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 Chevarin, Martin A1 Duffourd, Yannis A1 A. Barnard, Rebecca A1 Moutton, Sébastien A1 Lecoquierre, François A1 Daoud, Fatma A1 Kuentz, Paul A1 Cabret, Caroline A1 Thevenon, Julien A1 Gautier, Elodie A1 Callier, Patrick A1 St-Onge, Judith A1 Jouan, Thibaud A1 Lacombe, Didier A1 Delrue, Marie Ange A1 Goizet, Cyril A1 Morice-Picard, Fanny A1 Van-Gils, Julien A1 Munnich, Arnold A1 Lyonnet, Stanislas A1 Cormier-Daire, Valérie A1 Baujat, Geneviève A1 Holder, Muriel A1 Petit, Florence A1 Leheup, Bruno A1 Odent, Sylvie A1 Jouk, Pierre-Simon A1 Lopez, Gipsy A1 Geneviève, David A1 Collignon, Patrick A1 Martin-Coignard, Dominique A1 Jacquette, Aurélia A1 Perrin, Laurence A1 Putoux, Audrey A1 Sarrazin, Elisabeth A1 Amarof, Khadija A1 Missotte, Isabelle A1 Coubes, Christine A1 Jagadeesh, Sujatha A1 Lapi, Elisabetta A1 Demurger, Florence A1 Goldenberg, Alice A1 Doco-Fenzy, Martine A1 Mignot, Cyril A1 Héron, Delphine A1 Jean-Marçais, Nolwenn A1 Masurel, Alice A1 El Chehadeh, Salima A1 Marle, Nathalie A1 Huet, Frédéric A1 Binquet, Christine A1 Collod-Beroud, Gwenaëlle A1 Arnaud, Pauline A1 Hanna, Nadine A1 Boileau, Catherine A1 Jondeau, Guillaume A1 Olaso, Robert A1 Lechner, Doris A1 Poe, Charlotte A1 Assoum, Mirna A1 Carmignac, Virginie A1 Duplomb, Laurence A1 Tran Mau-Them, Frédéric A1 Philippe, Christophe A1 Vitobello, Antonio A1 Bruel, Ange-Line A1 Boland, Anne A1 Deleuze, Jean-François A1 Thauvin-Robinet, Christel A1 Rivière, Jean-Baptiste A1 O'Roak, Brian J A1 Faivre, Laurence 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.