[具体基因名称]中的新生变异会导致一种综合征性神经发育障碍。 (你提供的原文中“De novo variants in ”后面缺少具体的基因名称等关键信息,所以这里只能给出一个大致翻译示例,需补充完整信息才能准确翻译。)

De novo variants in cause a syndromic neurodevelopmental disorder.

作者信息

Anderson Eric N, Drukewitz Stephan, Kour Sukhleen, Chimata Anuradha V, Rajan Deepa S, Schönnagel Senta, Stals Karen L, Donnelly Deirdre, O'Sullivan Siobhan, Mantovani John F, Tan Tiong Y, Stark Zornitza, Zacher Pia, Chatron Nicolas, Monin Pauline, Drunat Severine, Vial Yoann, Latypova Xenia, Levy Jonathan, Verloes Alain, Carter Jennefer N, Bonner Devon E, Shankar Suma P, Bernstein Jonathan A, Cohen Julie S, Comi Anne, Carere Deanna Alexis, Dyer Lisa M, Mullegama Sureni V, Sanchez-Lara Pedro A, Grand Katheryn, Kim Hyung-Goo, Ben-Mahmoud Afif, Gospe Sidney M, Belles Rebecca S, Bellus Gary, Lichtenbelt Klaske D, Oegema Renske, Rauch Anita, Ivanovski Ivan, Mau-Them Frederic Tran, Garde Aurore, Rabin Rachel, Pappas John, Bley Annette E, Bredow Janna, Wagner Timo, Decker Eva, Bergmann Carsten, Domenach Louis, Margot Henri, Lemke Johannes R, Jamra Rami Abou, Hentschel Julia, Mefford Heather, Singh Amit, Pandey Udai Bhan, Platzer Konrad

机构信息

Department of Pediatrics, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA 15224, USA.

Institute of Human Genetics, University of Leipzig Medical Center, 04103 Leipzig, Germany.

出版信息

medRxiv. 2025 Apr 1:2025.03.31.25324695. doi: 10.1101/2025.03.31.25324695.

Abstract

Germline variants that disrupt components of the epigenetic machinery cause syndromic neurodevelopmental disorders. Using exome and genome sequencing, we identified variants in , a lysine demethylase crucial for embryonic development, in 18 individuals with developmental delays and/or intellectual disabilities. The severity ranged from learning disabilities to severe intellectual disability. Other core symptoms included feeding difficulties, growth issues such as intrauterine growth restriction, short stature and microcephaly as well as recurrent facial features like epicanthic folds, upslanted palpebral fissures, thin lips, and low-set ears. Expression of human disease-causing variants in a Drosophila melanogaster model led to neural degeneration, motor defects, and reduced lifespan. Interestingly, pathogenic variants in KDM2A affected physiological attributes including subcellular distribution, expression and stability in human cells. Genetic epistasis experiments indicated that KDM2A variants likely exert their effects through a potential gain-of-function mechanism, as eliminating endogenous KDM2A in Drosophila did not produce noticeable neurodevelopmental phenotypes. Data from Enzymatic-Methylation sequencing supports the suggested gene-disease association by showing an aberrant methylome profiles in affected individuals' peripheral blood. Combining our genetic, phenotypic and functional findings, we establish variants in as causative for a syndromic neurodevelopmental disorder.

摘要

破坏表观遗传机制组成部分的种系变异会导致综合征性神经发育障碍。通过外显子组和基因组测序,我们在18名发育迟缓或智力残疾个体中发现了 (一种对胚胎发育至关重要的赖氨酸去甲基化酶)的变异。严重程度从学习障碍到严重智力残疾不等。其他核心症状包括喂养困难、生长问题,如宫内生长受限、身材矮小和小头畸形,以及反复出现的面部特征,如内眦赘皮、上斜睑裂、薄唇和低位耳。在果蝇模型中表达人类致病 变异会导致神经退行性变、运动缺陷和寿命缩短。有趣的是,KDM2A中的致病变异会影响人类细胞中的生理属性,包括亚细胞分布、表达和稳定性。遗传上位性实验表明,KDM2A变异可能通过潜在的功能获得机制发挥作用,因为在果蝇中消除内源性KDM2A不会产生明显的神经发育表型。酶促甲基化测序数据通过显示受影响个体外周血中异常的甲基化组谱支持了所提出的基因-疾病关联。综合我们的遗传、表型和功能研究结果,我们确定 中的变异是一种综合征性神经发育障碍的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97fe/11998838/c83fd0d8c74e/nihpp-2025.03.31.25324695v1-f0001.jpg

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