RT Journal Article
T1 Episignatures Stratifying Helsmoortel-Van Der Aa Syndrome Show Modest Correlation with Phenotype
A1 Breen, Michael S.
A1 Moreno Ruiz, María del Carmen
A1 Parellada Redondo, María José
A1 De Rubeis, Silvia
AB Helsmoortel-Van der Aa syndrome (HVDAS) is a neurodevelopmental condition associated with intellectual disability/developmental delay, autism spectrum disorder, and multiple medical comorbidities. HVDAS is caused by mutations in activity-dependent neuroprotective protein (ADNP). A recent study identified genome-wide DNA methylation changes in 22 individuals with HVDAS, adding to the group of neurodevelopmental disorders with an epigenetic signature. This methylation signature segregated those with HVDAS into two groups based on the location of the mutations. Here, we conducted an independent study on 24 individuals with HVDAS and replicated the existence of the two mutation-dependent episignatures. To probe whether the two distinct episignatures correlate with clinical outcomes, we used deep behavioral and neurobiological data from two prospective cohorts of individuals with a genetic diagnosis of HVDAS. We found limited phenotypic differences between the two HVDAS-affected groups and no evidence that individuals with more widespread methylation changes are more severely affected. Moreover, in spite of the methylation changes, we observed no profound alterations in the blood transcriptome of individuals with HVDAS. Our data warrant caution in harnessing methylation signatures in HVDAS as a tool for clinical stratification, at least with regard to behavioral phenotypes.
PB Elsevier
SN 0002-9297
YR 2020
FD 2020-09-03
LK https://hdl.handle.net/20.500.14352/130725
UL https://hdl.handle.net/20.500.14352/130725
LA eng
NO Breen, M. S., Garg, P., Tang, L., Mendonca, D., Levy, T., Barbosa, M., Arnett, A. B., Kurtz-Nelson, E., Agolini, E., Battaglia, A., Chiocchetti, A. G., Freitag, C. M., Garcia-Alcon, A., Grammatico, P., Hertz-Picciotto, I., Ludena-Rodriguez, Y., Moreno, C., Novelli, A., Parellada, M., Pascolini, G., … De Rubeis, S. (2020). Episignatures Stratifying Helsmoortel-Van Der Aa Syndrome Show Modest Correlation with Phenotype. American journal of human genetics, 107(3), 555–563. https://doi.org/10.1016/j.ajhg.2020.07.003
NO European Commission
NO Ministerio de Ciencia e Innovación (España)
NO Instituto de Salud Carlos III (España)
DS Docta Complutense
RD 25 feb 2026