IDDCA syndrome in a Chinese infant due to GNB5 biallelic mutations
Mingxing Tang1, Yajian Wang2, Yuanyuan Xu1
1Pediatric Intensive Care Unit, Anhui Provincial Children's Hospital, Hefei, 230029, PR China.
Insights
This study identifies novel GNB5 gene variants in a Chinese infant with early-onset intellectual developmental disorder with cardiac arrhythmia syndrome (IDDCA). The findings expand the understanding of GNB5-related disorders.
Area of Science:
- Genetics
- Developmental Biology
- Cardiology
Background:
- Intellectual developmental disorder with cardiac arrhythmia syndrome (IDDCA) is a rare genetic disorder.
- G protein subunit beta 5 (GNB5) gene variants have been implicated in neurological and cardiac conditions.
Observation:
- A 6-month-old Chinese male infant presented with convulsions, paroxysmal cyanosis, neurodevelopmental delay, and severe cardiac arrhythmia.
- Genetic analysis revealed compound heterozygous variants in the GNB5 gene: c.458G>A/p.Cys153Tyr (maternal inheritance) and c.1032C>A/p.Tyr344* (de novo, paternal origin).
Findings:
- Structural modeling suggests both identified GNB5 mutations impact protein interactions.
- This case expands the known genetic and phenotypic spectrum of GNB5-associated diseases.
Implications:
- Highlights the importance of genetic testing in early-onset neurodevelopmental and cardiac disorders.
- Provides insights into the molecular mechanisms underlying GNB5-related syndromes.
- Contributes to a broader understanding of genetic variations in diverse populations.
Abstract:
Herein, we present a Chinese infant with an early-onset intellectual developmental disorder with cardiac arrhythmia syndrome. A 6-month-old boy visited our hospital because of convulsions and paroxysmal cyanosis for 1 day. Mental development analysis showed that the patient had a neurodevelopmental delay. Frequent seizures occurred, and ECG monitoring demonstrated severe cardiac arrhythmia. Whole-exome sequencing showed that the infant had two compound heterozygous variants, NM_016194:c.458G>A/p.Cys153Tyr and NM_016194:c.1032C>A/p.Tyr344*, in GNB5. The first variant was inherited from his mother, while the other one was a de novo variant. Haplotype analysis indicated that the de novo variant was located in the paternal chromosome. Structural modeling indicated that both mutations could influence the interaction of GNB5 with its binding protein. Our study expanded the known genetic and phenotypic spectrum of GNB5-associated diseases, by presenting a Chinese male infant with IDDCA.
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