ARF1 -related disorder: Phenotypic and molecular spectrum

Jean Madeleine De Sainte Agathe*, Ben Pode-Shakked, Sophie Naudion, Vincent Michaud, Benoit Arveiler, Patricia Fergelot, Jean Delmas, Boris Keren, Céline Poirsier, Fowzan S. Alkuraya, Brahim Tabarki, Eric Bend, Kellie Davis, Martina Bebin, Michelle L. Thompson, Emily M. Bryant, Matias Wagner, Iris Hannibal, Jerica Lenberg, Martin KrennKristen M. Wigby, Jennifer R. Friedman, Maria Iascone, Anna Cereda, Térence Miao, Eric Leguern, Emanuela Argilli, Elliott Sherr, Oana Caluseriu, Timothy Tidwell, Pinar Bayrak-Toydemir, Caroline Hagedorn, Melanie Brugger, Katharina Vill, Francois Dominique Morneau-Jacob, Wendy Chung, Kathryn N. Weaver, Joshua W. Owens, Ammar Husami, Bimal P. Chaudhari, Brandon S. Stone, Katie Burns, Rachel Li, Iris M. De Lange, Margaux Biehler, Emmanuelle Ginglinger, Bénédicte Gérard, Rolf W. Stottmann, Aurélien Trimouille

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Purpose ARF1 was previously implicated in periventricular nodular heterotopia (PVNH) in only five individuals and systematic clinical characterisation was not available. The aim of this study is to provide a comprehensive description of the phenotypic and genotypic spectrum of ARF1-related neurodevelopmental disorder. Methods We collected detailed phenotypes of an international cohort of individuals (n=17) with ARF1 variants assembled through the GeneMatcher platform. Missense variants were structurally modelled, and the impact of several were functionally validated. Results De novo variants (10 missense, 1 frameshift, 1 splice altering resulting in 9 residues insertion) in ARF1 were identified among 17 unrelated individuals. Detailed phenotypes included intellectual disability (ID), microcephaly, seizures and PVNH. No specific facial characteristics were consistent across all cases, however microretrognathia was common. Various hearing and visual defects were recurrent, and interestingly, some inflammatory features were reported. MRI of the brain frequently showed abnormalities consistent with a neuronal migration disorder. Conclusion We confirm the role of ARF1 in an autosomal dominant syndrome with a phenotypic spectrum including severe ID, microcephaly, seizures and PVNH due to impaired neuronal migration.

Original languageEnglish
Pages (from-to)999-1005
Number of pages7
JournalJournal of Medical Genetics
Volume60
Issue number10
DOIs
StatePublished - 1 Oct 2023

Keywords

  • epilepsy
  • human genetics
  • sequence analysis, DNA

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