Shared Biological Pathways and Processes in Patients with Intellectual Disability: A Multicenter Study

Author:

Günay Çağatay1ORCID,Aykol Duygu1ORCID,Özsoy Özlem1ORCID,Sönmezler Ece2ORCID,Hanci Yaren Sena1ORCID,Kara Bülent3ORCID,Akkoyunlu Sünnetçi Deniz3ORCID,Cine Naci4ORCID,Deniz Adnan3ORCID,Özer Tolgahan4ORCID,Ölçülü Cemile Büşra5ORCID,Yilmaz Özlem5ORCID,Kanmaz Seda5ORCID,Yilmaz Sanem5ORCID,Tekgül Hasan5ORCID,Yildiz Nihal6ORCID,Acar Arslan Elif6ORCID,Cansu Ali6ORCID,Olgaç Dündar Nihal7ORCID,Kusgoz Fatma8ORCID,Didinmez Elif8ORCID,Gençpinar Pınar7ORCID,Aksu Uzunhan Tuğçe9ORCID,Ertürk Biray9ORCID,Gezdirici Alper10ORCID,Ayaz Akif11ORCID,Ölmez Akgün12ORCID,Ayanoğlu Müge13ORCID,Tosun Ayşe13ORCID,Topçu Yasemin14ORCID,Kiliç Betül14ORCID,Aydin Kürşad14ORCID,Çağlar Ezgi15ORCID,Ersoy Kosvali Özlem15,Okuyaz Çetin15ORCID,Besen Şeyda16ORCID,Tekin Orgun Leman16ORCID,Erol İlknur16ORCID,Yüksel Deniz17ORCID,Sezer Abdullah18ORCID,Atasoy Ergin17ORCID,Toprak Ülkühan17ORCID,Güngör Serdal19ORCID,Ozgor Bilge19ORCID,Karadağ Meral19ORCID,Dilber Cengiz20ORCID,Şahinoğlu Bahtiyar21ORCID,Uyur Yalçin Emek22ORCID,Eldes Hacifazlioglu Nilüfer22ORCID,Yaramiş Ahmet23ORCID,Edem Pınar24ORCID,Gezici Tekin Hande24ORCID,Yilmaz Ünsal25ORCID,Ünalp Aycan25ORCID,Turay Sevim26ORCID,Biçer Didem27ORCID,Gül Mert Gülen27ORCID,Dokurel Çetin İpek28ORCID,Kirik Serkan29ORCID,Öztürk Gülten30ORCID,Karal Yasemin31ORCID,Sanri Aslıhan32ORCID,Aksoy Ayşe33ORCID,Polat Muzaffer34ORCID,Özgün Nezir35ORCID,Soydemir Didem1ORCID,Sarikaya Uzan Gamze1ORCID,Ülker Üstebay Döndü1ORCID,Gök Ayşen1ORCID,Yeşilmen Mehmet Can1ORCID,Yiş Uluç1ORCID,Karakülah Gökhan2ORCID,Bursali Ahmet2ORCID,Oktay Yavuz2ORCID,Hiz Kurul Semra12ORCID

Affiliation:

1. Department of Pediatric Neurology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey

2. Izmir Biomedicine and Genome Center, Dokuz Eylul University Health Campus, Izmir, Turkey

3. Department of Pediatric Neurology, Kocaeli University School of Medicine, Kocaeli, Turkey

4. Department of Medical Genetics, Kocaeli University School of Medicine, Kocaeli, Turkey

5. Department of Child Neurology, Ege University Faculty of Medicine, Izmir, Turkey

6. Department of Pediatric Neurology, Karadeniz Technical University, Faculty of Medicine, Farabi Hospital, Trabzon, Turkey

7. Department of Pediatric Neurology, İzmir Katip Çelebi University, Izmir, Turkey

8. Department of Pediatric Neurology, Tepecik Research and Training Hospital, Izmir, Turkey

9. Department of Pediatric Neurology, Prof Dr Cemil Tascioglu City Hospital, Istanbul, Turkey

10. Department of Medical Genetics, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey

11. Department of Medical Genetics, Istanbul Medipol University School of Medicine, Istanbul, Turkey

12. Denizli Pediatric Neurology Clinic, Denizli, Turkey

13. Department of Child Neurology, Adnan Menderes University School of Medicine, Aydın, Turkey

14. Department of Pediatric Neurology, Istanbul Medipol University Faculty of Medicine, Istanbul, Turkey

15. Departments of Pediatric Neurology, Mersin University Faculty of Medicine, Mersin, Turkey

16. Division of Pediatric Neurology, Başkent University Adana Medical and Research Center Faculty of Medicine, Adana, Turkey

17. Department of Pediatric Neurology, University of Health Sciences Faculty of Medicine, Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey

18. Department of Genetics, University of Health Sciences Faculty of Medicine, Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey

19. Department of Paediatric Neurology, Inonu University Faculty of Medicine, Turgut Ozal Research Center, Malatya, Turkey

20. Department of Pediatric Neurology, Kahramanmaras Sutcu Imam University Faculty of Medicine, Kahramanmaraş, Turkey

21. Deparment of Genetics, Dr Ersin Arslan Traning and Research Hospital, Gaziantep, Turkey

22. Departments of Pediatrics and Pediatric Neurology, University of Health Sciences, Zeynep Kamil Maternity and Children's Diseases Hospital, Istanbul, Turkey

23. Diyarbakır Pediatric Neurology Clinic, Diyarbakır, Turkey

24. Department of Pediatric Neurology, Bakırcay University, Cigli District Training Hospital, Izmir, Turkey

25. Department of Pediatric Neurology, Dr. Behcet Uz Children's Hospital, Izmir, Turkey

26. Department of Pediatric Neurology, Duzce University Faculty of Medicine, Düzce, Turkey

27. Department of Pediatric Neurology, Çukurova University Faculty of Medicine, Adana, Turkey

28. Department of Pediatric Neurology, Balıkesir Atatürk Training and Research Hospital, Balıkesir, Turkey

29. Fırat University School of Medicine, Pediatric Neurology, Elazığ, Turkey

30. Department of Pediatric Neurology, Marmara University School of Medicine, Istanbul, Turkey

31. Department of Pediatric Neurology, Trakya University, Faculty of Medicine, Edirne, Turkey

32. Department of Pediatric Genetics, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey

33. Department of Pediatric Neurology, Ondokuz Mayıs University, Samsun, Turkey

34. Department of Pediatric Neurology, Celal Bayar University School of Medicine, Manisa, Turkey

35. Department of Pediatric Neurology, Mardin Artuklu University, Faculty of Health Sciences, Mardin, Turkey

Abstract

AbstractBackground Although the underlying genetic causes of intellectual disability (ID) continue to be rapidly identified, the biological pathways and processes that could be targets for a potential molecular therapy are not yet known. This study aimed to identify ID-related shared pathways and processes utilizing enrichment analyses.Methods In this multicenter study, causative genes of patients with ID were used as input for Disease Ontology (DO), Gene Ontology (GO), and Kyoto Encyclopedia of Genes and Genomes enrichment analysis.Results Genetic test results of 720 patients from 27 centers were obtained. Patients with chromosomal deletion/duplication, non-ID genes, novel genes, and results with changes in more than one gene were excluded. A total of 558 patients with 341 different causative genes were included in the study. Pathway-based enrichment analysis of the ID-related genes via ClusterProfiler revealed 18 shared pathways, with lysine degradation and nicotine addiction being the most common. The most common of the 25 overrepresented DO terms was ID. The most frequently overrepresented GO biological process, cellular component, and molecular function terms were regulation of membrane potential, ion channel complex, and voltage-gated ion channel activity/voltage-gated channel activity, respectively.Conclusion Lysine degradation, nicotine addiction, and thyroid hormone signaling pathways are well-suited to be research areas for the discovery of new targeted therapies in ID patients.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),General Medicine,Pediatrics, Perinatology and Child Health

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