BEND4 as a Candidate Gene for an Infection-Induced Acute Encephalopathy Characterized by a Cyst and Calcification of

Bülent Kara1, Oya Uyguner2, Hülya Maraş Genç1

  • 1Division of Child Neurology, Department of Pediatrics, Kocaeli University Medical Faculty, Izmit, Turkey.

Molecular Syndromology
|February 28, 2022
PubMed

Insights

Pathogenic variants in the BEND4 gene can cause acute necrotizing encephalopathy, triggered by infections. This genetic condition affects brain development and function in affected children.

Area of Science:

  • Genetics
  • Neuroscience
  • Molecular Biology

Background:

  • Normal brain development in three siblings was followed by acute neurological deterioration.
  • Deterioration involved loss of motor, social, and language functions after infections.
  • Neuroimaging revealed pontine cyst, calcification, and cerebellar atrophy.

Purpose of the Study:

  • To identify the genetic cause of the observed neurological disorder.
  • To investigate the functional consequences of the identified genetic variant.

Main Methods:

  • Exome sequencing to identify genetic alterations.
  • In silico analysis to predict the pathogenicity of variants.
  • Immunofluorescence microscopy to analyze protein localization.
  • Differential proteome analysis to identify affected cellular pathways.

Main Results:

  • A homozygous c.1297G>A (p.Gly433Ser) alteration in the BEND4 gene was identified.
  • The BEND4 variant segregated with the disease in affected family members.
  • Mutant BEND4 showed altered cellular localization and affected endoplasmic reticulum protein levels (reticulocalbin-1, ER resident protein-29), impacting protein folding pathways.

Conclusions:

  • Pathogenic BEND4 variants are associated with infection-induced acute necrotizing encephalopathy.
  • This study identifies BEND4 as a novel gene linked to severe neurological disease.
  • Disrupted protein folding due to BEND4 mutations may underlie the observed neurodegeneration.

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