PMID- 23517654 OWN - NLM STAT- MEDLINE DCOM- 20140730 LR - 20211021 IS - 1973-8102 (Electronic) IS - 0010-9452 (Print) IS - 0010-9452 (Linking) VI - 49 IP - 10 DP - 2013 Nov-Dec TI - Association of brain-derived neurotrophic factor (BDNF) haploinsufficiency with lower adaptive behaviour and reduced cognitive functioning in WAGR/11p13 deletion syndrome. PG - 2700-10 LID - S0010-9452(13)00047-6 [pii] LID - 10.1016/j.cortex.2013.02.009 [doi] AB - In animal studies, brain-derived neurotrophic factor (BDNF) is an important regulator of central nervous system development and synaptic plasticity. WAGR (Wilms tumour, Aniridia, Genitourinary anomalies, and mental Retardation) syndrome is caused by 11p13 deletions of variable size near the BDNF locus and can serve as a model for studying human BDNF haploinsufficiency (+/-). We hypothesized that BDNF+/- would be associated with more severe cognitive impairment in subjects with WAGR syndrome. Twenty-eight subjects with WAGR syndrome (6-28 years), 12 subjects with isolated aniridia due to PAX6 mutations/microdeletions (7-54 years), and 20 healthy controls (4-32 years) received neurocognitive assessments. Deletion boundaries for the subjects in the WAGR group were determined by high-resolution oligonucleotide array comparative genomic hybridization. Within the WAGR group, BDNF+/- subjects (n = 15), compared with BDNF intact (+/+) subjects (n = 13), had lower adaptive behaviour (p = .02), reduced cognitive functioning (p = .04), higher levels of reported historical (p = .02) and current (p = .02) social impairment, and higher percentage meeting cut-off score for autism (p = .047) on Autism Diagnostic Interview-Revised. These differences remained nominally significant after adjusting for visual acuity. Using diagnostic measures and clinical judgement, 3 subjects (2 BDNF+/- and 1 BDNF+/+) in the WAGR group (10.7%) were classified with autism spectrum disorder. A comparison group of visually impaired subjects with isolated aniridia had cognitive functioning comparable to that of healthy controls. In summary, among subjects with WAGR syndrome, BDNF+/- subjects had a mean Vineland Adaptive Behaviour Compose score that was 14-points lower and a mean intelligence quotient (IQ) that was 20-points lower than BDNF+/+ subjects. Our findings support the hypothesis that BDNF plays an important role in human neurocognitive development. CI - Published by Elsevier Ltd. FAU - Han, Joan C AU - Han JC AD - Unit on Metabolism and Neuroendocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health, Bethesda, MD, USA; Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, NICHD, National Institutes of Health, Bethesda, MD, USA. Electronic address: hanjo@mail.nih.gov. FAU - Thurm, Audrey AU - Thurm A FAU - Golden Williams, Christine AU - Golden Williams C FAU - Joseph, Lisa A AU - Joseph LA FAU - Zein, Wadih M AU - Zein WM FAU - Brooks, Brian P AU - Brooks BP FAU - Butman, John A AU - Butman JA FAU - Brady, Sheila M AU - Brady SM FAU - Fuhr, Shannon R AU - Fuhr SR FAU - Hicks, Melanie D AU - Hicks MD FAU - Huey, Amanda E AU - Huey AE FAU - Hanish, Alyson E AU - Hanish AE FAU - Danley, Kristen M AU - Danley KM FAU - Raygada, Margarita J AU - Raygada MJ FAU - Rennert, Owen M AU - Rennert OM FAU - Martinowich, Keri AU - Martinowich K FAU - Sharp, Stephen J AU - Sharp SJ FAU - Tsao, Jack W AU - Tsao JW FAU - Swedo, Susan E AU - Swedo SE LA - eng GR - Z01 HD000641/Intramural NIH HHS/United States GR - ZIAHD008898/PHS HHS/United States GR - Z1AHD00641/PHS HHS/United States GR - ZIAMH002868/PHS HHS/United States GR - ZIA MH002868/Intramural NIH HHS/United States GR - ZIA HD008898/Intramural NIH HHS/United States GR - Z99 HD999999/Intramural NIH HHS/United States GR - ZIA HD008898-03/Intramural NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural DEP - 20130219 PL - Italy TA - Cortex JT - Cortex; a journal devoted to the study of the nervous system and behavior JID - 0100725 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - Chromosome 11p, partial deletion SB - IM MH - Adaptation, Psychological/*physiology MH - Adolescent MH - Adult MH - Aniridia/complications/genetics MH - Autistic Disorder/genetics/psychology MH - Behavior/physiology MH - Brain/pathology MH - Brain-Derived Neurotrophic Factor/*deficiency MH - Child MH - Child Behavior Disorders/etiology/psychology MH - Child, Preschool MH - Chromosome Deletion MH - Chromosome Mapping MH - Chromosomes, Human, Pair 11/genetics MH - Cognition/physiology MH - Cognition Disorders/*genetics/physiopathology/*psychology MH - Cohort Studies MH - Corpus Callosum/pathology MH - Female MH - Haploinsufficiency/*genetics/*physiology MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Vision Tests MH - Visual Acuity MH - WAGR Syndrome/*genetics MH - Young Adult PMC - PMC3762943 MID - NIHMS462248 OTO - NOTNLM OT - 11p Deletion OT - Autism OT - Brain-derived neurotrophic factor OT - IQ OT - WAGR syndrome EDAT- 2013/03/23 06:00 MHDA- 2014/07/31 06:00 PMCR- 2014/11/01 CRDT- 2013/03/23 06:00 PHST- 2012/11/15 00:00 [received] PHST- 2013/02/08 00:00 [revised] PHST- 2013/02/11 00:00 [accepted] PHST- 2013/03/23 06:00 [entrez] PHST- 2013/03/23 06:00 [pubmed] PHST- 2014/07/31 06:00 [medline] PHST- 2014/11/01 00:00 [pmc-release] AID - S0010-9452(13)00047-6 [pii] AID - 10.1016/j.cortex.2013.02.009 [doi] PST - ppublish SO - Cortex. 2013 Nov-Dec;49(10):2700-10. doi: 10.1016/j.cortex.2013.02.009. Epub 2013 Feb 19.