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B3galnt2 Mutations Associated With Non-Syndromic Autosomal Recessive Intellectual Disability Reveal a Lack of Genotype-Phenotype Associations in the Muscular Dystrophy-Dystroglycanopathies Publisher Pubmed



Maroofian R1 ; Riemersma M2, 3, 4 ; Jae LT5 ; Zhianabed N6 ; Willemsen MH4 ; Wissinklindhout WM4 ; Willemsen MA2 ; De Brouwer APM4 ; Mehrjardi MYV7 ; Ashrafi MR8 ; Kusters B9, 10 ; Kleefstra T4 ; Jamshidi Y1 ; Nasseri M6, 11 Show All Authors
Authors
  1. Maroofian R1
  2. Riemersma M2, 3, 4
  3. Jae LT5
  4. Zhianabed N6
  5. Willemsen MH4
  6. Wissinklindhout WM4
  7. Willemsen MA2
  8. De Brouwer APM4
  9. Mehrjardi MYV7
  10. Ashrafi MR8
  11. Kusters B9, 10
  12. Kleefstra T4
  13. Jamshidi Y1
  14. Nasseri M6, 11
  15. Pfundt R4
  16. Brummelkamp TR5
  17. Abbaszadegan MR6, 12
  18. Lefeber DJ2, 3
  19. Van Bokhoven H4
Show Affiliations
Authors Affiliations
  1. 1. St George's University of London, Cranmer Terrace, Genetics and Molecular Cell Sciences Research Centre, London, SW17 0RE, United Kingdom
  2. 2. Radboud university medical center, Department of Neurology, Geert Grooteplein 10, Nijmegen, 6525 GA, Netherlands
  3. 3. Radboud university medical center, Department of Laboratory Medicine, Geert Grooteplein 10, Nijmegen, 6525 GA, Netherlands
  4. 4. Radboud university medical center, Department of Human Genetics 855, Donders Institute for Brain, Cognition and Behaviour, Geert Grooteplein 10, Nijmegen, 6525 GA, Netherlands
  5. 5. Ludwig-Maximilians-Universitat Munchen, Gene Center and Department of Biochemistry, Feodor-Lynen-Straße 25, Munich, 81377, Germany
  6. 6. Pardis Clinical and Genetics Laboratory, Mashhad, Iran
  7. 7. Shahid Sadoughi University of Medical Sciences, Medical Genetics Research Center, Yazd, Iran
  8. 8. Tehran University of Medical Sciences, Department of Child Neurology, Children's Medical Center, Tehran, Iran
  9. 9. Radboud university medical center, Department of Pathology, Geert Grooteplein 10, Nijmegen, 6525 GA, Netherlands
  10. 10. Maastricht University Medical Centre, Department of Pathology, Maastricht, 6229 HX, Netherlands
  11. 11. Mashhad University of Medical Sciences, Medical Genetics Research Center, Mashhad, Iran
  12. 12. Mashhad University of Medical Sciences, Division of Human Genetics, Immunology Research Center, Avicenna Research Institute, Mashhad, Iran

Source: Genome Medicine Published:2017


Abstract

Background: The phenotypic severity of congenital muscular dystrophy-dystroglycanopathy (MDDG) syndromes associated with aberrant glycosylation of α-dystroglycan ranges from the severe Walker-Warburg syndrome or muscle-eye-brain disease to mild, late-onset, isolated limb-girdle muscular dystrophy without neural involvement. However, muscular dystrophy is invariably found across the spectrum of MDDG patients. Methods: Using linkage mapping and whole-exome sequencing in two families with an unexplained neurodevelopmental disorder, we have identified homozygous and compound heterozygous mutations in B3GALNT2. Results: The first family comprises two brothers of Dutch non-consanguineous parents presenting with mild ID and behavioral problems. Immunohistochemical analysis of muscle biopsy revealed no significant aberrations, in line with the absence of a muscular phenotype in the affected siblings. The second family includes five affected individuals from an Iranian consanguineous kindred with mild-to-moderate intellectual disability (ID) and epilepsy without any notable neuroimaging, muscle, or eye abnormalities. Complementation assays of the compound heterozygous mutations identified in the two brothers had a comparable effect on the O-glycosylation of α-dystroglycan as previously reported mutations that are associated with severe muscular phenotypes. Conclusions: In conclusion, we show that mutations in B3GALNT2 can give rise to a novel MDDG syndrome presentation, characterized by ID associated variably with seizure, but without any apparent muscular involvement. Importantly, B3GALNT2 activity does not fully correlate with the severity of the phenotype as assessed by the complementation assay. © 2017 The Author(s).