RT Journal Article SR Electronic T1 Prevalence, phenotype and architecture of developmental disorders caused by de novo mutation: The Deciphering Developmental Disorders Study JF bioRxiv FD Cold Spring Harbor Laboratory SP 049056 DO 10.1101/049056 A1 Jeremy F McRae A1 Stephen Clayton A1 Tomas W Fitzgerald A1 Joanna Kaplanis A1 Elena Prigmore A1 Diana Rajan A1 AlejandroW Sifrim A1 Stuart Aitken A1 Nadia Akawi A1 Mohsan Alvi A1 Kirsty Ambridge A1 Daniel M Barrett A1 Tanya Bayzetinova A1 Philip Jones A1 Wendy D Jones A1 Daniel King A1 Netravathi Krishnappa A1 Laura E Mason A1 Tarjinder Singh A1 Adrian R Tivey A1 Munaza Ahmed A1 Uruj Anjum A1 Hayley Archer A1 Ruth Armstrong A1 Jana Awada A1 Meena Balasubramanian A1 Siddharth Banka A1 Diana Baralle A1 Angela Barnicoat A1 Paul Batstone A1 David Baty A1 Chris Bennett A1 Jonathan Berg A1 Birgitta Bernhard A1 A Paul Bevan A1 Maria Bitner-Glindzicz A1 Edward Blair A1 Moira Blyth A1 David Bohanna A1 Louise Bourdon A1 David Bourn A1 Lisa Bradley A1 Angela Brady A1 Simon Brent A1 Carole Brewer A1 Kate Brunstrom A1 David J Bunyan A1 John Burn A1 Natalie Canham A1 Bruce Castle A1 Kate Chandler A1 Elena Chatzimichali A1 Deirdre Cilliers A1 Angus Clarke A1 Susan Clasper A1 Jill Clayton-Smith A1 Virginia Clowes A1 Andrea Coates A1 Trevor Cole A1 Irina Colgiu A1 Amanda Collins A1 Morag N Collinson A1 Fiona Connell A1 Nicola Cooper A1 Helen Cox A1 Lara Cresswell A1 Gareth Cross A1 Yanick Crow A1 Mariella D'Alessandro A1 Tabib Dabir A1 Rosemarie Davidson A1 Sally Davies A1 Dylan de Vries A1 John Dean A1 Charu Deshpande A1 Gemma Devlin A1 Abhijit Dixit A1 Angus Dobbie A1 Alan Donaldson A1 Dian Donnai A1 Deirdre Donnelly A1 Carina Donnelly A1 Angela Douglas A1 Sofia Douzgou A1 Alexis Duncan A1 Jacqueline Eason A1 Sian Ellard A1 Ian Ellis A1 Frances Elmslie A1 Karenza Evans A1 Sarah Everest A1 Tina Fendick A1 Richard Fisher A1 Frances Flinter A1 Nicola Foulds A1 AndrewW Fry A1 Alan Fryer A1 Carol Gardiner A1 Lorraine Gaunt A1 Neeti Ghali A1 Richard Gibbons A1 Harinder Gill A1 Judith Goodship A1 David Goudie A1 Emma Gray A1 Andrew Green A1 Philip Greene A1 Lynn Greenhalgh A1 Susan Gribble A1 Lucy Harrison A1 Victoria Harrison A1 Rose Hawkins A1 Liu He A1 Stephen Hellens A1 Alex Henderson A1 Sarah Hewitt A1 Lucy Hildyard A1 Emma Hobson A1 Simon Holden A1 Muriel Holder A1 Susan Holder A1 Georgina Hollingsworth A1 Tessa Homfray A1 Mervyn Humphreys A1 Jane Hurst A1 Ben Hutton A1 Stuart Ingram A1 Melita Irving A1 Lily Islam A1 Andrew Jackson A1 Joanna Jarvis A1 Lucy Jenkins A1 Diana Johnson A1 Elizabeth Jones A1 Dragana Josifova A1 Shelagh Joss A1 Beckie Kaemba A1 Sandra Kazembe A1 Rosemary Kelsell A1 Bronwyn Kerr A1 Helen Kingston A1 Usha Kini A1 Esther Kinning A1 Gail Kirby A1 Claire Kirk A1 Emma Kivuva A1 Alison Kraus A1 Dhavendra Kumar A1 V.K Ajith Kumar A1 Katherine Lachlan A1 Wayne Lam A1 Anne Lampe A1 Caroline Langman A1 Melissa Lees A1 Derek Lim A1 Cheryl Longman A1 Gordon Lowther A1 Sally A Lynch A1 Alex Magee A1 Eddy Maher A1 Alison Male A1 Sahar Mansour A1 Karen Marks A1 Katherine Martin A1 Una Maye A1 Emma McCann A1 Vivienne McConnell A1 Meriel McEntagart A1 Ruth McGowan A1 Kirsten McKay A1 Shane McKee A1 Dominic J McMullan A1 Susan McNerlan A1 Catherine McWilliam A1 Sarju Mehta A1 Kay Metcalfe A1 Anna Middleton A1 Zosia Miedzybrodzka A1 Emma Miles A1 Shehla Mohammed A1 Tara Montgomery A1 David Moore A1 Sian Morgan A1 Jenny Morton A1 Hood Mugalaasi A1 Victoria Murday A1 Helen Murphy A1 Swati Naik A1 Andrea Nemeth A1 Louise Nevitt A1 Ruth Newbury-Ecob A1 Andrew Norman A1 Rosie O'Shea A1 Caroline Ogilvie A1 Kai-Ren Ong A1 Soo-Mi Park A1 Michael J Parker A1 Chirag Patel A1 Joan Paterson A1 Stewart Payne A1 Daniel Perrett A1 Julie Phipps A1 Daniela T Pilz A1 Martin Pollard A1 Caroline Pottinger A1 Joanna Poulton A1 Norman Pratt A1 Katrina Prescott A1 Sue Price A1 Abigail Pridham A1 Annie Procter A1 Hellen Purnell A1 Oliver Quarrell A1 Nicola Ragge A1 Raheleh Rahbari A1 Josh Randall A1 Julia Rankin A1 Lucy Raymond A1 Debbie Rice A1 Leema Robert A1 Eileen Roberts A1 Jonathan Roberts A1 Paul Roberts A1 Gillian Roberts A1 Alison Ross A1 Elisabeth Rosser A1 Anand Saggar A1 Shalaka Samant A1 Julian Sampson A1 Richard Sandford A1 Ajoy Sarkar A1 Susann Schweiger A1 Richard Scott A1 Ingrid Scurr A1 Ann Selby A1 Anneke Seller A1 Cheryl Sequeira A1 Nora Shannon A1 Saba Sharif A1 Charles Shaw-Smith A1 Emma Shearing A1 Debbie Shears A1 Eamonn Sheridan A1 Ingrid Simonic A1 Roldan Singzon A1 Zara Skitt A1 Audrey Smith A1 Kath Smith A1 Sarah Smithson A1 Linda Sneddon A1 Miranda Splitt A1 Miranda Squires A1 Fiona Stewart A1 Helen Stewart A1 Volker Straub A1 Mohnish Suri A1 Vivienne Sutton A1 Ganesh Jawahar Swaminathan A1 Elizabeth Sweeney A1 Kate Tatton-Brown A1 Cat Taylor A1 Rohan Taylor A1 Mark Tein A1 I Karen Temple A1 Jenny Thomson A1 Marc Tischkowitz A1 Susan Tomkins A1 Audrey Torokwa A1 Becky Treacy A1 Claire Turner A1 Peter Turnpenny A1 Carolyn Tysoe A1 Anthony Vandersteen A1 Vinod Varghese A1 Pradeep Vasudevan A1 Parthiban Vijayarangakannan A1 Julie Vogt A1 Emma Wakeling A1 Sarah Wallwark A1 Jonathon Waters A1 Astrid Weber A1 Diana Wellesley A1 Margo Whiteford A1 Sara Widaa A1 Sarah Wilcox A1 Emily Wilkinson A1 Denise Williams A1 Nicola Williams A1 Louise Wilson A1 Geoff Woods A1 Christopher Wragg A1 Michael Wright A1 Laura Yates A1 Michael Yau A1 Chris Nellaker A1 Michael J Parker A1 Helen V Firth A1 Caroline F Wright A1 David R FitzPatrick A1 Jeffrey C Barrett A1 Matthew E Hurles YR 2016 UL http://biorxiv.org/content/early/2016/06/16/049056.abstract AB Individuals with severe, undiagnosed developmental disorders (DDs) are enriched for damaging de novo mutations (DNMs) in developmentally important genes. We exome sequenced 4,293 families with individuals with DDs, and meta-analysed these data with published data on 3,287 individuals with similar disorders. We show that the most significant factors influencing the diagnostic yield of de novo mutations are the sex of the affected individual, the relatedness of their parents and the age of both father and mother. We identified 94 genes enriched for damaging de novo mutation at genome-wide significance (P < 7 × 10−7), including 14 genes for which compelling data for causation was previously lacking. We have characterised the phenotypic diversity among these genetic disorders. We demonstrate that, at current cost differentials, exome sequencing has much greater power than genome sequencing for novel gene discovery in genetically heterogeneous disorders. We estimate that 42% of our cohort carry pathogenic DNMs (single nucleotide variants and indels) in coding sequences, with approximately half operating by a loss-of-function mechanism, and the remainder resulting in altered-function (e.g. activating, dominant negative). We established that most haplo insufficient developmental disorders have already been identified, but that many altered-function disorders remain to be discovered. Extrapolating from the DDD cohort to the general population, we estimate that developmental disorders caused by DNMs have an average birth prevalence of 1 in 213 to 1 in 448 (0.22-0.47% of live births), depending on parental age.PTVProtein-Truncating VariantDNMDe Novo MutationDDDevelopmental DisorderDDDDeciphering Developmental Disorders study