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In Vivo Functional Study of Disease-associated Rare Human Variants Using Drosophila
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Resolving SLC6A1 variable expressivity with deep clinical phenotyping and Drosophila models.

Kristy L Jay1, Nikhita Gogate2, Paige I Hall1

  • 1Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA; Jan and Dan Duncan Neurological Research Institute, Texas Children's Hospital, Houston, TX, USA.

HGG Advances
|November 1, 2025
PubMed
Summary

Variants in SLC6A1 cause a neurodevelopmental disorder (SLC6A1-NDD). This study identifies a new variant (p.A334S) as hypomorphic, helping explain the disorder's variable symptoms and informing future treatments.

Keywords:
Drosophila melanogaster modelGABASLC6A1deep clinical phenotypingfunctional characterizationneurodevelopmental disordervariable expressivity

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Area of Science:

  • Genetics
  • Neuroscience
  • Molecular Biology

Background:

  • Variants in SLC6A1 gene are linked to a rare neurodevelopmental disorder (SLC6A1-NDD) with diverse symptoms like developmental delay, epilepsy, and autism spectrum disorder.
  • While SLC6A1 haploinsufficiency is the primary cause, the molecular basis for the variable clinical presentation remains poorly understood.

Purpose of the Study:

  • To investigate the functional significance of an inherited p.A334S variant in SLC6A1 of uncertain significance.
  • To elucidate the molecular mechanisms underlying the variable expressivity in SLC6A1-NDD.
  • To provide insights for clinical diagnosis, prognosis, and therapeutic design for SLC6A1-NDD.

Main Methods:

  • Clinical phenotyping of a proband with an inherited p.A334S variant and comparison with a cohort of 13 individuals with SLC6A1-NDD.
  • Functional characterization of SLC6A1 variants using an allelic series in Drosophila melanogaster.
  • Bioinformatic clustering of clinical findings.

Main Results:

  • The p.A334S variant shows significant clinical overlap with confirmed SLC6A1-NDD cases.
  • Drosophila models expressing SLC6A1 variants exhibit phenotypes consistent with a partial loss-of-function mechanism.
  • The p.A334S variant is identified as a hypomorphic allele, contributing to the understanding of SLC6A1-NDD variability.

Conclusions:

  • The p.A334S variant is a hypomorphic allele that contributes to the variable clinical presentation of SLC6A1-NDD.
  • This study advances the understanding of the molecular mechanisms underlying SLC6A1-NDD.
  • Findings will aid in clinical diagnosis, prognosis, intervention strategies, and therapeutic development for SLC6A1-NDD.