Loss-of-function variants in DNM1 cause a specific form of developmental and epileptic encephalopathy only in biallelic state

Autor: Yun Li, Ruth Sheffer, Peter Nürnberg, Muhannad Daana, Silke Kaulfuss, Hagar Mor-Shakad, Bernd Wollnik, Janine Altmüller, Knut Brockmann, Peter Burfeind, Emrah Kaygusuz, Liza Douiev, Gökhan Yigit
Rok vydání: 2021
Předmět:
Zdroj: Journal of Medical Genetics. 59:549-553
ISSN: 1468-6244
0022-2593
DOI: 10.1136/jmedgenet-2021-107769
Popis: BackgroundDevelopmental and epileptic encephalopathies (DEEs) represent a group of severe neurological disorders characterised by an onset of refractory seizures during infancy or early childhood accompanied by psychomotor developmental delay or regression. DEEs are genetically heterogeneous with, to date, more than 80 different genetic subtypes including DEE31 caused by heterozygous missense variants in DNM1.MethodsWe performed a detailed clinical characterisation of two unrelated patients with DEE and used whole-exome sequencing to identify causative variants in these individuals. The identified variants were tested for cosegregation in the respective families.ResultsWe excluded pathogenic variants in known, DEE-associated genes. We identified homozygous nonsense variants, c.97C>T; p.(Gln33*) in family 1 and c.850C>T; p.(Gln284*) in family 2, in the DNM1 gene, indicating that biallelic, loss-of-function pathogenic variants in DNM1 cause DEE.ConclusionOur finding that homozygous, loss-of-function variants in DNM1 cause DEE expands the spectrum of pathogenic variants in DNM1. All parents who were heterozygous carriers of the identified loss-of-function variants were healthy and did not show any clinical symptoms, indicating that the type of mutation in DNM1 determines the pattern of inheritance.
Databáze: OpenAIRE