Novel mutation in the MED23 gene for intellectual disability: A case report and literature review

Feyzollah Hashemi-Gorji1, Majid Fardaei2, Seyed Mohammad Bagher Tabei2

  • 1Genomic Research Center Shahid Beheshti University of Medical Sciences Tehran Iran.

Clinical Case Reports
|March 9, 2019
PubMed

Insights

MED23 deficiency causes intellectual disability (ID). A novel MED23 gene variant was identified in an Iranian patient with severe ID, expanding the known genetic causes of this condition.

Area of Science:

  • Genetics
  • Neuroscience
  • Developmental Biology

Background:

  • Intellectual Disability (ID) is a neurodevelopmental disorder.
  • Autosomal recessive inheritance patterns are observed in some forms of ID.
  • MED23 deficiency is a known cause of autosomal recessive ID.

Observation:

  • A case of nonsyndromic ID in an Iranian individual is presented.
  • The patient exhibited developmental delay, microcephaly, hypotonia, severe ID, speech delay, and spasticity.
  • Genetic analysis revealed homozygosity for a novel MED23 c.670C>G variant.

Findings:

  • The identified MED23 c.670C>G variant is associated with severe nonsyndromic ID.
  • This finding confirms MED23 deficiency as a cause of autosomal recessive ID.
  • The novel variant expands the known mutation spectrum for MED23 deficiency.

Implications:

  • This report broadens the understanding of genetic factors contributing to ID.
  • It highlights the importance of genetic diagnostics for MED23-related disorders.
  • Further research into MED23 function may reveal new therapeutic targets for ID.

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