Semantic Similarity Analysis Reveals Robust Gene-Disease Relationships in Developmental and Epileptic Encephalopathies

Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved..

More than 100 genetic etiologies have been identified in developmental and epileptic encephalopathies (DEEs), but correlating genetic findings with clinical features at scale has remained a hurdle because of a lack of frameworks for analyzing heterogenous clinical data. Here, we analyzed 31,742 Human Phenotype Ontology (HPO) terms in 846 individuals with existing whole-exome trio data and assessed associated clinical features and phenotypic relatedness by using HPO-based semantic similarity analysis for individuals with de novo variants in the same gene. Gene-specific phenotypic signatures included associations of SCN1A with "complex febrile seizures" (HP: 0011172; p = 2.1 × 10-5) and "focal clonic seizures" (HP: 0002266; p = 8.9 × 10-6), STXBP1 with "absent speech" (HP: 0001344; p = 1.3 × 10-11), and SLC6A1 with "EEG with generalized slow activity" (HP: 0010845; p = 0.018). Of 41 genes with de novo variants in two or more individuals, 11 genes showed significant phenotypic similarity, including SCN1A (n = 16, p < 0.0001), STXBP1 (n = 14, p = 0.0021), and KCNB1 (n = 6, p = 0.011). Including genetic and phenotypic data of control subjects increased phenotypic similarity for all genetic etiologies, whereas the probability of observing de novo variants decreased, emphasizing the conceptual differences between semantic similarity analysis and approaches based on the expected number of de novo events. We demonstrate that HPO-based phenotype analysis captures unique profiles for distinct genetic etiologies, reflecting the breadth of the phenotypic spectrum in genetic epilepsies. Semantic similarity can be used to generate statistical evidence for disease causation analogous to the traditional approach of primarily defining disease entities through similar clinical features.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:107

Enthalten in:

American journal of human genetics - 107(2020), 4 vom: 01. Okt., Seite 683-697

Sprache:

Englisch

Beteiligte Personen:

Galer, Peter D [VerfasserIn]
Ganesan, Shiva [VerfasserIn]
Lewis-Smith, David [VerfasserIn]
McKeown, Sarah E [VerfasserIn]
Pendziwiat, Manuela [VerfasserIn]
Helbig, Katherine L [VerfasserIn]
Ellis, Colin A [VerfasserIn]
Rademacher, Annika [VerfasserIn]
Smith, Lacey [VerfasserIn]
Poduri, Annapurna [VerfasserIn]
Seiffert, Simone [VerfasserIn]
von Spiczak, Sarah [VerfasserIn]
Muhle, Hiltrud [VerfasserIn]
van Baalen, Andreas [VerfasserIn]
NCEE Study Group [VerfasserIn]
EPGP Investigators [VerfasserIn]
EuroEPINOMICS-RES Consortium [VerfasserIn]
Genomics Research and Innovation Network [VerfasserIn]
Thomas, Rhys H [VerfasserIn]
Krause, Roland [VerfasserIn]
Weber, Yvonne [VerfasserIn]
Helbig, Ingo [VerfasserIn]

Links:

Volltext

Themen:

Childhood epilepsies
Computational phenotypes
Developmental and epileptic encephalopathies
Electronic medical records
GABA Plasma Membrane Transport Proteins
Human Phenotype Ontology
Journal Article
KCNB1 protein, human
Munc18 Proteins
NAV1.1 Voltage-Gated Sodium Channel
Neurogenetic disorders
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
SCN1A protein, human
SLC6A1 protein, human
STXBP1 protein, human
Shab Potassium Channels
Whole-exome sequencing

Anmerkungen:

Date Completed 30.11.2020

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ajhg.2020.08.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314268030