Identification of a DLG3 stop mutation in the MRX20 family

Jolien Huyghebaert1, Ligia Mateiu1, Ellen Elinck1

  • 1Department of Medical Genetics, University of Antwerp, Antwerp, Belgium.

Insights

Researchers identified a DLG3 gene mutation causing intellectual disability in the large MRX20 family. This finding, using whole exome sequencing, pinpoints the genetic cause for previously unexplained neurological abnormalities in this X-linked pedigree.

Area of Science:

  • Human Genetics
  • Neurogenetics
  • Molecular Biology

Background:

  • The MRX20 family, a large X-linked pedigree with intellectual disability, lacked an identified disease gene despite previous mapping efforts.
  • Understanding the genetic basis of X-linked intellectual disability is crucial for diagnosis and potential therapeutic strategies.

Purpose of the Study:

  • To identify the causal genetic mutation responsible for intellectual disability in the MRX20 family.
  • To investigate the role of the DLG3 gene in the observed clinical abnormalities.

Main Methods:

  • Whole exome sequencing (WES) was performed on affected and unaffected family members.
  • Segregation analysis was used to confirm the co-occurrence of mutations with the phenotype.
  • RNA sequencing was employed to analyze gene expression differences in affected males.

Main Results:

  • A pathogenic mutation (c.195del/p.(Thr66ProfsTer55)) in the DLG3 gene was identified and segregated with affected individuals.
  • Two additional co-segregating variants, a SSX1 stop-gain mutation and a USP27X nonsynonymous SNV, were found.
  • Differential gene expression analysis revealed 14 genes, including four neurological disorder-associated genes, were altered in affected males.

Conclusions:

  • The c.195del/p.(Thr66ProfsTer55) mutation in the DLG3 gene is identified as the likely cause of the phenotype in the MRX20 family.
  • DLG3 mutations are confirmed as a cause of intellectual disability, explaining the clinical presentation in this family.
  • Further investigation into the identified variants and differentially expressed genes may provide deeper insights into the disease mechanism.