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Published on: August 15, 2019
[Identification of a novel TBR1 gene variant in a Chinese pedigree affected with intellectual developmental disorder
1Prenatal Diagnosis Center of WanBei Coal and Electricity Group General Hospital, Suzhou, Anhui 234000, China. caoxu-2009@qq.com.
Insights
A novel splice variant in the TBR1 gene causes intellectual developmental disorder with autism and speech delay (IDDAS). Prenatal diagnosis successfully prevented transmission of this genetic condition.
Area of Science:
- Genetics
- Neurodevelopmental disorders
- Molecular biology
Background:
- Intellectual developmental disorder with autism and speech delay (IDDAS) is a complex condition.
- The TBR1 gene plays a crucial role in brain development.
Purpose of the Study:
- To identify the genetic cause of IDDAS in a family.
- To investigate a novel splice variant in the TBR1 gene.
Main Methods:
- Whole exome sequencing was used to identify genetic variants.
- Minigene assays were performed to assess variant function.
- Prenatal diagnosis was conducted via amniotic fluid sampling.
Main Results:
- A novel splicing variant (c.1129-1G>C) in the TBR1 gene was identified in the affected family.
- This variant led to abnormal splicing of exon 5.
- The variant was not detected in the fetus, and the child was born healthy.
Conclusions:
- The TBR1 c.1129-1G>C variant is likely the cause of IDDAS in this family.
- Prenatal genetic diagnosis and counseling are vital for preventing the transmission of such pathogenic variants.
Objective:
To describe a family with intellectual developmental disorder with autism and speech delay (IDDAS) caused by a splice variant of TBR1 gene.
Methods:
A pregnant women with mental retardation, who also had a family history of mental retardation, was admitted to Prenatal Diagnosis Center of WanBei Coal and Electricity Group General Hospital Corporation in April 2019. Molecular genetic tests were performed on the pregnant women and ten other family members to analyze the pathogenic genotype. Functional assays of the pathogenic variant was carried out by minigene technology. With the determination of the genotype, prenatal diagnosis was carried out by amniotic fluid sampling.
Results:
Through whole exome sequencing, a novel splicing variant (c.1129-1G>C) was identified in the TBR1 gene of the proband, which has co-segregated with the disease phenotype in the family. The results of minigene assay showed abnormal splicing of exon 5. The variant was not detected in the fetal amniotic fluid. Fetal growth and development were normal one year after the birth.
Conclusion:
The c.1129-1G>C variant of the TBR1 probably underlay the disease in of the pedigree. Timely prenatal genetic diagnosis and consultation can help to stop the transmission of the pathogenic variant.
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