNVs asserts that the time has arrived to approach neurodevelopmental-related CNVs/SVs as a class of disorders that can be identified, investigated, and treated on the basis of shared mechanisms and/or pathways (e.g., molecular, neurological, or developmental). To identify common etiologic mechanisms among uncommon neurodevelopmental-related disorders and to potentially identify common therapies, it is paramount for teams of scientists, clinicians, and patients to unite their efforts. We bring forward novel, collaborative, and integrative strategies to translational CNV/SV research that engages diverse stakeholders to help expedite therapeutic outcomes. We articulate a clear vision for piloted roadmap strategies to reduce patient/caregiver burden and redundancies, increase efficiency, avoid siloed data, and accelerate translational discovery across CNV/SV-based syndromes.