Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder

<p dir="ltr">Multi-omics approaches, which integrate genomics, transcriptomics, proteomics, and metabolomics, have emerged as powerful tools in the diagnosis of rare diseases. We used untargeted metabolomics and whole-genome sequencing (WGS) to gain a more comprehensive understanding...

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Main Author: Rulan Shaath (17112852) (author)
Other Authors: Aljazi Al-Maraghi (14056975) (author), Haytham Ali (6896447) (author), Jehan AlRayahi (17346976) (author), Adam D. Kennedy (6677894) (author), Karen L. DeBalsi (5698928) (author), Sura Hussein (14152557) (author), Najwa Elbashir (18288934) (author), Sujitha S. Padmajeya (14152698) (author), Sasirekha Palaniswamy (14152563) (author), Sarah H. Elsea (6677915) (author), Ammira A. Akil (19326085) (author), Noha A. Yousri (1392577) (author), Khalid A. Fakhro (3158862) (author)
Published: 2024
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_version_ 1864513509347295232
author Rulan Shaath (17112852)
author2 Aljazi Al-Maraghi (14056975)
Haytham Ali (6896447)
Jehan AlRayahi (17346976)
Adam D. Kennedy (6677894)
Karen L. DeBalsi (5698928)
Sura Hussein (14152557)
Najwa Elbashir (18288934)
Sujitha S. Padmajeya (14152698)
Sasirekha Palaniswamy (14152563)
Sarah H. Elsea (6677915)
Ammira A. Akil (19326085)
Noha A. Yousri (1392577)
Khalid A. Fakhro (3158862)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Rulan Shaath (17112852)
Aljazi Al-Maraghi (14056975)
Haytham Ali (6896447)
Jehan AlRayahi (17346976)
Adam D. Kennedy (6677894)
Karen L. DeBalsi (5698928)
Sura Hussein (14152557)
Najwa Elbashir (18288934)
Sujitha S. Padmajeya (14152698)
Sasirekha Palaniswamy (14152563)
Sarah H. Elsea (6677915)
Ammira A. Akil (19326085)
Noha A. Yousri (1392577)
Khalid A. Fakhro (3158862)
author_role author
dc.creator.none.fl_str_mv Rulan Shaath (17112852)
Aljazi Al-Maraghi (14056975)
Haytham Ali (6896447)
Jehan AlRayahi (17346976)
Adam D. Kennedy (6677894)
Karen L. DeBalsi (5698928)
Sura Hussein (14152557)
Najwa Elbashir (18288934)
Sujitha S. Padmajeya (14152698)
Sasirekha Palaniswamy (14152563)
Sarah H. Elsea (6677915)
Ammira A. Akil (19326085)
Noha A. Yousri (1392577)
Khalid A. Fakhro (3158862)
dc.date.none.fl_str_mv 2024-03-04T03:00:00Z
dc.identifier.none.fl_str_mv 10.3390/metabo14030152
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Integrating_Genome_Sequencing_and_Untargeted_Metabolomics_in_Monozygotic_Twins_with_a_Rare_Complex_Neurological_Disorder/26491195
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
multi-omics approaches
untargeted metabolomics
whole-genome sequencing
rare complex disease
dc.title.none.fl_str_mv Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Multi-omics approaches, which integrate genomics, transcriptomics, proteomics, and metabolomics, have emerged as powerful tools in the diagnosis of rare diseases. We used untargeted metabolomics and whole-genome sequencing (WGS) to gain a more comprehensive understanding of a rare disease with a complex presentation affecting female twins from a consanguineous family. The sisters presented with polymicrogyria, a Dandy–Walker malformation, respiratory distress, and multiorgan dysfunctions. Through WGS, we identified two rare homozygous variants in both subjects, a pathogenic variant in <i>ADGRG1</i>(p.Arg565Trp) and a novel variant in <i>CNTNAP1</i>(p.Glu910Val). These genes have been previously associated with autosomal recessive polymicrogyria and hypomyelinating neuropathy with/without contractures, respectively. The twins exhibited symptoms that overlapped with both of these conditions. The results of the untargeted metabolomics analysis revealed significant metabolic perturbations relating to neurodevelopmental abnormalities, kidney dysfunction, and microbiome. The significant metabolites belong to essential pathways such as lipids and amino acid metabolism. The identification of variants in two genes, combined with the support of metabolic perturbation, demonstrates the rarity and complexity of this phenotype and provides valuable insights into its underlying mechanisms.</p><h2>Other Information</h2><p dir="ltr">Published in: Metabolites<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/metabo14030152" target="_blank">https://dx.doi.org/10.3390/metabo14030152</a></p>
eu_rights_str_mv openAccess
id Manara2_a3f08b6a11d99f6fedbb59444ef79afd
identifier_str_mv 10.3390/metabo14030152
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/26491195
publishDate 2024
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological DisorderRulan Shaath (17112852)Aljazi Al-Maraghi (14056975)Haytham Ali (6896447)Jehan AlRayahi (17346976)Adam D. Kennedy (6677894)Karen L. DeBalsi (5698928)Sura Hussein (14152557)Najwa Elbashir (18288934)Sujitha S. Padmajeya (14152698)Sasirekha Palaniswamy (14152563)Sarah H. Elsea (6677915)Ammira A. Akil (19326085)Noha A. Yousri (1392577)Khalid A. Fakhro (3158862)Biological sciencesGeneticsBiomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsNeurosciencesmulti-omics approachesuntargeted metabolomicswhole-genome sequencingrare complex disease<p dir="ltr">Multi-omics approaches, which integrate genomics, transcriptomics, proteomics, and metabolomics, have emerged as powerful tools in the diagnosis of rare diseases. We used untargeted metabolomics and whole-genome sequencing (WGS) to gain a more comprehensive understanding of a rare disease with a complex presentation affecting female twins from a consanguineous family. The sisters presented with polymicrogyria, a Dandy–Walker malformation, respiratory distress, and multiorgan dysfunctions. Through WGS, we identified two rare homozygous variants in both subjects, a pathogenic variant in <i>ADGRG1</i>(p.Arg565Trp) and a novel variant in <i>CNTNAP1</i>(p.Glu910Val). These genes have been previously associated with autosomal recessive polymicrogyria and hypomyelinating neuropathy with/without contractures, respectively. The twins exhibited symptoms that overlapped with both of these conditions. The results of the untargeted metabolomics analysis revealed significant metabolic perturbations relating to neurodevelopmental abnormalities, kidney dysfunction, and microbiome. The significant metabolites belong to essential pathways such as lipids and amino acid metabolism. The identification of variants in two genes, combined with the support of metabolic perturbation, demonstrates the rarity and complexity of this phenotype and provides valuable insights into its underlying mechanisms.</p><h2>Other Information</h2><p dir="ltr">Published in: Metabolites<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/metabo14030152" target="_blank">https://dx.doi.org/10.3390/metabo14030152</a></p>2024-03-04T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/metabo14030152https://figshare.com/articles/journal_contribution/Integrating_Genome_Sequencing_and_Untargeted_Metabolomics_in_Monozygotic_Twins_with_a_Rare_Complex_Neurological_Disorder/26491195CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/264911952024-03-04T03:00:00Z
spellingShingle Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
Rulan Shaath (17112852)
Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
multi-omics approaches
untargeted metabolomics
whole-genome sequencing
rare complex disease
status_str publishedVersion
title Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
title_full Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
title_fullStr Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
title_full_unstemmed Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
title_short Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
title_sort Integrating Genome Sequencing and Untargeted Metabolomics in Monozygotic Twins with a Rare Complex Neurological Disorder
topic Biological sciences
Genetics
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
multi-omics approaches
untargeted metabolomics
whole-genome sequencing
rare complex disease