[Autosomal dominant intellectual disability-40 caused by a de novo mutation of the CHAMP1 gene: a case report]

Ming-Mei Wang1, Deng-Na Zhu, San-Song Li

  • 1Department of Child Rehabilitation, Third Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. 15136413122@163.com.

Insights

A 6-month-old boy with developmental delays was diagnosed with CHAMP1 gene mutation, a cause of autosomal dominant intellectual disability-40. Early genetic testing is crucial for children with unexplained intellectual disability and hypotonia.

Area of Science:

  • Genetics
  • Developmental Biology
  • Neurology

Background:

  • Intellectual disability (ID) encompasses a range of developmental disorders characterized by cognitive and adaptive functioning deficits.
  • Genetic factors play a significant role in the etiology of ID, with numerous genes implicated.

Observation:

  • A 6-month-old boy presented with global developmental delay, motor deficits, head instability, generalized weakness, and specific facial features.
  • Clinical manifestations included unawareness of grasping objects and dysmorphic facial characteristics such as wide-set eyes, epicanthus, esotropia, and low-set ears.

Findings:

  • Gene sequencing revealed a de novo heterozygous frameshift mutation (c.530delCinsTTT) in the CHAMP1 gene (chr13:115089847).
  • This mutation resulted in an amino acid change (p.S177Ffs*2), leading to a diagnosis of autosomal dominant intellectual disability-40.

Implications:

  • This case highlights the CHAMP1 gene as a potential cause of unexplained intellectual disability in children.
  • Early genetic testing for CHAMP1 mutations is recommended for infants presenting with unexplained ID, particularly those with hypotonia and severe speech impairment.

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