학술논문

Comprehensive multi-omic profiling of somatic mutations in malformations of cortical development
Document Type
article
Source
Nature Genetics. 55(2)
Subject
Genetics
Pediatric
Neurodegenerative
Epilepsy
Neurosciences
Human Genome
Brain Disorders
Biotechnology
Clinical Research
Stem Cell Research
Congenital Structural Anomalies
Underpinning research
1.1 Normal biological development and functioning
Aetiology
2.1 Biological and endogenous factors
Neurological
Humans
Multiomics
Brain
Mutation
Malformations of Cortical Development
Focal Cortical Dysplasia Neurogenetics Consortium
Brain Somatic Mosaicism Network
Biological Sciences
Medical and Health Sciences
Developmental Biology
Language
Abstract
Malformations of cortical development (MCD) are neurological conditions involving focal disruptions of cortical architecture and cellular organization that arise during embryogenesis, largely from somatic mosaic mutations, and cause intractable epilepsy. Identifying the genetic causes of MCD has been a challenge, as mutations remain at low allelic fractions in brain tissue resected to treat condition-related epilepsy. Here we report a genetic landscape from 283 brain resections, identifying 69 mutated genes through intensive profiling of somatic mutations, combining whole-exome and targeted-amplicon sequencing with functional validation including in utero electroporation of mice and single-nucleus RNA sequencing. Genotype-phenotype correlation analysis elucidated specific MCD gene sets associated with distinct pathophysiological and clinical phenotypes. The unique single-cell level spatiotemporal expression patterns of mutated genes in control and patient brains indicate critical roles in excitatory neurogenic pools during brain development and in promoting neuronal hyperexcitability after birth.