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[Identification of a novel nonsense IQSEC2 variant in a child with X-linked intellectual disability]
Ruohao Wu1, Wenting Tang, Kunyin Qiu
1Department of Pediatrics, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510120, China. luoxy33@126.com.
Insights
A novel de novo nonsense variant in the IQSEC2 gene was identified as the cause of X-linked intellectual disability in a child. This genetic finding provides insight into the molecular basis of intellectual disability.
Area of Science:
- Genetics
- Neurodevelopmental Disorders
Background:
- Intellectual disability (ID) is a complex neurodevelopmental disorder with diverse genetic etiologies.
- X-linked intellectual disability (XLID) accounts for a significant proportion of ID cases, highlighting the importance of genes on the X chromosome.
Purpose of the Study:
- To investigate the genetic underpinnings of a child presenting with X-linked intellectual disability.
- To identify novel genetic variants associated with intellectual disability and related phenotypes.
Main Methods:
- Whole exome sequencing was performed on DNA from the affected child and his parents.
- Potential pathogenic variants were identified and subsequently validated using Sanger sequencing.
- Bioinformatic tools were employed to predict the functional impact of identified variants.
Main Results:
- A previously unreported de novo nonsense variant, c.3163C>T (p.Arg1055*), in the IQSEC2 gene was identified in the child.
- Bioinformatic predictions indicated that this variant is pathogenic, likely disrupting the IQSEC2 protein's PH domain and leading to loss of function.
- The variant is predicted to cause significant structural damage to the IQSEC2 protein.
Conclusions:
- The identified de novo nonsense variant in the IQSEC2 gene is strongly implicated as the cause of the child's intellectual disability and associated symptoms.
- This finding expands the known genetic spectrum of intellectual disability and underscores the role of IQSEC2 in neurodevelopment.
Objective:
To explore the genetic basis for a child featuring X-linked intellectual disability.
Methods:
The 1-year-and-6-month-old child presented with growth retardation, intellectual disability and bilateral alternating squint. With DNA extracted from the child and his parents' peripheral venous blood samples, whole exome sequencing was carried out to identify potential variants that can explain his condition. Suspected variants were validated by Sanger sequencing. The impact of variants was predicted by bioinformatic tools.
Results:
The child was found to harbor a de novo nonsense c.3163C>T (p.Arg1055*) variant of the IQSEC2 gene. The variant, unreported previously, was predicted to be pathogenic based on MutationTaster, PROVEAN and SIFT. Analysis using a HomoloGene system suggested Arg1055 in IQSEC2 residues to be highly conserved evolutionarily, and that replacement of Arg1055 may cause destroy of the PH domain (AA 951-1085) and serious damage to the function of IQSEC2 protein. Analysis with UCSF chimera software suggested that the c.3163C>T (p.Arg1055*) variant can induce serious damages to the secondary structures of IQSEC2 protein, causing loss of its function.
Conclusion:
The patient's condition may be attributed to the de novo nonsense variant c.3163C>T (p.Arg1055*) of the IQSEC2 gene.
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