Novel Splice Site Pathogenic Variant in STXBP1 Gene in a Child with Intellectual Disability, Epilepsy, and Autism

Nada Amllal1,2, Jaber Lyahyai1,2, Siham Chafai Elalaoui1,2

  • 1Research Team in Genomics and Molecular Epidemiology of Genetic Diseases, Genomics Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.

Molecular Syndromology
|October 3, 2024
PubMed

Insights

Pathogenic variants in the STXBP1 gene cause severe neurodevelopmental disorders. This study identifies a novel splice variant linked to autism, early-onset epilepsy, and intellectual disability, expanding the known STXBP1-related conditions.

Area of Science:

  • Genetics
  • Neuroscience
  • Molecular Biology

Background:

  • Pathogenic variants in the STXBP1 gene are linked to a range of severe early-onset developmental and epileptic encephalopathies.
  • STXBP1 encodes syntaxin-binding protein 1, crucial for presynaptic vesicular fusion via SNARE interactions.
  • The precise pathophysiology of STXBP1 variants remains incompletely understood.

Purpose of the Study:

  • To report a novel STXBP1 splice variant.
  • To expand the clinical and molecular spectrum of STXBP1-related neurodevelopmental disorders.
  • To investigate the association of STXBP1 variants with autism.

Main Methods:

  • Clinical exome sequencing was performed on a patient with intellectual disability, early-onset seizures, and autism.
  • A novel monoallelic splice pathogenic variant in STXBP1 (NM_001032221.6:c.38-2A>G) was identified.

Main Results:

  • The identified variant is a splice-site mutation in the STXBP1 gene.
  • This represents the first reported splice-site variant in STXBP1 associated with autism, alongside early-onset epilepsy and intellectual disability.
  • This finding broadens the known clinical presentations associated with STXBP1 gene variants.

Conclusions:

  • STXBP1 splice-site variants are associated with a broader spectrum of neurodevelopmental disorders than previously recognized.
  • The study highlights the importance of considering STXBP1 in patients with complex neurodevelopmental phenotypes including autism.
  • Further research is needed to elucidate the specific mechanisms underlying STXBP1 variant pathogenicity in diverse clinical contexts.
Abstract

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