We combined
de novo
mutation (DNM) data from 10,927
cases of developmental delay and autism to identify 253 candidate
neurodevelopmental disease genes with an excess of missense and/or likely
gene-disruptive mutations. Of these genes, 124 reach exome-wide significance (p
< 5 × 10
−7
) for DNM. Intersecting these results
with copy number variation morbidity data shows an enrichment for genomic
disorder regions (30/253, LR+ 1.85, p = 0.0017). We identify genes with an
excess of missense DNMs overlapping deletion syndromes (e.g.,
KIF1A
and the 2q37 deletion) as well as duplication
syndromes, such as recurrent
MAPK3
missense mutations within
the chromosome 16p11.2 duplication, recurrent
CHD4
missense
DNMs in the 12p13 duplication region, and recurrent
WDFY4
missense DNMs in the 10q11.23 duplication region. Network analyses of genes
showing an excess of DNMs highlights functional networks, including
cell-specific enrichments in the D1+ and D2+ spiny neurons of the striatum.