2010
DOI: 10.1056/nejmoa0910752
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Timing of De Novo Mutagenesis — A Twin Study of Sodium-Channel Mutations

Abstract: De novo mutations are a cause of sporadic disease, but little is known about the developmental timing of such mutations. We studied concordant and discordant monozygous twins with de novo mutations in the sodium channel α1 subunit gene (SCN1A) causing Dravet's syndrome, a severe epileptic encephalopathy. On the basis of our findings and the literature on mosaic cases, we conclude that de novo mutations in SCN1A may occur at any time, from the premorula stage of the embryo (causing disease in the subject) to ad… Show more

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Cited by 96 publications
(73 citation statements)
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“…An added level of complexity, consistent with this ‘de novo model’, could be the timing of mutational events whereby early postzygotic de novo mutations could be critically important. This is supported by the observations that somatic mosaicism has been well documented in Mendelian phenotypes,14 28 29 including monozygotic twins discordant for a given disorder,30 and by demonstration of extensive genetic variation in human tissues31 including brain 32. It will be crucial to expand genome sequencing studies to the next level of tissue or even cell type-specific interrogation to better delineate causal mutations especially in sporadic forms of Mendelian disorders.…”
Section: Discussionmentioning
confidence: 86%
“…An added level of complexity, consistent with this ‘de novo model’, could be the timing of mutational events whereby early postzygotic de novo mutations could be critically important. This is supported by the observations that somatic mosaicism has been well documented in Mendelian phenotypes,14 28 29 including monozygotic twins discordant for a given disorder,30 and by demonstration of extensive genetic variation in human tissues31 including brain 32. It will be crucial to expand genome sequencing studies to the next level of tissue or even cell type-specific interrogation to better delineate causal mutations especially in sporadic forms of Mendelian disorders.…”
Section: Discussionmentioning
confidence: 86%
“…Twins can access information about studies, twin resources and events, and register or update contact details. The ATR has an active (Berkovic et al, 1996(Berkovic et al, , 1998Klein et al, 2012;Vadlamudi et al, 2010). Cervical cancer Possible to measure human papilloma virus genotype from archival pap smears (Moore et al, 2012;Tabrizi et al, 2010).…”
Section: Atr Branding and Web Sitementioning
confidence: 99%
“…The importance of germline and somatic mosaicism is well established in a broad range of diseases, including DS (Vadlamudi et al. 2010), and highlights the usefulness of high coverage NGS techniques for mosaic mutation detection. A major weakness of NGS on the other hand is the sequencing of stretches of the same nucleotide, which can lead to homopolymer‐associated insertion and deletion errors due to the nonlinear light response generated by the nucleotide stretches (patient 22).…”
Section: Discussionmentioning
confidence: 99%