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A missense mutation in the MACF1 gene in a patient with autism spectrum disorder and epilepsy
Alexandru Capisizu1, Carmen Sandu2, Roxana Maria Caragea1
1Dr. Constantin Gorgos Psychiatry Hospital, Bucharest, Romania.
Abstract:
The MACF1 gene (OMIM: 608271) encodes the Microtubule-Actin Cross-Linking Factor 1 protein. Existing medical research shows that genetic mutations in the MACF1 gene have been associated with neurodevelopmental and neurodegenerative disorders, with variants of unknown significance also linked to autism spectrum disorder (ASD). However, the number of reported autism disorder or epilepsy cases associated with MACF1 mutations remains limited. We present the case of a 7-year-old girl, a long-term patient at the Pediatric Neurology Clinic of Dr. Alexandru Obregia Hospital in Bucharest, followed since the age of 3. She initially presented with epilepsy characterized by generalized seizures, clinically resembling both spasms and myoclonus. Over time, she exhibited features of a pervasive developmental disorder and moderate cognitive delay. Genetic testing identified a missense point mutation in the MACF1 gene, c.16223C > T, p.(Pro504Leu). Her final diagnosis was epilepsy with generalized seizures of non-lesional origin, moderate cognitive impairment, pervasive developmental disorder, and a confirmed point mutation in the MACF1 gene. This case underscores the importance of incorporating genetic testing into the diagnostic process for patients with autism spectrum disorder and epilepsy.
Insights
Genetic mutations in the MACF1 gene are linked to neurodevelopmental disorders. This case highlights a novel MACF1 mutation in a child with epilepsy and autism spectrum disorder, emphasizing the need for genetic testing.
Area of Science:
- Genetics
- Neuroscience
- Developmental Biology
Background:
- The MACF1 gene is crucial for cellular structure and function.
- Mutations in MACF1 have been associated with neurodevelopmental and neurodegenerative disorders.
- Limited cases link MACF1 variants to autism spectrum disorder (ASD) and epilepsy.
Observation:
- A 7-year-old girl presented with generalized epilepsy, developmental delay, and features of pervasive developmental disorder.
- Genetic analysis revealed a novel missense point mutation (c.16223C > T, p.(Pro504Leu)) in the MACF1 gene.
- The patient's symptoms align with known neurodevelopmental consequences of MACF1 dysfunction.
Findings:
- A novel MACF1 gene mutation was identified in a pediatric patient with epilepsy and ASD.
- The specific mutation, p.(Pro504Leu), provides new insight into genotype-phenotype correlations.
- This case expands the spectrum of neurological disorders associated with MACF1 gene mutations.
Implications:
- Genetic testing for MACF1 mutations should be considered in pediatric patients with unexplained epilepsy and developmental disorders, including ASD.
- This case contributes to understanding the role of MACF1 in neurodevelopment and neurological disorders.
- Further research is warranted to explore the prevalence and pathogenic mechanisms of MACF1 mutations in neurodevelopmental conditions.
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