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Several studies have examined gene variants for syndromic forms of SA, but only one has examined exomes of children with non\u2010syndromic SA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using buccal cell specimens from families of children with non\u2010syndromic SA, exomes of 28 child\u2013parent trios (eight with and 20 without a maternal diagnosis of pregestational diabetes) and two child\u2013father duos (neither with diagnosis of maternal pregestational diabetes) were exome sequenced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three children had heterozygous missense variants in <jats:italic>ID1<\/jats:italic> (Inhibitor of DNA Binding 1), with CADD scores &gt;20 (top 1% of deleterious variants in the genome); two children inherited the variant from their fathers and one from the child's mother. Rare missense variants were also detected in <jats:italic>PDZD2<\/jats:italic> (PDZ Domain Containing 2; <jats:italic>N<\/jats:italic>\u00a0=\u00a01) and <jats:italic>SPTBN5<\/jats:italic> (Spectrin Beta, Non\u2010erythrocytic 5; <jats:italic>N<\/jats:italic>\u00a0=\u00a02), two genes previously suggested to be associated with SA etiology. Examination of variants with autosomal recessive and X\u2010linked recessive inheritance identified five and two missense variants, respectively. Compound heterozygous variants were identified in several genes. In addition, 12 de novo variants were identified, all in different genes in different children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To our knowledge, this is the first study reporting a possible association between <jats:italic>ID1<\/jats:italic> and non\u2010syndromic SA. Although maternal pregestational diabetes has been strongly associated with SA, the missense variants in <jats:italic>ID1<\/jats:italic> identified in two of three children were paternally inherited. These findings add to the knowledge of gene variants associated with non\u2010syndromic SA and provide data for future studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdr2.1987","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T06:19:55Z","timestamp":1646979595000},"page":"215-227","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exome sequencing identifies variants in infants with sacral agenesis"],"prefix":"10.1002","volume":"114","author":[{"given":"Georgia","family":"Pitsava","sequence":"first","affiliation":[{"name":"Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9171-7848","authenticated-orcid":false,"given":"Marcia 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