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Loss of C2orf69 Defines a Fatal Autoinflammatory Syndrome in Humans and Zebrafish That Evokes a Glycogen-Storage-Associated Mitochondriopathy Publisher Pubmed



Wong HH1 ; Seet SH1 ; Maier M2 ; Gurel A3 ; Traspas RM2 ; Lee C1, 4 ; Zhang S3 ; Talim B5 ; Loh AYT1 ; Chia CY2 ; Teoh TS2 ; Sng D2 ; Rensvold J6, 7 ; Unal S8, 9 Show All Authors
Authors
  1. Wong HH1
  2. Seet SH1
  3. Maier M2
  4. Gurel A3
  5. Traspas RM2
  6. Lee C1, 4
  7. Zhang S3
  8. Talim B5
  9. Loh AYT1
  10. Chia CY2
  11. Teoh TS2
  12. Sng D2
  13. Rensvold J6, 7
  14. Unal S8, 9
  15. Shishkova E10, 11
  16. Cepni E12
  17. Nathan FM13
  18. Sirota FL14
  19. Liang C3
  20. Yarali N15
  21. Simsekkiper PO16
  22. Mitani T17
  23. Ceylaner S18
  24. Armanbilir O15
  25. Mbarek H19
  26. Gumruk F8, 9
  27. Efthymiou S20
  28. Ugurlu Cimen D21
  29. Georgiadou D2
  30. Sotiropoulou K1
  31. Houlden H22
  32. Paul F1
  33. Pehlivan D17, 23, 24
  34. Laine C25, 26
  35. Chai G27, 28
  36. Ali NA2
  37. Choo SC2
  38. Keng SS1
  39. Boisson B25, 26, 29
  40. Yilmaz E21
  41. Xue S1, 30
  42. Coon JJ7, 10, 11, 31
  43. Ly TTN1, 30
  44. Gilani N32
  45. Hasbini D33
  46. Kayserili H21
  47. Zaki MS34
  48. Isfort RJ35
  49. Ordonez N36
  50. Tripolszki K36
  51. Bauer P36
  52. Rezaei N37, 38
  53. Seyedpour S40
  54. Khotaei GT39
  55. Bascom CC35
  56. Maroofian R20
  57. Chaabouni M40
  58. Alsubhi A41, 42
  59. Eyaid W41, 42
  60. Isikay S43
  61. Gleeson JG27, 28
  62. Lupski JR17, 23, 24, 44
  63. Casanova JL25, 26, 29, 45, 46
  64. Pagliarini DJ6, 7, 10, 47, 48, 49
  65. Akarsu NA3
  66. Maurerstroh S14
  67. Cetinkaya A3
  68. Bertoliavella A36
  69. Mathuru AS1, 13, 50
  70. Ho L1, 4
  71. Bard FA1
  72. Reversade B1, 2, 21, 51
Show Affiliations
Authors Affiliations
  1. 1. Institute of Molecular and Cell Biology, STAR, Biopolis, Singapore, 138673, Singapore
  2. 2. Laboratory of Human Genetics & Therapeutics, Genome Institute of Singapore, STAR, Biopolis, Singapore, 138672, Singapore
  3. 3. Department of Medical Genetics, Faculty of Medicine, Hacettepe University, Ankara, 06230, Turkey
  4. 4. Cardiovascular and Metabolic Diseases, Duke-NUS Medical School, Singapore, 169857, Singapore
  5. 5. Pediatric Pathology Unit, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, 06230, Turkey
  6. 6. Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, 63110, MO, United States
  7. 7. Morgridge Institute for Research, Madison, 53715, WI, United States
  8. 8. Pediatric Hematology Unit, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, 06230, Turkey
  9. 9. Research Center of Fanconi Anemia and Other Inherited Bone Marrow Failure Syndromes, Hacettepe University, Ankara, 06230, Turkey
  10. 10. National Center for Quantitative Biology of Complex Systems, Madison, 53562, WI, United States
  11. 11. Department of Biomolecular Chemistry, University of Wisconsin–Madison, Madison, 53562, WI, United States
  12. 12. Institute of Health Sciences, Koc University, Istanbul, 34010, Turkey
  13. 13. Yale-NUS College, 12 College Avenue West, Singapore, 138610, Singapore
  14. 14. Bioinformatics Institute, STAR, Biopolis, Singapore, 138671, Singapore
  15. 15. Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Ankara, 06110, Turkey
  16. 16. Pediatric Genetics Unit, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, 06230, Turkey
  17. 17. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, 77030, TX, United States
  18. 18. Intergen Genetic Diagnosis Center, Ankara, 06680, Turkey
  19. 19. Qatar Genome Program, Qatar Foundation Research, Development and Innovation, Qatar Foundation, Doha, Qatar
  20. 20. Molecular and Clinical Sciences Institute, St. George's University of London, Cranmer Terrace, London, SW17 0RE, UK, United Kingdom
  21. 21. Medical Genetics Department, Koc University School of Medicine, Istanbul, 34010, Turkey
  22. 22. Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, Queen Square, London, WC1N 3BG, UK, United Kingdom
  23. 23. Department of Pediatrics, Baylor College of Medicine, Houston, 77030, TX, United States
  24. 24. Texas Children's Hospital, Houston, 77030, TX, United States
  25. 25. Paris University, Imagine Institute, Paris, 75015, France
  26. 26. Laboratory of Human Genetics of Infectious Disease, INSERM U1163, Necker Branch, Paris, France
  27. 27. Rady Children's Institute for Genomic Medicine, San Diego, 92123, CA, United States
  28. 28. Department of Neurosciences, University of California, San Diego, La Jolla, 92093, CA, United States
  29. 29. St. Giles Laboratory of Human Genetics of Infectious Diseases, The Rockefeller University, Rockefeller Branch, New York, 10065, NY, United States
  30. 30. Department of Biological Sciences, National University of Singapore, Singapore, 117558, Singapore
  31. 31. Department of Chemistry, University of Wisconsin–Madison, Madison, 53562, WI, United States
  32. 32. Farabi Medical Laboratory, Erbil, Iraq
  33. 33. Chief Division Pediatric Neurology, Department of Pediatrics, Rafic Hariri University Hospital, Beirut, Lebanon
  34. 34. Clinical Genetics Department, National Research Centre, Cairo, 12622, Egypt
  35. 35. Corporate Research, The Procter and Gamble Company, Cincinnati, 45040, OH, United States
  36. 36. Genomic Research, CENTOGENE GmbH, Rostock, 18055, Germany
  37. 37. Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, 14194, Iran
  38. 38. Network of Immunity in Infection, Malignancy and Autoimmunity, Universal Scientific Education and Research Network, Tehran, 14197, Iran
  39. 39. Department of Pediatric Infectious Diseases, Children's Medical Center, Tehran University of Medical Sciences, Tehran, 14194, Iran
  40. 40. Laboratoire d'analyses specialise en Genetique, Tunis, 1082, Tunisia
  41. 41. Division of Genetics, Department of Pediatrics, King Abdullah Specialized Children Hospital, King Abdulaziz Medical City, MNGHA, Riyadh, 14611, Saudi Arabia
  42. 42. King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, MNGHA, Riyadh, 11481, Saudi Arabia
  43. 43. Department of Pediatrics, Division of Neurology, University of Gaziantep, School of Medicine, Gaziantep, 27310, Turkey
  44. 44. Human Genome Sequencing Center, Baylor College of Medicine, Houston, 77030, TX, United States
  45. 45. Pediatric Immunology-Hematology Unit, Assistance Publique-Hopitaux de Paris, Necker Hospital for Sick Children, Paris, 75015, France
  46. 46. Howard Hughes Medical Institute, New York, 10065, NY, United States
  47. 47. Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, 63110, MO, United States
  48. 48. Department of Genetics, Washington University School of Medicine, St. Louis, 63110, MO, United States
  49. 49. Department of Biochemistry, University of Wisconsin–Madison, Madison, 53706, WI, United States
  50. 50. Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117593, Singapore
  51. 51. Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore

Source: American Journal of Human Genetics Published:2021


Abstract

Human C2orf69 is an evolutionarily conserved gene whose function is unknown. Here, we report eight unrelated families from which 20 children presented with a fatal syndrome consisting of severe autoinflammation and progredient leukoencephalopathy with recurrent seizures; 12 of these subjects, whose DNA was available, segregated homozygous loss-of-function C2orf69 variants. C2ORF69 bears homology to esterase enzymes, and orthologs can be found in most eukaryotic genomes, including that of unicellular phytoplankton. We found that endogenous C2ORF69 (1) is loosely bound to mitochondria, (2) affects mitochondrial membrane potential and oxidative respiration in cultured neurons, and (3) controls the levels of the glycogen branching enzyme 1 (GBE1) consistent with a glycogen-storage-associated mitochondriopathy. We show that CRISPR-Cas9-mediated inactivation of zebrafish C2orf69 results in lethality by 8 months of age due to spontaneous epileptic seizures, which is preceded by persistent brain inflammation. Collectively, our results delineate an autoinflammatory Mendelian disorder of C2orf69 deficiency that disrupts the development/homeostasis of the immune and central nervous systems. © 2021 American Society of Human Genetics