Biallelic SZT2 mutations cause infantile encephalopathy with epilepsy and dysmorphic corpus callosum
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Biallelic SZT2 mutations cause infantile encephalopathy with epilepsy and dysmorphic corpus callosum. / Basel-Vanagaite, Lina; Hershkovitz, Tova; Heyman, Eli; Raspall-Chaure, Miquel; Kakar, Naseebullah; Smirin-Yosef, Pola; Vila-Pueyo, Marta; Kornreich, Liora; Thiele, Holger; Bode, Harald; Lagovsky, Irina; Dahary, Dvir; Haviv, Ami; Hubshman, Monika Weisz; Pasmanik-Chor, Metsada; Nürnberg, Peter; Gothelf, Doron; Kubisch, Christian; Shohat, Mordechai; Macaya, Alfons; Borck, Guntram.
In: AM J HUM GENET, Vol. 93, No. 3, 05.09.2013, p. 524-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Biallelic SZT2 mutations cause infantile encephalopathy with epilepsy and dysmorphic corpus callosum
AU - Basel-Vanagaite, Lina
AU - Hershkovitz, Tova
AU - Heyman, Eli
AU - Raspall-Chaure, Miquel
AU - Kakar, Naseebullah
AU - Smirin-Yosef, Pola
AU - Vila-Pueyo, Marta
AU - Kornreich, Liora
AU - Thiele, Holger
AU - Bode, Harald
AU - Lagovsky, Irina
AU - Dahary, Dvir
AU - Haviv, Ami
AU - Hubshman, Monika Weisz
AU - Pasmanik-Chor, Metsada
AU - Nürnberg, Peter
AU - Gothelf, Doron
AU - Kubisch, Christian
AU - Shohat, Mordechai
AU - Macaya, Alfons
AU - Borck, Guntram
N1 - Copyright © 2013 The American Society of Human Genetics. Published by Elsevier Inc. All rights reserved.
PY - 2013/9/5
Y1 - 2013/9/5
N2 - Epileptic encephalopathies are genetically heterogeneous severe disorders in which epileptic activity contributes to neurological deterioration. We studied two unrelated children presenting with a distinctive early-onset epileptic encephalopathy characterized by refractory epilepsy and absent developmental milestones, as well as thick and short corpus callosum and persistent cavum septum pellucidum on brain MRI. Using whole-exome sequencing, we identified biallelic mutations in seizure threshold 2 (SZT2) in both affected children. The causative mutations include a homozygous nonsense mutation and a nonsense mutation together with an exonic splice-site mutation in a compound-heterozygous state. The latter mutation leads to exon skipping and premature termination of translation, as shown by RT-PCR in blood RNA of the affected boy. Thus, all three mutations are predicted to result in nonsense-mediated mRNA decay and/or premature protein truncation and thereby loss of SZT2 function. Although the molecular role of the peroxisomal protein SZT2 in neuronal excitability and brain development remains to be defined, Szt2 has been shown to influence seizure threshold and epileptogenesis in mice, consistent with our findings in humans. We conclude that mutations in SZT2 cause a severe type of autosomal-recessive infantile encephalopathy with intractable seizures and distinct neuroradiological anomalies.
AB - Epileptic encephalopathies are genetically heterogeneous severe disorders in which epileptic activity contributes to neurological deterioration. We studied two unrelated children presenting with a distinctive early-onset epileptic encephalopathy characterized by refractory epilepsy and absent developmental milestones, as well as thick and short corpus callosum and persistent cavum septum pellucidum on brain MRI. Using whole-exome sequencing, we identified biallelic mutations in seizure threshold 2 (SZT2) in both affected children. The causative mutations include a homozygous nonsense mutation and a nonsense mutation together with an exonic splice-site mutation in a compound-heterozygous state. The latter mutation leads to exon skipping and premature termination of translation, as shown by RT-PCR in blood RNA of the affected boy. Thus, all three mutations are predicted to result in nonsense-mediated mRNA decay and/or premature protein truncation and thereby loss of SZT2 function. Although the molecular role of the peroxisomal protein SZT2 in neuronal excitability and brain development remains to be defined, Szt2 has been shown to influence seizure threshold and epileptogenesis in mice, consistent with our findings in humans. We conclude that mutations in SZT2 cause a severe type of autosomal-recessive infantile encephalopathy with intractable seizures and distinct neuroradiological anomalies.
KW - Alleles
KW - Amino Acid Sequence
KW - Animals
KW - Base Sequence
KW - Child
KW - Child, Preschool
KW - Corpus Callosum
KW - Female
KW - Genetic Predisposition to Disease
KW - Heterozygote
KW - Homozygote
KW - Humans
KW - Infant
KW - Magnetic Resonance Imaging
KW - Male
KW - Mice
KW - Molecular Sequence Data
KW - Mutation
KW - Nerve Tissue Proteins
KW - Pedigree
KW - Spasms, Infantile
U2 - 10.1016/j.ajhg.2013.07.005
DO - 10.1016/j.ajhg.2013.07.005
M3 - SCORING: Journal article
C2 - 23932106
VL - 93
SP - 524
EP - 529
JO - AM J HUM GENET
JF - AM J HUM GENET
SN - 0002-9297
IS - 3
ER -