Zhang Wen, Ye Fanghua, Chen Shimeng, Peng Jing, Pang Nan, Yin Fei
Department of Pediatrics, Xiangya Hospital, Central South University, Changsha, China.
Hunan Intellectual and Developmental Disabilities Research Center, Changsha, China.
Front Neurosci. 2022 Jun 14;16:892768. doi: 10.3389/fnins.2022.892768. eCollection 2022.
has recently been identified as the causative gene for Poirier-Bienvenu neurodevelopmental syndrome (POBINDS). POBINDS is a rare neurodevelopmental disorder characterized by early-onset epilepsy, developmental delay, hypotonia, and dysmorphism. Limited by the scarcity of patients, the genotype-phenotype correlations in POBINDS are still unclear. In the present study, we describe the clinical and genetic characteristics of eight individuals with POBINDS, most of whom suffered developmental delay, generalized epilepsy, and hypotonia. Minigene experiments confirmed that two intron variants (c.367+5G>A and c.367+6T>C) resulted in the skipping of exon 5, leading to a premature termination of mRNA transcription. Combining our data with the available literature, the types of POBINDS-causing variants included missense, nonsense, frameshift, and splicing, but the variant types do not reflect the clinical severity. Reduced casein kinase 2 holoenzyme activity may represent a unifying pathogenesis. We also found that individuals with missense variants in the zinc finger domain had manageable seizures ( = 0.009) and milder intellectual disability ( = 0.003) than those with missense variants in other domains of . This is the first study of genotype-phenotype correlations in POBINDS, drawing attention to the pathogenicity of intron variants and expanding the understanding of neurodevelopmental disorders.
最近已被确定为波里耶 - 比安弗努神经发育综合征(POBINDS)的致病基因。POBINDS是一种罕见的神经发育障碍,其特征为早发性癫痫、发育迟缓、肌张力减退和畸形。受患者稀缺的限制,POBINDS的基因型 - 表型相关性仍不清楚。在本研究中,我们描述了8例POBINDS患者的临床和遗传特征,其中大多数患者患有发育迟缓、全身性癫痫和肌张力减退。小基因实验证实,两个内含子变体(c.367 + 5G>A和c.367 + 6T>C)导致外显子5跳跃,导致mRNA转录提前终止。将我们的数据与现有文献相结合,导致POBINDS的变体类型包括错义、无义、移码和剪接,但变体类型并不反映临床严重程度。酪蛋白激酶2全酶活性降低可能代表一种统一的发病机制。我们还发现,与在其他结构域有 错义变体的个体相比,在锌指结构域有错义变体的个体癫痫发作可控( = 0.009)且智力残疾较轻( = 0.003)。这是第一项关于POBINDS基因型 - 表型相关性的研究,引起了人们对内含子变体致病性的关注,并扩展了对神经发育障碍的理解。