Bereshneh Ali H, Andrews Jonathan C, Eberl Daniel F, Bademci Guney, Borja Nicholas A, Bivona Stephanie, Chung Wendy K, Yamamoto Shinya, Wangler Michael F, McKee Shane, Tekin Mustafa, Bellen Hugo J, Kanca Oguz
Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA; Jan and Dan Duncan Neurological Research Institute, Texas Children's Hospital, Houston, TX, USA.
Department of Biology, University of Iowa, Iowa City, IA, USA.
Am J Hum Genet. 2025 Apr 3;112(4):846-862. doi: 10.1016/j.ajhg.2025.02.019. Epub 2025 Mar 14.
The CDKL (cyclin-dependent kinase-like) family consists of five members in humans, CDKL1-5, that encode serine-threonine kinases. The only member that has been associated with a Mendelian disorder is CDKL5, and variants in CDKL5 cause developmental and epileptic encephalopathy type 2 (DEE2). Here, we study four de novo variants in CDKL2 identified in five individuals, including three unrelated probands and monozygotic twins. These individuals present with overlapping symptoms, including global developmental delay, intellectual disability, childhood-onset epilepsy, dyspraxia, and speech deficits. We also identified two individuals with de novo missense variants in CDKL1 in the published Deciphering Developmental Disorders (DDD) and GeneDx cohorts with developmental disorders. Drosophila has a single ortholog of CDKL1-5, CG7236 (Cdkl). Cdkl is expressed in sensory neurons that project to specific regions of the brain that control sensory inputs. Cdkl loss causes semi-lethality, climbing defects, heat-induced seizures, hearing loss, and reduced lifespan. These phenotypes can be rescued by expression of the human reference CDKL1, CDKL2, or CDKL5, showing that the functions of these genes are conserved. In contrast, the CDKL1 and CDKL2 variants do not fully rescue the observed phenotypes, and overexpression of the variant proteins leads to phenotypes that are similar to Cdkl loss. Co-expression of CDKL1 or CDKL2 variants with CDKL1, CDKL2, or CDKL5 references in the mutant background suppresses the rescue ability of the reference genes. Our results suggest that the variants act as dominant negative alleles and are causative of neurological symptoms in these individuals.
细胞周期蛋白依赖性激酶样(CDKL)家族在人类中由五个成员组成,即CDKL1 - 5,它们编码丝氨酸 - 苏氨酸激酶。唯一与孟德尔疾病相关的成员是CDKL5,CDKL5的变异会导致2型发育性癫痫性脑病(DEE2)。在这里,我们研究了在五名个体中鉴定出的CDKL2的四个新生变异,其中包括三名无亲缘关系的先证者和一对同卵双胞胎。这些个体表现出重叠的症状,包括全面发育迟缓、智力残疾、儿童期癫痫、运动障碍和语言缺陷。我们还在已发表的发育障碍解读(DDD)和基因诊断队列中,鉴定出两名患有发育障碍且携带CDKL1新生错义变异的个体。果蝇有一个与CDKL1 - 5同源的基因,即CG7236(Cdkl)。Cdkl在投射到控制感觉输入的大脑特定区域的感觉神经元中表达。Cdkl缺失会导致半致死性、攀爬缺陷、热诱导癫痫发作、听力丧失和寿命缩短。这些表型可以通过人类参考CDKL1、CDKL2或CDKL5的表达得到挽救,表明这些基因的功能是保守的。相比之下,CDKL1和CDKL2变异不能完全挽救观察到的表型,变异蛋白的过表达会导致与Cdkl缺失相似的表型。在突变背景下,将CDKL1或CDKL2变异与CDKL1、CDKL2或CDKL5参考基因共表达会抑制参考基因的挽救能力。我们的结果表明,这些变异作为显性负等位基因,是这些个体神经症状的病因。