Abstract
Epidemiological studies have shown an increased prevalence of cancer in some patients with neurodevelopmental disorder (NDD); however, the genetic mechanisms regarding how cancer-related genes (CRGs) contribute to NDD remain unclear. We performed bioinformatic analyses on 219 CRGs from OMIM and de novo mutations (DNMs) from 16,498 patients with different NDDs and 3391 controls. Our results showed that autism spectrum disorder, undiagnosed neurodevelopmental disorder, congenital heart disease and intellectual disability, but not epileptic encephalopathy and schizophrenia, harboured significantly more putative functional DNMs in CRGs, compared with controls, providing genetic evidence supporting previous epidemiological surveys. We further detected 26 CRGs with recurrent putative functional DNMs that showed high expression in the human brain during the prenatal stage and in non-brain organs in adults. The proteins coded by the 26 CRGs and known NDD candidate genes formed a functional network that is involved in brain development and tumorigenesis. Overall, we proposed 39 cancer-targeting drugs that could be investigated for treating patients with NDD, which would be potentially cost-effective. In conclusion, DNMs contribute to specific NDDs and there may be a shared genetic basis between NDDs and cancer, highlighting the importance of considering cancer-targeting drugs with potential curative effects in patients with NDDs.
Key messages
• The contribution of DNMs in NDD is consistent with epidemiological surveys.
• We highlighted 26 CRGs, including nine genes with more than five functional DNMs.
• Specific expression patterns underlie the genetic mechanism of CRGs in NDD.
• Specific functional networks underlie the genetic mechanism of CRGs in NDD.
• The shared genetic aetiology suggests potential mutual treatment strategies.
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Data availability
The data used to support the findings of this study are available from the corresponding author upon request.
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Funding
This research was supported by The National Natural Science Foundation of China [81801133 to Jinchen Li]; Young Elite Scientist Sponsorship Program by CAST [2018QNRC001 to Jinchen Li]; Innovation-Driven Project of Central South University [20180033040004 to Jinchen Li]; The Natural Science Foundation of Hunan Province, China [No 2017JJ3507 to Bin Li]; and Postdoctoral Science Foundation of Xiangya Hospital, Central South University [No 175817 to Bin Li].
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Study design: Bin Li, Guihu Zhao and Jinchen Li.
Literature search and data collection: Bin Li, Kuokuo Li, Guihu Zhao, Di Tian, Yali Xie, Qiao Zhou and Jinchen Li.
Charting: Bin Li, Qiao Zhou, Yali Xie, Qingtuan Meng and Jinchen Li.
Data analysis: Bin Li, Kuokuo Li, Zhenghuan Fang, Xiaomeng Wang, Tengfei Luo, Yi Zhang and Jinchen Li.
Data interpretation: Bin Li, Zheng Wang, Yijing Wang, Qian Chen, Qingtuan Meng and Jinchen Li.
Writing of the manuscript draft and all revision stages: Bin Li, Kuokuo Li, Guihu Zhao, Di Tian, Qiao Zhou, Yali Xie, Zhenghuan Fang, Xiaomeng Wang, Tengfei Luo, Zheng Wang, Yi Zhang, Yingjing Wang, Qian Chen, Qingtuan Meng and Jinchen Li.
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Li, B., Li, K., Tian, D. et al. De novo mutation of cancer-related genes associates with particular neurodevelopmental disorders. J Mol Med 98, 1701–1712 (2020). https://doi.org/10.1007/s00109-020-01991-y
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DOI: https://doi.org/10.1007/s00109-020-01991-y