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Published on: April 4, 2018
LSM7 variants involving key amino acids for LSM complex function cause a neurodevelopmental disorder with
Matis Crespin1, Karine Siquier-Pernet2, Pauline Marzin1
1AP-HP, Necker Enfants-Malades Hospital, Fédération de Génétique et Médecine Génomique, Service de Médecine Génomique des Maladies Rares, 75015 Paris, France.
Insights
Genetic variants in the LSM7 gene are confirmed to cause a neurodevelopmental disorder. This condition is characterized by cerebellar atrophy, hypoplasia, and leukodystrophy in affected children.
Area of Science:
- Genetics
- Neuroscience
- Molecular Biology
Background:
- Cerebellar atrophy and hypoplasia are observed in children with cerebellar ataxias, developmental delay, and intellectual disability.
- These neurological signs can be linked to hypo- or de-myelinating leukodystrophies.
- Previous reports suggested LSM7 as a candidate disease gene based on two cases with homozygous variants.
Purpose of the Study:
- To investigate the role of LSM7 gene variants in a patient presenting with neurodevelopmental defects, leukodystrophy, and cerebellar atrophy.
- To confirm the etiological link between LSM7 gene disruption and this specific neurodevelopmental disorder.
Main Methods:
- Clinical evaluation and neuroimaging (MRI) of the patient.
- Genetic analysis to identify variants in the LSM7 gene.
- Comparison with previously reported cases and functional data on LSM complex.
Main Results:
- The patient harbored compound heterozygous missense variants in the LSM7 gene.
- One identified variant was identical to a previously reported case; the other was at a functionally critical position.
- Clinical and neuroimaging findings were consistent with previously described LSM7-related disorders.
Conclusions:
- LSM7 gene disruption is confirmed to cause a neurodevelopmental disorder.
- The disorder is characterized by leukodystrophy and cerebellar atrophy.
- The findings support LSM7 as a significant genetic factor in pediatric neurological disorders.
Abstract:
Cerebellar atrophy and hypoplasia are usually identified on MRI performed on children presenting signs of cerebellar ataxias, developmental delay, and intellectual disability. These signs can be associated with hypo- or de-myelinating leukodystrophies. A recent study reported two cases: one child diagnosed with leukodystrophy and cerebellar atrophy, harboring a homozygous variant in LSM7, and another who died in utero, presumed to have another homozygous variant in LSM7, based on the parents' genotype. LSM7 encodes a subunit of the LSM complex, involved in pre-RNA maturation and mRNA degradation. Consequently, it has been suggested as a strong candidate disease gene. This hypothesis was supported by functional investigations of the variants. Here, we report a patient with neurodevelopmental defects, leukodystrophy, and cerebellar atrophy, harboring compound heterozygous missense variants in the LSM7 gene. One of these variants is the same as the one carried by the first case reported previously. The other one is at the same position as the variant potentially carried by the second case reported previously. Based on comparable neuroimaging, clinical features, and the involvement of the same amino acids previously demonstrated as key for LSM complex function, we confirm that LSM7 disruption causes a neurodevelopmental disorder characterized by leukodystrophy and cerebellar atrophy.
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