Journal article

The genomic and clinical landscape of fetal akinesia


Authors listPergande, Matthias; Motameny, Susanne; Oezdemir, Oezkan; Kreutzer, Mona; Wang, Haicui; Daimagueler, Huelya-Sevcan; Becker, Kerstin; Karakaya, Mert; Ehrhardt, Harald; Elcioglu, Nursel; Ostojic, Slavica; Chao, Cho-Ming; Kawalia, Amit; Duman, Ozgur; Koy, Anne; Hahn, Andreas; Reimann, Jens; Schoner, Katharina; Schaenzer, Anne; Westhoff, Jens H.; Schwaibold, Eva Maria Christina; Cossee, Mireille; Imbert-Bouteille, Marion; von Pein, Harald; Haliloglu, Goknur; Topaloglu, Haluk; Altmueller, Janine; Nuernberg, Peter; Thiele, Holger; Heller, Raoul; Cirak, Sebahattin

Publication year2020

Pages511-523

JournalGenetics in Medicine

Volume number22

Issue number3

ISSN1098-3600

eISSN1530-0366

Open access statusGreen

DOI Linkhttps://doi.org/10.1038/s41436-019-0680-1

PublisherElsevier


Abstract
Purpose Fetal akinesia has multiple clinical subtypes with over 160 gene associations, but the genetic etiology is not yet completely understood. Methods In this study, 51 patients from 47 unrelated families were analyzed using next-generation sequencing (NGS) techniques aiming to decipher the genomic landscape of fetal akinesia (FA). Results We have identified likely pathogenic gene variants in 37 cases and report 41 novel variants. Additionally, we report putative pathogenic variants in eight cases including nine novel variants. Our work identified 14 novel disease-gene associations for fetal akinesia: ADSSL1, ASAH1, ASPM, ATP2B3, EARS2, FBLN1, PRG4, PRICKLE1, ROR2, SETBP1, SCN5A, SCN8A, and ZEB2. Furthermore, a sibling pair harbored a homozygous copy-number variant in TNNT1, an ultrarare congenital myopathy gene that has been linked to arthrogryposis via Gene Ontology analysis. Conclusion Our analysis indicates that genetic defects leading to primary skeletal muscle diseases might have been underdiagnosed, especially pathogenic variants in RYR1. We discuss three novel putative fetal akinesia genes: GCN1, IQSEC3 and RYR3. Of those, IQSEC3, and RYR3 had been proposed as neuromuscular disease-associated genes recently, and our findings endorse them as FA candidate genes. By combining NGS with deep clinical phenotyping, we achieved a 73% success rate of solved cases.



Citation Styles

Harvard Citation stylePergande, M., Motameny, S., Oezdemir, O., Kreutzer, M., Wang, H., Daimagueler, H., et al. (2020) The genomic and clinical landscape of fetal akinesia, Genetics in Medicine, 22(3), pp. 511-523. https://doi.org/10.1038/s41436-019-0680-1

APA Citation stylePergande, M., Motameny, S., Oezdemir, O., Kreutzer, M., Wang, H., Daimagueler, H., Becker, K., Karakaya, M., Ehrhardt, H., Elcioglu, N., Ostojic, S., Chao, C., Kawalia, A., Duman, O., Koy, A., Hahn, A., Reimann, J., Schoner, K., Schaenzer, A., ...Cirak, S. (2020). The genomic and clinical landscape of fetal akinesia. Genetics in Medicine. 22(3), 511-523. https://doi.org/10.1038/s41436-019-0680-1



Keywords


arthrogryposisCOPY-NUMBER VARIATIONDISTAL ARTHROGRYPOSISExomefetal akinesiamyopathynemaline myopathyVARIANTS

Last updated on 2025-10-06 at 11:09