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A Novel Pathogenic Variant of Brat1 Gene Causes Rigidity and Multifocal Seizure Syndrome, Lethal Neonatal Publisher Pubmed



Pourahmadiyan A1 ; Heidari M2 ; Shojaaldini Ardakani H2 ; Noorian S3 ; Savad S4
Authors
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Authors Affiliations
  1. 1. Cellular and Molecular Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran
  2. 2. Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Pediatric Endocrinology Metabolism, Bahonar Hospital, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Department of Medical Genetics, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Neuroscience Published:2021


Abstract

Introduction: Lethal neonatal rigidity and multifocal seizure syndrome (RMFSL) is a severe autosomal recessive epileptic encephalopathy characterized by microcephaly, rigidity, intractable focal seizures, apnea, and bradycardia at or soon after birth. RMFSL is related to BRCA1-associated ATM activator 1 (BRAT1) gene mutations. Methods: An Iranian couple with history of infant death due to RMFSL was referred to our genetics lab for specialized genetic counseling and testing. Whole Exome Sequencing (WES) was applied. Following WES, Sanger sequencing was performed to confirm the candidate variant. Result: A novel nonsense variant (c.2041G > T, p. E681X) was identified in exon 14 of the BRAT1 gene. Based on the American College of Medical Genetics and Genomics guideline this variant was classified as a pathogenic variant. Conclusion: This research expands the spectrum of BRAT1 pathogenic variants in RMFSL syndrome and demonstrates the utility of WES in genetic diagnostic. © 2020 Informa UK Limited, trading as Taylor & Francis Group.