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A familial case of CAMK2B mutation with variable expressivity
Paige Heiman1, Sarah Drewes1, Lina Ghaloul-Gonzalez1,2,3
1Division of Medical Genetics, Department of Pediatrics, University of Pittsburgh, Pittsburgh, PA, USA.
Pathogenic variants in Calcium/calmodulin-dependent protein kinase II beta (CAMK2B) can cause neurodevelopmental disorders. This study reveals intrafamilial variability in disease severity for a CAMK2B mutation, challenging previous findings of solely de novo occurrences.
Area of Science:
- Genetics
- Neuroscience
- Molecular Biology
Background:
- Variants in Calcium/calmodulin-dependent protein kinase II beta (CAMK2B) are linked to neurodevelopmental disorders and intellectual disability.
- Reported clinical manifestations include a wide spectrum of neurological and developmental issues.
- Phenotypic heterogeneity is a recognized characteristic of these disorders.
Observation:
- A child presented with a neurodevelopmental disorder attributed to a pathogenic CAMK2B variant.
- The affected child inherited the variant from their mother, who exhibited milder symptoms.
- A sibling with the same variant displayed less severe clinical features.
Findings:
- This case demonstrates that CAMK2B mutations can be inherited, not exclusively de novo.
- Intrafamilial variability in the expression of CAMK2B mutations is evident.
- The study expands the known clinical and genetic spectrum of CAMK2B-related disorders.
Implications:
- Understanding the inheritance patterns of CAMK2B variants is crucial for genetic counseling.
- Recognizing intrafamilial variability aids in predicting disease course and management.
- Further research into genotype-phenotype correlations in CAMK2B disorders is warranted.
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