RT Journal Article SR Electronic T1 Identification of pathogenic gene variants in small families with intellectually disabled siblings by exome sequencing JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 802 OP 811 DO 10.1136/jmedgenet-2013-101644 VO 50 IS 12 A1 Schuurs-Hoeijmakers, Janneke H M A1 Vulto-van Silfhout, Anneke T A1 Vissers, Lisenka E L M A1 van de Vondervoort, Ilse I G M A1 van Bon, Bregje W M A1 de Ligt, Joep A1 Gilissen, Christian A1 Hehir-Kwa, Jayne Y A1 Neveling, Kornelia A1 del Rosario, Marisol A1 Hira, Gausiya A1 Reitano, Santina A1 Vitello, Aurelio A1 Failla, Pinella A1 Greco, Donatella A1 Fichera, Marco A1 Galesi, Ornella A1 Kleefstra, Tjitske A1 Greally, Marie T A1 Ockeloen, Charlotte W A1 Willemsen, Marjolein H A1 Bongers, Ernie M H F A1 Janssen, Irene M A1 Pfundt, Rolph A1 Veltman, Joris A A1 Romano, Corrado A1 Willemsen, Michèl A A1 van Bokhoven, Hans A1 Brunner, Han G A1 de Vries, Bert B A A1 de Brouwer, Arjan P M YR 2013 UL http://jmg.bmj.com/content/50/12/802.abstract AB Background Intellectual disability (ID) is a common neurodevelopmental disorder affecting 1–3% of the general population. Mutations in more than 10% of all human genes are considered to be involved in this disorder, although the majority of these genes are still unknown. Objectives We investigated 19 small non-consanguineous families with two to five affected siblings in order to identify pathogenic gene variants in known, novel and potential ID candidate genes. Non-consanguineous families have been largely ignored in gene identification studies as small family size precludes prior mapping of the genetic defect. Methods and results Using exome sequencing, we identified pathogenic mutations in three genes, DDHD2, SLC6A8, and SLC9A6, of which the latter two have previously been implicated in X-linked ID phenotypes. In addition, we identified potentially pathogenic mutations in BCORL1 on the X-chromosome and in MCM3AP, PTPRT, SYNE1, and ZNF528 on autosomes. Conclusions We show that potentially pathogenic gene variants can be identified in small, non-consanguineous families with as few as two affected siblings, thus emphasising their value in the identification of syndromic and non-syndromic ID genes.