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      The genetic landscape of autism spectrum disorder in the Middle Eastern population

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          Abstract

          Introduction: Autism spectrum disorder (ASD) is characterized by aberrations in social interaction and communication associated with repetitive behaviors and interests, with strong clinical heterogeneity. Genetic factors play an important role in ASD, but about 75% of ASD cases have an undetermined genetic risk.

          Methods: We extensively investigated an ASD cohort made of 102 families from the Middle Eastern population of Qatar. First, we investigated the copy number variations (CNV) contribution using genome-wide SNP arrays. Next, we employed Next Generation Sequencing (NGS) to identify de novo or inherited variants contributing to the ASD etiology and its associated comorbid conditions in families with complete trios (affected child and the parents).

          Results: Our analysis revealed 16 CNV regions located in genomic regions implicated in ASD. The analysis of the 88 ASD cases identified 41 genes in 39 ASD subjects with de novo (n = 24) or inherited variants (n = 22). We identified three novel de novo variants in new candidate genes for ASD ( DTX4, ARMC6, and B3GNT3). Also, we have identified 15 de novo variants in genes that were previously implicated in ASD or related neurodevelopmental disorders ( PHF21A, WASF1, TCF20, DEAF1, MED13, CREBBP, KDM6B, SMURF1, ADNP, CACNA1G, MYT1L, KIF13B, GRIA2, CHM, and KCNK9). Additionally, we defined eight novel recessive variants ( RYR2, DNAH3, TSPYL2, UPF3B KDM5C, LYST, and WNK3), four of which were X-linked.

          Conclusion: Despite the ASD multifactorial etiology that hinders ASD genetic risk discovery, the number of identified novel or known putative ASD genetic variants was appreciable. Nevertheless, this study represents the first comprehensive characterization of ASD genetic risk in Qatar's Middle Eastern population.

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          PLINK: a tool set for whole-genome association and population-based linkage analyses.

          Whole-genome association studies (WGAS) bring new computational, as well as analytic, challenges to researchers. Many existing genetic-analysis tools are not designed to handle such large data sets in a convenient manner and do not necessarily exploit the new opportunities that whole-genome data bring. To address these issues, we developed PLINK, an open-source C/C++ WGAS tool set. With PLINK, large data sets comprising hundreds of thousands of markers genotyped for thousands of individuals can be rapidly manipulated and analyzed in their entirety. As well as providing tools to make the basic analytic steps computationally efficient, PLINK also supports some novel approaches to whole-genome data that take advantage of whole-genome coverage. We introduce PLINK and describe the five main domains of function: data management, summary statistics, population stratification, association analysis, and identity-by-descent estimation. In particular, we focus on the estimation and use of identity-by-state and identity-by-descent information in the context of population-based whole-genome studies. This information can be used to detect and correct for population stratification and to identify extended chromosomal segments that are shared identical by descent between very distantly related individuals. Analysis of the patterns of segmental sharing has the potential to map disease loci that contain multiple rare variants in a population-based linkage analysis.
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            The mutational constraint spectrum quantified from variation in 141,456 humans

            Genetic variants that inactivate protein-coding genes are a powerful source of information about the phenotypic consequences of gene disruption: genes that are crucial for the function of an organism will be depleted of such variants in natural populations, whereas non-essential genes will tolerate their accumulation. However, predicted loss-of-function variants are enriched for annotation errors, and tend to be found at extremely low frequencies, so their analysis requires careful variant annotation and very large sample sizes 1 . Here we describe the aggregation of 125,748 exomes and 15,708 genomes from human sequencing studies into the Genome Aggregation Database (gnomAD). We identify 443,769 high-confidence predicted loss-of-function variants in this cohort after filtering for artefacts caused by sequencing and annotation errors. Using an improved model of human mutation rates, we classify human protein-coding genes along a spectrum that represents tolerance to inactivation, validate this classification using data from model organisms and engineered human cells, and show that it can be used to improve the power of gene discovery for both common and rare diseases.
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              Second-generation PLINK: rising to the challenge of larger and richer datasets

              PLINK 1 is a widely used open-source C/C++ toolset for genome-wide association studies (GWAS) and research in population genetics. However, the steady accumulation of data from imputation and whole-genome sequencing studies has exposed a strong need for even faster and more scalable implementations of key functions. In addition, GWAS and population-genetic data now frequently contain probabilistic calls, phase information, and/or multiallelic variants, none of which can be represented by PLINK 1's primary data format. To address these issues, we are developing a second-generation codebase for PLINK. The first major release from this codebase, PLINK 1.9, introduces extensive use of bit-level parallelism, O(sqrt(n))-time/constant-space Hardy-Weinberg equilibrium and Fisher's exact tests, and many other algorithmic improvements. In combination, these changes accelerate most operations by 1-4 orders of magnitude, and allow the program to handle datasets too large to fit in RAM. This will be followed by PLINK 2.0, which will introduce (a) a new data format capable of efficiently representing probabilities, phase, and multiallelic variants, and (b) extensions of many functions to account for the new types of information. The second-generation versions of PLINK will offer dramatic improvements in performance and compatibility. For the first time, users without access to high-end computing resources can perform several essential analyses of the feature-rich and very large genetic datasets coming into use.
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                Author and article information

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                Journal
                Front Genet
                Front Genet
                Front. Genet.
                Frontiers in Genetics
                Frontiers Media S.A.
                1664-8021
                20 March 2024
                2024
                : 15
                : 1363849
                Affiliations
                [1] 1 College of Health and Life Sciences , Hamad Bin Khalifa University , Doha, Qatar
                [2] 2 Qatar Biomedical Research Institute (QBRI) , Hamad Bin Khalifa University , Doha, Qatar
                [3] 3 Qatar Genome Program , Qatar Foundation Research , Development and Innovation , Qatar Foundation , Doha, Qatar
                [4] 4 Quest Diagnostics Nichols Institute , San Juan Capistrano, CA, United States
                [5] 5 Pathology & Laboratory Medicine Department , Genetics Division , Sidra Medicine , Doha, Qatar
                [6] 6 The Shafallah Center for Children with Special Needs , Doha, Qatar
                [7] 7 Department of Pediatrics , Carver College of Medicine , University of Iowa , Iowa City, IA, United States
                Author notes

                Edited by: Mehdi Pirooznia, Johnson & Johnson, United States

                Reviewed by: Sheng Wang, University of California, San Francisco, United States

                Yonatan Perez, University of California, San Francisco, United States

                Boting Ning, Johnson & Johnson, United States

                *Correspondence: Yasser Al-Sarraj, yalsarraj@ 123456qf.org.qa ; Omar M. E. Albagha, oalbagha@ 123456hbku.edu.qa
                Article
                1363849
                10.3389/fgene.2024.1363849
                10987745
                38572415
                0d6e1006-e921-48c0-8c30-50ef2cc15f56
                Copyright © 2024 Al-Sarraj, Taha, Al-Dous, Ahram, Abbasi, Abuazab, Shaath, Habbab, Errafii‬, Bejaoui, AlMotawa, Khattab, Aqel, Shalaby, Al-Ansari, Kambouris, Abouzohri, Ghazal, Tolfat, Alshaban, El-Shanti and Albagha.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 December 2023
                : 04 March 2024
                Funding
                The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research was funded by start-up grants to OA. from the college of health and life sciences and the Qatar Biomedical Research Institute at Hamad Bin Khalifa University. YA. and EA. are supported by a Ph.D. scholarship from Hamad Bin Khalifa University. The recruitment of patients was initiated by funds from Shafallah Medical Genetics Center and the Shafallah Center for Children with Special Needs. The study was conducted according to the guidelines of the Declaration of Helsinki and approved by the Institutional Review Board of Qatar Biomedical Research Institute (Protocol No.010-002). (As an extension from the IRB of Shafallah).
                Categories
                Genetics
                Original Research
                Custom metadata
                Genetics of Common and Rare Diseases

                Genetics
                autism spectrum disorder (asd),neurodevelopmental disorders,epilepsy,next-generation sequencing (ngs),copy number variation (cnv), de novo mutation,genetics

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