RT Journal Article SR Electronic T1 A framework to identify modifier genes in patients with Phelan-McDermid syndrome JF bioRxiv FD Cold Spring Harbor Laboratory SP 117978 DO 10.1101/117978 A1 Anne-Claude Tabet A1 Thomas Rolland A1 Marie Ducloy A1 Jonathan Lévy A1 Julien Buratti A1 Alexandre Mathieu A1 Damien Haye A1 Laurence Perrin A1 Céline Dupont A1 Sandrine Passemard A1 Yline Capri A1 Alain Verloes A1 Séverine Drunat A1 Boris Keren A1 Cyril Mignot A1 Isabelle Marey A1 Aurélia Jacquette A1 Sandra Whalen A1 Eva Pipiras A1 Brigitte Benzacken A1 Sandra Chantot-Bastaraud A1 Alexandra Afenjar A1 Delphine Héron A1 Cédric Le Caignec A1 Claire Beneteau A1 Olivier Pichon A1 Bertrand Isidor A1 Albert David A1 Jean-Michel Dupont A1 Stephan Kemeny A1 Laetitia Gouas A1 Philippe Vago A1 Anne-Laure Mosca-Boidron A1 Laurence Faivre A1 Chantal Missirian A1 Nicole Philip A1 Damien Sanlaville A1 Patrick Edery A1 Véronique Satre A1 Charles Coutton A1 Françoise Devillard A1 Klaus Dieterich A1 Marie-Laure Vuillaume A1 Caroline Rooryck A1 Didier Lacombe A1 Lucile Pinson A1 Vincent Gatinois A1 Jacques Puechberty A1 Jean Chiesa A1 James Lespinasse A1 Christèle Dubourg A1 Chloé Quelin A1 Mélanie Fradin A1 Hubert Journel A1 Annick Toutain A1 Dominique Martin A1 Abdelamdjid Benmansour A1 Roberto Toro A1 Frédérique Amsellem A1 Richard Delorme A1 Thomas Bourgeron YR 2017 UL http://biorxiv.org/content/early/2017/03/18/117978.abstract AB Phelan-McDermid syndrome (PMS) is characterized by a variety of clinical symptoms with heterogeneous degrees of severity, including intellectual disability, speech impairment, and autism spectrum disorders (ASD). It results from a deletion of the 22q13 locus that in most cases includes the SHANK3 gene. SHANK3 is considered a major gene for PMS, but the factors modulating the severity of the syndrome remain largely unknown. In this study, we investigated 85 PMS patients with different 22q13 rearrangements (78 deletions, 7 duplications). We first explored their clinical features and provide evidence for frequent corpus callosum abnormalities. We then mapped candidate genomic regions at the 22q13 locus associated with risk of clinical features, and suggest a second locus associated with absence of speech. Finally, in some cases, we identified additional rearrangements at loci associated with ASD, potentially modulating the severity of the syndrome. We also report the first SHANK3 deletion transmitted to five affected daughters by a mother without intellectual disability nor ASD, suggesting that some individuals could compensate for such mutations. In summary, we shed light on the genotype-phenotype relationship of PMS, a step towards the identification of compensatory mechanisms for a better prognosis and possibly treatments of patients with neurodevelopmental disorders.