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Genetic Epilepsy v1.108 HECTD1 Zornitza Stark Marked gene: HECTD1 as ready
Genetic Epilepsy v1.108 HECTD1 Zornitza Stark Gene: hectd1 has been classified as Green List (High Evidence).
Genetic Epilepsy v1.106 HECTD1 Chirag Patel Classified gene: HECTD1 as Green List (high evidence)
Genetic Epilepsy v1.106 HECTD1 Chirag Patel Gene: hectd1 has been classified as Green List (High Evidence).
Genetic Epilepsy v1.105 HECTD1 Chirag Patel Classified gene: HECTD1 as Green List (high evidence)
Genetic Epilepsy v1.105 HECTD1 Chirag Patel Gene: hectd1 has been classified as Green List (High Evidence).
Genetic Epilepsy v1.105 HECTD1 Chirag Patel Classified gene: HECTD1 as Green List (high evidence)
Genetic Epilepsy v1.105 HECTD1 Chirag Patel Gene: hectd1 has been classified as Green List (High Evidence).
Genetic Epilepsy v1.104 HECTD1 Chirag Patel gene: HECTD1 was added
gene: HECTD1 was added to Genetic Epilepsy. Sources: Literature
Mode of inheritance for gene: HECTD1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for gene: HECTD1 were set to PMID: 39879987
Phenotypes for gene: HECTD1 were set to Neurodevelopmental disorder MONDO:0700092
Review for gene: HECTD1 was set to GREEN
Added comment: 14 unrelated individuals (identified through GeneMatcher) with 15 variants of uncertain significance (VUS) in HECTD1 (10 missense, 3 frameshift, 1 nonsense, and 1 splicing variant). Of the 15 different variants in HECTD1, 10 occurred de novo, 3 had unknown inheritance, and 2 were compound heterozygous. All variants were absent in gnomAD, and HECTD1 is highly intolerant to loss-of-function variation (loss-of-function-intolerant score of 1). Clinical presentation was variable developmental delay, intellectual disability, autism spectrum disorder, ADHD, and epilepsy.

The one individual with compound heterozygous variants had growth impairment along with NDD. The variants were inherited from apparently healthy parents, suggesting that genetic or environmental modifiers may be required to develop the phenotype.

Significant enrichment of de novo variants in HECTD1 was also shown in an independent cohort of 53,305 published trios with NDDs or congenital heart disease.

HECT-domain-containing protein 1 (HECTD1) mediates developmental pathways, including cell signalling, gene expression, and embryogenesis. Conditional knockout of Hectd1 in the neural lineage in mice resulted in microcephaly, severe hippocampal malformations, and complete agenesis of the corpus callosum, supporting a role for Hectd1 in embryonic brain development. Functional studies of 2 missense variants and 1 nonsense variant in C. elegans revealed dominant effects, including either change-of-function or loss-of-function/haploinsufficient mechanisms.
Sources: Literature