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American Society of Human Genetics 62nd Annual Meeting November 6–10, 2012 San Francisco, California PLATFORM ABSTRACTS Abstract Abstract Numbers Numbers Tuesday, November 6 41. Genes Underlying Neurological Disease Room 134 #196–#204 2. 4:30–6:30pm: Plenary Abstract 42. Cancer Genetics III: Common Presentations Hall D #1–#6 Variants Ballroom 104 #205–#213 43. Genetics of Craniofacial and Wednesday, November 7 Musculoskeletal Disorders Room 124 #214–#222 10:30am–12:45 pm: Concurrent Platform Session A (11–19): 44. Tools for Phenotype Analysis Room 132 #223–#231 11. Genetics of Autism Spectrum 45. Therapy of Genetic Disorders Room 130 #232–#240 Disorders Hall D #7–#15 46. Pharmacogenetics: From Discovery 12. New Methods for Big Data Ballroom 103 #16–#24 to Implementation Room 123 #241–#249 13. Cancer Genetics I: Rare Variants Room 135 #25–#33 14. Quantitation and Measurement of Friday, November 9 Regulatory Oversight by the Cell Room 134 #34–#42 8:00am–10:15am: Concurrent Platform Session D (47–55): 15. New Loci for Obesity, Diabetes, and 47. Structural and Regulatory Genomic Related Traits Ballroom 104 #43–#51 Variation Hall D #250–#258 16. Neuromuscular Disease and 48. Neuropsychiatric Disorders Ballroom 103 #259–#267 Deafness Room 124 #52–#60 49. Common Variants, Rare Variants, 17. Chromosomes and Disease Room 132 #61–#69 and Everything in-Between Room 135 #268–#276 18. Prenatal and Perinatal Genetics Room 130 #70–#78 50. Population Genetics Genome-Wide Room 134 #277–#285 19. Vascular and Congenital Heart 51. Endless Forms Most Beautiful: Disease Room 123 #79–#87 Variant Discovery in Genomic Data Ballroom 104 #286–#294 52. Clinical Genetics: Complex Thursday, November 8 Mechanisms and Exome-Discovery Room 124 #295–#303 10:30am–12:45pm: Concurrent Platform Session B (29–37): 53. From SNP to Function in Complex 29. Next-Generation Sequencing: Traits Room 132 #304–#312 Methods and Applications Hall D #88–#96 54. Genetic Counseling and Clinical 30. Genetics and Intellectual Disability Ballroom 103 #97–#105 Testing Room 130 #313–#321 31. GWAS from Head to Toe Room 135 #106–#114 55. Mitochondrial Disorders and 32. Cardiovascular Genetics: GWAS Ciliopathies Room 123 #322–#330 and Beyond Room 134 #115–#123 33. Clinical Genetics: Mutations, Friday, November 9 Mutations and Syndromes Ballroom 104 #124–#132 4:30pm–6:45pm: Concurrent Platform Session E (59–67): 34. Cancer Genetics II: Clinical 59. Genome Structure and Variation Hall D #331–#339 Translation Room 124 #133–#141 60. Advances in Neurodegenerative 35. Ethical, Legal, Social and Policy Disease Ballroom 103 #340–#348 Issues Room 132 #142–#150 61. Missing Heritability, Interactions and 36. Chipping Away at Autoimmune Sequencing Room 135 #349–#357 Disease Room 130 #151–#159 62. Exome Sequencing Uncovers 37. Metabolic Disease Discoveries Room 123 #160–#168 Etiology of Mendelian Disease Room 134 #358–#366 63. Transcriptional Regulation, Variation Thursday, November 8 and Complexity Ballroom 104 #367–#375 4:30pm–6:45pm: Concurrent Platform Session C (38–46): 64. Epigenetics Room 124 #376–#384 38. A Sequencing Jamboree: Exomes to 65. Advances in Ocular Genetics Room 132 #385–#393 Genomes Hall D #169–#177 66. Cancer Genetics: Somatic Variants Room 130 #394–#402 39. Admixture and Demography Ballroom 103 #178–#186 67. Developmental Insights into Human 40. Analysis of Multilocus Systems Room 135 #187–#195 Malformations Room 123 #403–#411 Copyright © 2012 The American Society of Human Genetics. All rights reserved. T : 38731APLCV 10-09-12 04:54:25 Layout: 30917X : 2001 Page 1 – blank – no folio Plenary Abstracts 1 1 3 A novel molecular and functional mechanism predisposing to ototoxi- Multidisciplinary and Translational Task Force for Neonatal Genomics. city. B. Wollnik1, E. Pohl1, N. Offenhäuser2, A. Uzumcu3, F.J. Kersten4, E.E. Davis1,2, A. Sabo3, N.C. Oien1, S.H. Katsanis4, H. Cope5, K. Sheets6, A.K. Rzadzinska5, O. Uyguner3, B. Lorente5, G. Nürnberg6, M. Emiroglu7, A. Sadeghpour1, K. McDonald5, M. Kousi1, J.R. Willer1, J. Kim4, S. Dugan- H. Kayserili3, I. del Castillo8, P. Nürnberg6, T. Moser9, C. Kubisch10, K.P. Rocha3, D.M. Muzny3, A. Ashley-Koch5, E. Hauser5, M. Hauser5, J. Sun2, Steel5, P.P. Di Fiore2, H. Kremer4, Y. Li1. 1) Institute of Human Genetics, J. Kurtzberg2,7, A. Murtha8, B. Boyd8, W.B. Gallentine9, R. Goldberg2,10, University of Cologne, Cologne, Germany; 2) IFOM, Fondazione Istituto M.T. McDonald6, R.A. Gibbs3, M. Angrist4, C.M. Cotten2,10, N. Katsanis1,2. FIRC di Oncologia Molecolar, Milan, Italy; 3) Department of Medical 1) Center for Human Disease Modeling, Duke University Medical Center, Genetics, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey; 4) Durham, NC; 2) Department of Pediatrics, Duke University Medical Center, Department of Human Genetics, Radboud University Nijmegen Medical Durham, NC, USA; 3) Human Genome Sequencing Center, Baylor College Centre, Nijmegen, The Netherlands; 5) Welcome Trust Sanger Institute, of Medicine, Houston, TX, USA; 4) Institute for Genome Sciences & Policy, Cambridge, Hinxton, UK; 6) Cologne Centre for Genomics, University of Duke University, Durham, NC, USA; 5) Center for Human Genetics, Depart- Cologne, Cologne, Germany; 7) Department of Otolaryngology, Istanbul ment of Medicine, Duke University Medical Center, Durham, NC, USA; 6) Medical Faculty, Istanbul University, Istanbul, Turkey; 8) Unidad de Genética Division of Medical Genetics, Duke University Medical Center, Durham, NC, Molecular, Hospital Ramón y Cajal, Madrid, Spain; 9) InnerEarLab, Depart- USA; 7) Department of Pathology, Duke University Medical Center, Durham, ment of Otolaryngology, Göttingen University Medical School, Göttingen, NC, USA; 8) Department of Obstetrics and Gynecology, Duke University Germany; 10) Institute of Human Genetics, Ulm University, Ulm, Germany. Medical Center, Durham, NC, USA; 9) Division of Pediatric Neurology, Duke While our knowledge about molecular mechanisms underlying Mendelian University Medical Center, Durham, NC, USA; 10) Neonatal and Perinatal forms of hearing loss tremendously increased over the last years, the genetic Research Institute, Duke University Medical Center, Durham, NC, USA. basis and pathogenesis for drug induced hearing impairment remains The accelerated implementation of genome-wide sequencing data as a unclear. Aminoglycosides are the most commonly used antibiotics world- first-pass diagnostic test is emerging as a powerful tool to secure a molecular wide. Although highly effective, their use is restricted by side-effects such diagnosis in the clinic. This has heightened the need for interpretive assays as ototoxicity in a significant subset of patients. However, underlying patho- to determine the pathogenic potential of genetic variation. To address these genesis and pharmacogenetic risk variants are largely unknown. Here we challenges, and to capitalize on the opportunity to shorten the time to secure show that dysfunction of an actin remodeling protein (named here ARP) can molecular diagnoses, we have created the Task Force for Neonatal Geno- result in a drug-inducible disturbance of actin dynamics and an irreversible mics at Duke University. The Task Force targets a uniquely vulnerable hearing impairment in humans. By positional cloning, we identified a homozy- patient cohort: neonates, whose developmental anomalies are more likely gous missense variant, p.L329P, in ARP as a cause of aminoglycoside- to be within a timeframe for treatment. Anatomical defects are also amenable induced hearing impairment in a large consanguineous family from Turkey to functional analyses of multiple organ systems including central nervous with 4 affected individuals. Complete ARP loss in knock out mice leads to system, renal, cardiac, craniofacial, skeletal, vascular, and skeletal muscle hearing loss associated with shortened stereocilia. We demonstrate that abnormalities. Our efforts target patients either prenatally in the Duke Fetal the protein is a component of the tip complex that regulates stereocilia Diagnostic Center, or postnatally in the Duke Intensive Care Nursery and length and that it interacts with whirlin. The mutation severely impairs this Pediatric specialty clinics and harness the full spectrum of clinical, genetics interaction in vitro. Extensive biochemical studies showed that myosinXVa and cellular biology expertise, including the use of transient model organisms can stabilize the ARP-whirlin interaction complex, and we show for the first (primarily zebrafish). Here we report on 1) the interdisciplinary nature of our time that kanamycin has a negative effect on this complex formation, which efforts; 2) our methodology for recruitment, data generation and analysis, is even more pronounced in mutant complexes, thereby explaining the and communication strategies between researchers and clinicians; 3) our development of hearing loss in affected individuals after aminoglycoside analysis progress to date; and 4) our evolving approach to returning primary treatment. Taken together, we link ototoxicity after aminoglycoside treatment and secondary molecular findings to clinicians and family members. In our to actin dynamics and this finding will help in devising strategies to counteract first year, we have screened > 50 referrals, enrolled 20 families, and have this severe side-effect of aminoglycosides. developed the capacity to enroll 50–100 families per year. In phenotype- appropriate patients, we couple whole exome sequencing of trios, a multi- tiered bioinformatic prioritization strategy,