Abstract
Schizophrenia is a complex genetic disorder involving many common variants with modest effects and rare mutations with high penetrance. Rare mutations associated with schizophrenia are highly heterogeneous and private for affected individuals and families. Identifying such mutations can help establish the molecular diagnosis, elucidate the pathogenesis, and provide helpful genetic counseling for affected patients and families. We performed a whole-exome sequencing analysis to search for rare pathogenic mutations co-segregating with schizophrenia transmitted in a dominant inheritance in a two-generation multiplex family. We identified a rare missense mutation H1574R (Histidine1574Arginine, rs199796552) of KMT2C (lysine methyltransferase 2C) co-segregating with affected members in this family. The mutation is a novel deleterious mutation of KMT2C, not reported before in the literature. The KMT2C encodes a histone 3 lysine 4 (H3K4)-specific methyltransferase and involves epigenetic regulation of brain gene expression. Mutations of KMT2C have been found in neurodevelopmental disorders, such as Kleefstra syndrome, intellectual disability, and autism spectrum disorders. Our finding suggests that schizophrenia might be one of the clinical phenotype spectra of KMT2C mutations, and KMT2C might be a novel risk gene for schizophrenia. Nevertheless, the co-segregation of this mutation with schizophrenia in this family might also be due to chance; functional assays of this mutation are needed to address this issue.
Highlights
Schizophrenia is a complex genetic disorder with the involvement of genetic and environmental factors
Genetic studies of schizophrenia reveal that the genetic architectures of schizophrenia are very diverse, including many common single nucleotides polymorphisms (SNPs) with modest effects, various rare mutations with high clinical penetrance in multiple genes, and aberrant epigenetic regulation of brain gene expression [1,2,3]
Increasing numbers of rare mutations with high penetrance were identified in patients with schizophrenia, including aberrant chromosomal numbers and structures [7], copy number variations of genomic DNA segments (CNVs), small insertions/deletions (Indels), and single nucleotide variants (SNVs) [8,9]
Summary
Schizophrenia is a complex genetic disorder with the involvement of genetic and environmental factors. Identifying genetic variations associated with schizophrenia can help establish the molecular diagnosis, elucidate the pathogenesis, and provide helpful genetic counseling for affected patients and families. It was a challenging task to identify rare mutations associated with schizophrenia because of their low allele frequencies and high genetic heterogeneity. Increasing numbers of rare mutations with high penetrance were identified in patients with schizophrenia, including aberrant chromosomal numbers and structures [7], copy number variations of genomic DNA segments (CNVs), small insertions/deletions (Indels), and single nucleotide variants (SNVs) [8,9]. Rare mutations associated with schizophrenia are highly heterogeneous and personalized; each affected individual and family have specific mutations [9,10]
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