RT Journal Article SR Electronic T1 Mapping Autosomal Recessive Intellectual Disability: Combined Microarray and Exome Sequencing Identifies 26 Novel Candidate Genes in 192 Consanguineous Families JF bioRxiv FD Cold Spring Harbor Laboratory SP 092346 DO 10.1101/092346 A1 Ricardo Harripaul A1 Nasim Vasli A1 Anna Mikhailov A1 Muhammad Arshad Rafiq A1 Kirti Mittal A1 Christian Windpassinger A1 Taimoor Sheikh A1 Abdul Noor A1 Huda Mahmood A1 Samantha Downey A1 Maneesha Johnson A1 Kayla Vleuten A1 Lauren Bell A1 Muhammad Ilyas A1 Falak Sher Khan A1 Valeed Khan A1 Mohammad Moradi A1 Muhammad Ayaz A1 Farooq Naeem A1 Abolfazl Heidari A1 Iltaf Ahmed A1 Shirin Ghadami A1 Zehra Agha A1 Sirous Zeinali A1 Raheel Qamar A1 Hossein Mozhdehipanah A1 Peter John A1 Asif Mir A1 Muhammad Ansar A1 Leon French A1 Muhammad Ayub A1 John B Vincent YR 2016 UL http://biorxiv.org/content/early/2016/12/08/092346.abstract AB Approximately 1% of the population worldwide are affected by intellectual disability (ID), the vast majority of whom currently receive no molecular diagnosis. Previous studies indicate high levels of genetic heterogeneity, with estimates of over 2500 autosomal ID genes, with the majority being autosomal recessive (AR). Here, we combined microarray genotyping, homozygosity-by-descent (HBD) mapping, copy number variation (CNV) analysis, and whole exome sequencing (WES) to identify disease genes/mutations for 192 multiplex Pakistani and Iranian consanguineous families ascertained for non-syndromic ID. We identified definite or candidate mutations (or CNVs) in 51% of families, in 72 different genes, including 26 not previously reported for ARID. The new ARID genes include nine with loss-of-function mutations (ABI2, MAPK8, MPDZ, PIDD1, SLAIN1, TBC1D23, TRAPPC6B, UBA7, and USP44), and missense mutations include the first reports of variants in BDNF or TET1 associated with ID. The genes identified also showed overlap with de novo gene-sets for other neuropsychiatric disorders. Transcriptional studies show prominent expression in the prenatal brain. The high yield of AR mutations for ID signals that this approach has excellent clinical potential, will inform clinical diagnostics, including clinical whole exome and genome sequencing, for populations where consanguinity is common. As with other AR disorders, the relevance will also impact outbred populations.