RT Journal Article SR Electronic T1 Comprehensive multiomic profiling of somatic mutations in malformations of cortical development JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.07.487401 DO 10.1101/2022.04.07.487401 A1 Changuk Chung A1 Xiaoxu Yang A1 Taejeong Bae A1 Keng Ioi Vong A1 Swapnil Mittal A1 Catharina Donkels A1 H. Westley Phillips A1 Ashley P. L. Marsh A1 Martin W. Breuss A1 Laurel L. Ball A1 Camila Araújo Bernardino Garcia A1 Renee D. George A1 Jing Gu A1 Mingchu Xu A1 Chelsea Barrows A1 Kiely N. James A1 Valentina Stanley A1 Anna Nidhiry A1 Sami Khoury A1 Gabrielle Howe A1 Emily Riley A1 Xin Xu A1 Brett Copeland A1 Yifan Wang A1 Se Hoon Kim A1 Hoon-Chul Kang A1 Andreas Schulze-Bonhage A1 Carola A. Haas A1 Horst Urbach A1 Marco Prinz A1 Corrine Gardner A1 Christina A. Gurnett A1 Shifteh Sattar A1 Mark Nespeca A1 David D. Gonda A1 Katsumi Imai A1 Yukitoshi Takahashi A1 Robert Chen A1 Jin-Wu Tsai A1 Valerio Conti A1 Renzo Guerrini A1 Orrin Devinsky A1 Wilson A. Silva, Jr A1 Helio R. Machado A1 Gary W. Mathern A1 Alexej Abyzov A1 Sara Baldassari A1 Stéphanie Baulac A1 Focal Cortical Dysplasia Neurogenetics Consortium A1 Brain Somatic Mosaicism Network A1 Joseph G. Gleeson YR 2022 UL http://biorxiv.org/content/early/2022/04/11/2022.04.07.487401.abstract AB Malformations of cortical development (MCD) are neurological conditions displaying focal disruption of cortical architecture and cellular organization arising during embryogenesis, largely from somatic mosaic mutations. Identifying the genetic causes of MCD has been a challenge, as mutations remain at low allelic fractions in brain tissue resected to treat epilepsy. Here, we report a genetic atlas from 317 brain resections, identifying 69 mutated genes through intensive profiling of somatic mutations, combining whole-exome and targeted-amplicon sequencing with functional validation and single-cell sequencing. Genotype-phenotype correlation analysis elucidated specific MCD gene sets associating distinct pathophysiological and clinical phenotypes. The unique spatiotemporal expression patterns identified by comparing single-nucleus transcriptional sequences of mutated genes in control and patient brains implicate critical roles in excitatory neurogenic pools during brain development, and in promoting neuronal hyperexcitability after birth.Competing Interest StatementThe authors have declared no competing interest.