RT Journal Article SR Electronic T1 De novo coding variants in the AGO1 gene cause a neurodevelopmental disorder with intellectual disability JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 965 OP 975 DO 10.1136/jmedgenet-2021-107751 VO 59 IS 10 A1 Audrey Schalk A1 Margot A Cousin A1 Nikita R Dsouza A1 Thomas D Challman A1 Karen E Wain A1 Zoe Powis A1 Kelly Minks A1 Aurélien Trimouille A1 Eulalie Lasseaux A1 Didier Lacombe A1 Chloé Angelini A1 Vincent Michaud A1 Julien Van-Gils A1 Nino Spataro A1 Anna Ruiz A1 Elizabeth Gabau A1 Elliot Stolerman A1 Camerun Washington A1 Ray Louie A1 Brendan C Lanpher A1 Jennifer L Kemppainen A1 Micheil Innes A1 Frank Kooy A1 Marije Meuwissen A1 Alice Goldenberg A1 Francois Lecoquierre A1 Gabriella Vera A1 Karin E M Diderich A1 Beth Sheidley A1 Christelle Moufawad El Achkar A1 Meredith Park A1 Fadi F Hamdan A1 Jacques L Michaud A1 Ann J Lewis A1 Christiane Zweier A1 André Reis A1 Matias Wagner A1 Heike Weigand A1 Hubert Journel A1 Boris Keren A1 Sandrine Passemard A1 Cyril Mignot A1 Koen van Gassen A1 Eva H Brilstra A1 Gina Itzikowitz A1 Emily O'Heir A1 Jake Allen A1 Kirsten A Donald A1 Bruce Richard Korf A1 Tammi Skelton A1 Michelle Thompson A1 Nathaniel H Robin A1 Natasha L Rudy A1 William B Dobyns A1 Kimberly Foss A1 Yuri Alexander Zarate A1 Katherine A Bosanko A1 Yves Alembik A1 Benjamin Durand A1 Frederic Tran Mau-them A1 Emmanuelle Ranza A1 Xavier Blanc A1 Stylianos E Antonarakis A1 Kirsty McWalter A1 Erin Torti A1 Francisca Millan A1 Amy Dameron A1 Mari Tokita A1 Michael T Zimmermann A1 Eric W Klee A1 Amelie Piton A1 Benedicte Gerard YR 2022 UL http://jmg.bmj.com/content/59/10/965.abstract AB Background High-impact pathogenic variants in more than a thousand genes are involved in Mendelian forms of neurodevelopmental disorders (NDD).Methods This study describes the molecular and clinical characterisation of 28 probands with NDD harbouring heterozygous AGO1 coding variants, occurring de novo for all those whose transmission could have been verified (26/28).Results A total of 15 unique variants leading to amino acid changes or deletions were identified: 12 missense variants, two in-frame deletions of one codon, and one canonical splice variant leading to a deletion of two amino acid residues. Recurrently identified variants were present in several unrelated individuals: p.(Phe180del), p.(Leu190Pro), p.(Leu190Arg), p.(Gly199Ser), p.(Val254Ile) and p.(Glu376del). AGO1 encodes the Argonaute 1 protein, which functions in gene-silencing pathways mediated by small non-coding RNAs. Three-dimensional protein structure predictions suggest that these variants might alter the flexibility of the AGO1 linker domains, which likely would impair its function in mRNA processing. Affected individuals present with intellectual disability of varying severity, as well as speech and motor delay, autistic behaviour and additional behavioural manifestations.Conclusion Our study establishes that de novo coding variants in AGO1 are involved in a novel monogenic form of NDD, highly similar to the recently reported AGO2-related NDD.Data are available in a public, open access repository. Data are available on reasonable request. The variants have been submitted to Clinvar. All other data are available on request.