PT - JOURNAL ARTICLE AU - Esther R Berko AU - Megan T Cho AU - Christine Eng AU - Yunru Shao AU - David A Sweetser AU - Jessica Waxler AU - Nathaniel H Robin AU - Fallon Brewer AU - Sandra Donkervoort AU - Payam Mohassel AU - Carsten G Bönnemann AU - Martin Bialer AU - Christine Moore AU - Lynne A Wolfe AU - Cynthia J Tifft AU - Yufeng Shen AU - Kyle Retterer AU - Francisca Millan AU - Wendy K Chung TI - De novo missense variants in <em>HECW2</em> are associated with neurodevelopmental delay and hypotonia AID - 10.1136/jmedgenet-2016-103943 DP - 2017 Feb 01 TA - Journal of Medical Genetics PG - 84--86 VI - 54 IP - 2 4099 - http://jmg.bmj.com/content/54/2/84.short 4100 - http://jmg.bmj.com/content/54/2/84.full SO - J Med Genet2017 Feb 01; 54 AB - Background The causes of intellectual disability (ID) are diverse and de novo mutations are increasingly recognised to account for a significant proportion of ID.Methods and results In this study, we performed whole exome sequencing on a large cohort of patients with ID or neurodevelopmental delay and identified four novel de novo predicted deleterious missense variants in HECW2 in six probands with ID/developmental delay and hypotonia. Other common features include seizures, strabismus, nystagmus, cortical visual impairment and dysmorphic facial features. HECW2 is an ubiquitin ligase that stabilises p73, a crucial mediator of neurodevelopment and neurogenesis.Conclusion This study implicates pathogenic genetic variants in HECW2 as potential causes of neurodevelopmental disorders in humans.