Comprehensive multi-omic profiling of somatic mutations in malformations of cortical development

Focal Cortical Dysplasia Neurogenetics Consortium, Brain Somatic Mosaicism Network

Research output: Contribution to journalArticlepeer-review

Abstract

Malformations of cortical development (MCD) are neurological conditions involving focal disruptions of cortical architecture and cellular organization that arise during embryogenesis, largely from somatic mosaic mutations, and cause intractable epilepsy. Identifying the genetic causes of MCD has been a challenge, as mutations remain at low allelic fractions in brain tissue resected to treat condition-related epilepsy. Here we report a genetic landscape from 283 brain resections, identifying 69 mutated genes through intensive profiling of somatic mutations, combining whole-exome and targeted-amplicon sequencing with functional validation including in utero electroporation of mice and single-nucleus RNA sequencing. Genotype–phenotype correlation analysis elucidated specific MCD gene sets associated with distinct pathophysiological and clinical phenotypes. The unique single-cell level spatiotemporal expression patterns of mutated genes in control and patient brains indicate critical roles in excitatory neurogenic pools during brain development and in promoting neuronal hyperexcitability after birth.

Original languageEnglish
Pages (from-to)209-220
Number of pages12
JournalNature Genetics
Volume55
Issue number2
DOIs
Publication statusPublished - 2023 Feb 1

Bibliographical note

Funding Information:
AmpliSeq, TASeq and snRNA-seq were supported by NIH P30CA023100 and S10OD026929 at the UCSD IGM Genomics Center. Rady Children’s Institute for Genomic Medicine, Broad Institute (U54HG003067, UM1HG008900), the Yale Center for Mendelian Disorders (U54HG006504) and the New York Genome Center provided WES. The UCSD Microscopy Core (NINDS P30NS047101) provided imaging support. The UCSD Tissue Technology Shared Resources Team (National Cancer Institute Cancer Center Support Grant, P30CA23100) supported paraffin sectioning and H&E staining. This study was supported by the 2021 NARSAD Young Investigator Grant from the Brain & Behavior Research Foundation (30598 to C.C.), NIH (NIMH U01MH108898 and R01MH124890 to J.G.G. and G.W.M. and NIA R21AG070462, NINDS R01NS083823 to J.G.G.), the Regione Toscana under the Call for Health 2018 (DECODE-EE to R.G.) and Fondazione Cassa di Risparmio di Firenze (to R.G.). Figures 1b and 3a were created with BioRender.com. The funders had no role in the study design, data collection, analysis, decision to publish or preparation of the manuscript.

Funding Information:
AmpliSeq, TASeq and snRNA-seq were supported by NIH P30CA023100 and S10OD026929 at the UCSD IGM Genomics Center. Rady Children’s Institute for Genomic Medicine, Broad Institute (U54HG003067, UM1HG008900), the Yale Center for Mendelian Disorders (U54HG006504) and the New York Genome Center provided WES. The UCSD Microscopy Core (NINDS P30NS047101) provided imaging support. The UCSD Tissue Technology Shared Resources Team (National Cancer Institute Cancer Center Support Grant, P30CA23100) supported paraffin sectioning and H&E staining. This study was supported by the 2021 NARSAD Young Investigator Grant from the Brain & Behavior Research Foundation (30598 to C.C.), NIH (NIMH U01MH108898 and R01MH124890 to J.G.G. and G.W.M. and NIA R21AG070462, NINDS R01NS083823 to J.G.G.), the Regione Toscana under the Call for Health 2018 (DECODE-EE to R.G.) and Fondazione Cassa di Risparmio di Firenze (to R.G.). Figures and were created with BioRender.com . The funders had no role in the study design, data collection, analysis, decision to publish or preparation of the manuscript.

Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Nature America, Inc.

All Science Journal Classification (ASJC) codes

  • Genetics

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