» Articles » PMID: 23674175

Expanding the Phenotype of IQSEC2 Mutations: Truncating Mutations in Severe Intellectual Disability

Abstract

Intellectual disability (ID) is frequent in the general population, with 1 in 50 individuals directly affected worldwide. The multiple etiologies include X-linked ID (XLID). Among syndromic XLID, few syndromes present severe ID associated with postnatal microcephaly and midline stereotypic hand movements. We report on three male patients with ID, midline stereotypic hand movements, hypotonia, hyperkinesia, strabismus, as well as seizures (2/3), and non-inherited and postnatal onset microcephaly (2/3). Using array CGH and exome sequencing we characterised two truncating mutations in IQSEC2, namely two de novo intragenic duplication mapped to the Xp11.22 region and a nonsense mutation in exon 7. We propose that truncating mutations in IQSEC2 are responsible for syndromic severe ID in male patients and should be screened in patients without mutations in MECP2, FOXG1, CDKL5 and MEF2C.

Citing Articles

Natural Course of -Related Encephalopathy: An Italian National Structured Survey.

Leoncini S, Boasiako L, Lopergolo D, Altamura M, Fazzi C, Canitano R Children (Basel). 2023; 10(9).

PMID: 37761403 PMC: 10528631. DOI: 10.3390/children10091442.


Response to Steroids in IQSEC2-Related Encephalopathy Presenting with Rett-Like Phenotype and Infantile Spasms.

Nagabushana D, Chatterjee A, Kenchaiah R, Asranna A, Arunachal G, Mundlamuri R J Pediatr Genet. 2023; 12(1):76-80.

PMID: 36684544 PMC: 9848762. DOI: 10.1055/s-0040-1721371.


-related encephalopathy in male children: Novel mutations and phenotypes.

Liu X, Zhang S, Wan L, Zhang X, Wang H, Zhang H Front Mol Neurosci. 2022; 15:984776.

PMID: 36267700 PMC: 9577604. DOI: 10.3389/fnmol.2022.984776.


Differences in Expression of Transcript Isoforms in Male and Female Cases with Loss of Function Variants and Neurodevelopmental Disorder.

Baladron B, Mielu L, Lopez-Martin E, Barrero M, Lopez L, Alvarado J Int J Mol Sci. 2022; 23(16).

PMID: 36012761 PMC: 9409358. DOI: 10.3390/ijms23169480.


Rett Syndrome Spectrum in Monogenic Developmental-Epileptic Encephalopathies and Epilepsies: A Review.

Spagnoli C, Fusco C, Pisani F Genes (Basel). 2021; 12(8).

PMID: 34440332 PMC: 8394997. DOI: 10.3390/genes12081157.


References
1.
Matarazzo V, Cohen D, Palmer A, Simpson P, Khokhar B, Pan S . The transcriptional repressor Mecp2 regulates terminal neuronal differentiation. Mol Cell Neurosci. 2004; 27(1):44-58. DOI: 10.1016/j.mcn.2004.05.005. View

2.
Takai Y, Sasaki T, Matozaki T . Small GTP-binding proteins. Physiol Rev. 2001; 81(1):153-208. DOI: 10.1152/physrev.2001.81.1.153. View

3.
De Filippis B, Fabbri A, Simone D, Canese R, Ricceri L, Malchiodi-Albedi F . Modulation of RhoGTPases improves the behavioral phenotype and reverses astrocytic deficits in a mouse model of Rett syndrome. Neuropsychopharmacology. 2011; 37(5):1152-63. PMC: 3306877. DOI: 10.1038/npp.2011.301. View

4.
Chen Q, Zhu Y, Yu J, Miao S, Zheng J, Xu L . CDKL5, a protein associated with rett syndrome, regulates neuronal morphogenesis via Rac1 signaling. J Neurosci. 2010; 30(38):12777-86. PMC: 6633570. DOI: 10.1523/JNEUROSCI.1102-10.2010. View

5.
GEDEON A, Kerr B, Mulley J, Turner G . Pericentromeric genes for non-specific X-linked mental retardation (MRX). Am J Med Genet. 1994; 51(4):553-64. DOI: 10.1002/ajmg.1320510453. View