RT Journal Article SR Electronic T1 De novo missense variants in HECW2 are associated with neurodevelopmental delay and hypotonia JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 84 OP 86 DO 10.1136/jmedgenet-2016-103943 VO 54 IS 2 A1 Berko, Esther R A1 Cho, Megan T A1 Eng, Christine A1 Shao, Yunru A1 Sweetser, David A A1 Waxler, Jessica A1 Robin, Nathaniel H A1 Brewer, Fallon A1 Donkervoort, Sandra A1 Mohassel, Payam A1 Bönnemann, Carsten G A1 Bialer, Martin A1 Moore, Christine A1 Wolfe, Lynne A A1 Tifft, Cynthia J A1 Shen, Yufeng A1 Retterer, Kyle A1 Millan, Francisca A1 Chung, Wendy K YR 2017 UL http://jmg.bmj.com/content/54/2/84.abstract AB Background The causes of intellectual disability (ID) are diverse and de novo mutations are increasingly recognised to account for a significant proportion of ID.Methods and results In this study, we performed whole exome sequencing on a large cohort of patients with ID or neurodevelopmental delay and identified four novel de novo predicted deleterious missense variants in HECW2 in six probands with ID/developmental delay and hypotonia. Other common features include seizures, strabismus, nystagmus, cortical visual impairment and dysmorphic facial features. HECW2 is an ubiquitin ligase that stabilises p73, a crucial mediator of neurodevelopment and neurogenesis.Conclusion This study implicates pathogenic genetic variants in HECW2 as potential causes of neurodevelopmental disorders in humans.