Lethal phenotypes in Mendelian disorders

Genet Med. 2024 Apr 13:101141. doi: 10.1016/j.gim.2024.101141. Online ahead of print.

Abstract

Purpose: Existing resources that characterise the essentiality status of genes are based on either proliferation assessment in human cell lines, viability evaluation in mouse knockouts, or constraint metrics derived from human population sequencing studies. Several repositories document phenotypic annotations for rare disorders, however there is a lack of comprehensive reporting on lethal phenotypes.

Methods: We queried Online Mendelian Inheritance in Man for terms related to lethality and classified all Mendelian genes according to the earliest age of death recorded for the associated disorders, from prenatal death to no reports of premature death. We characterised the genes across these lethality categories, examined the evidence on viability from mouse models and explored how this information could be used for novel gene discovery.

Results: We developed the Lethal Phenotypes Portal to showcase this curated catalogue of human essential genes. Differences in the mode of inheritance, physiological systems affected and disease class were found for genes in different lethality categories as well as discrepancies between the lethal phenotypes observed in mouse and human.

Conclusion: We anticipate that this resource will aid clinicians in the diagnosis of early lethal conditions and assist researchers in investigating the properties that make these genes essential for human development.

Keywords: Essential genes; Lethal mouse knockouts; Lethal phenotypes; Mendelian disorders; Novel gene discovery.