RT Journal Article SR Electronic T1 Excess of de novo variants in genes involved in chromatin remodelling in patients with marfanoid habitus and intellectual disability JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 466 OP 474 DO 10.1136/jmedgenet-2019-106425 VO 57 IS 7 A1 Martin Chevarin A1 Yannis Duffourd A1 Rebecca A. Barnard A1 Sébastien Moutton A1 François Lecoquierre A1 Fatma Daoud A1 Paul Kuentz A1 Caroline Cabret A1 Julien Thevenon A1 Elodie Gautier A1 Patrick Callier A1 Judith St-Onge A1 Thibaud Jouan A1 Didier Lacombe A1 Marie Ange Delrue A1 Cyril Goizet A1 Fanny Morice-Picard A1 Julien Van-Gils A1 Arnold Munnich A1 Stanislas Lyonnet A1 Valérie Cormier-Daire A1 Geneviève Baujat A1 Muriel Holder A1 Florence Petit A1 Bruno Leheup A1 Sylvie Odent A1 Pierre-Simon Jouk A1 Gipsy Lopez A1 David Geneviève A1 Patrick Collignon A1 Dominique Martin-Coignard A1 Aurélia Jacquette A1 Laurence Perrin A1 Audrey Putoux A1 Elisabeth Sarrazin A1 Khadija Amarof A1 Isabelle Missotte A1 Christine Coubes A1 Sujatha Jagadeesh A1 Elisabetta Lapi A1 Florence Demurger A1 Alice Goldenberg A1 Martine Doco-Fenzy A1 Cyril Mignot A1 Delphine Héron A1 Nolwenn Jean-Marçais A1 Alice Masurel A1 Salima El Chehadeh A1 Nathalie Marle A1 Frédéric Huet A1 Christine Binquet A1 Gwenaëlle Collod-Beroud A1 Pauline Arnaud A1 Nadine Hanna A1 Catherine Boileau A1 Guillaume Jondeau A1 Robert Olaso A1 Doris Lechner A1 Charlotte Poe A1 Mirna Assoum A1 Virginie Carmignac A1 Laurence Duplomb A1 Frédéric Tran Mau-Them A1 Christophe Philippe A1 Antonio Vitobello A1 Ange-Line Bruel A1 Anne Boland A1 Jean-François Deleuze A1 Christel Thauvin-Robinet A1 Jean-Baptiste Rivière A1 Brian J O'Roak A1 Laurence Faivre YR 2020 UL http://jmg.bmj.com/content/57/7/466.abstract AB Purpose Marfanoid habitus (MH) combined with intellectual disability (ID) (MHID) is a clinically and genetically heterogeneous presentation. The combination of array CGH and targeted sequencing of genes responsible for Marfan or Lujan–Fryns syndrome explain no more than 20% of subjects.Methods To further decipher the genetic basis of MHID, we performed exome sequencing on a combination of trio-based (33 subjects) or single probands (31 subjects), of which 61 were sporadic.Results We identified eight genes with de novo variants (DNVs) in at least two unrelated individuals (ARID1B, ATP1A1, DLG4, EHMT1, NFIX, NSD1, NUP205 and ZEB2). Using simulation models, we showed that five genes (DLG4, NFIX, EHMT1, ZEB2 and ATP1A1) met conservative Bonferroni genomewide significance for an excess of the observed de novo point variants. Overall, at least one pathogenic or likely pathogenic variant was identified in 54.7% of subjects (35/64). These variants fell within 27 genes previously associated with Mendelian disorders, including NSD1 and NFIX, which are known to be mutated in overgrowth syndromes.Conclusion We demonstrated that DNVs were enriched in chromatin remodelling (p=2×10−4) and genes regulated by the fragile X mental retardation protein (p=3×10−8), highlighting overlapping genetic mechanisms between MHID and related neurodevelopmental disorders.