TY - JOUR TI - TRIM71 mutations cause a neurodevelopmental syndrome featuring ventriculomegaly and hydrocephalus KW - Brain development KW - de novo variants KW - hydrocephalus KW - neural stem cells KW - structural brain disorders KW - TRIM71 ID - discovery10193398 N1 - This version is the author accepted manuscript. For information on re-use, please refer to the publisher?s terms and conditions. AV - restricted N2 - Congenital hydrocephalus (CH), characterized by cerebral ventriculomegaly, is one of the most common reasons for pediatric brain surgery. Recent studies have implicated lin-41 (lineage variant 41)/TRIM71 (tripartite motif 71) as a candidate CH risk gene, however, TRIM71 variants have not been systematically examined in a large patient cohort or conclusively linked with an OMIM syndrome. Through cross-sectional analysis of the largest assembled cohort of patients with cerebral ventriculomegaly, including neurosurgically-treated CH (totaling 2,697 parent-proband trios and 8,091 total exomes), we identified 13 protein-altering de novo variants (DNVs) in TRIM71 in unrelated children exhibiting variable ventriculomegaly, CH, developmental delay, dysmorphic features, and other structural brain defects including corpus callosum dysgenesis and white matter hypoplasia. Eight unrelated patients were found to harbor arginine variants, including two recurrent missense DNVs, at homologous positions in RPXGV motifs of different NHL domains. Seven additional patients with rare, damaging, unphased or transmitted variants of uncertain significance were also identified. NHL-domain variants of TRIM71 exhibited impaired binding to the canonical TRIM71 target CDKN1A; other variants failed to direct the subcellular localization of TRIM71 to processing bodies. Single-cell transcriptomic analysis of human embryos revealed expression of TRIM71 in early first-trimester neural stem cells of the brain. These data show TRIM71 is essential for human brain morphogenesis and that TRIM71 mutations cause a novel neurodevelopmental syndrome featuring ventriculomegaly and CH. PB - Oxford University Press (OUP) UR - http://dx.doi.org/10.1093/brain/awae175 JF - Brain Y1 - 2024/06/04/ A1 - Duy, Phan Q A1 - Jux, Bettina A1 - Zhao, Shujuan A1 - Mekbib, Kedous Y A1 - Dennis, Evan A1 - Dong, Weilai A1 - Nelson-Williams, Carol A1 - Mehta, Neel H A1 - Shohfi, John P A1 - Juusola, Jane A1 - Allington, Garrett A1 - Smith, Hannah A1 - Marlin, Sandrine A1 - Belhous, Kahina A1 - Monteleone, Berrin A1 - Schaefer, G Bradley A1 - Pisarska, Margareta D A1 - Vásquez, Jaime A1 - Estrada-Veras, Juviannee I A1 - Keren, Boris A1 - Mignot, Cyril A1 - Flore, Leigh A A1 - Palafoll, Irene V A1 - Alper, Seth L A1 - Lifton, Richard P A1 - Haider, Shozeb A1 - Moreno-De-Luca, Andres A1 - Jin, Sheng Chih A1 - Kolanus, Waldemar A1 - Kahle, Kristopher T ER -