1. Increased dosage of RAB39B affects neuronal development and could explain the cognitive impairment in male patients with distal Xq28 copy number gains
- Author
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Katrin Õunap, Maila Giannandrea, Vigneron Jacqueline, Martine Raynaud, Nathalie Fieremans, Patrizia D'Adamo, Jelle Verbeeck, Hilde Van Esch, Guy Froyen, Lieselot Vanmarsenille, Annick Vogels, Stefanie Belet, Katrin Männik, Sylvain Briault, Clinical sciences, and Medical Genetics
- Subjects
Estonia ,Male ,mice ,DNA Copy Number Variations ,Methyl-CpG-Binding Protein 2 ,European Continental Ancestry Group ,Non-allelic homologous recombination ,Methyl-CpG-Binding Protein 2/genetics ,Biology ,Hippocampal formation ,Bioinformatics ,White People ,X-inactivation ,MECP2 ,Neurons/cytology ,Chromosomes, Human, X/genetics ,Belgium ,Intellectual Disability ,Gene Duplication ,rab GTP-Binding Proteins/genetics ,Gene duplication ,Genetics ,Animals ,Humans ,Child ,Gene ,Genetics (clinical) ,Neurons ,Regulation of gene expression ,Chromosomes, Human, X ,Chromosome Mapping ,Cell Differentiation ,Intellectual Disability/genetics ,Xq28 ,Gene Expression Regulation ,rab GTP-Binding Proteins ,X chromosome inactivation - Abstract
Copy number gains at Xq28 are a frequent cause of X-linked intellectual disability (XLID). Here, we report on a recurrent 0.5 Mb tandem copy number gain at distal Xq28 not including MECP2, in four male patients with nonsyndromic mild ID and behavioral problems. The genomic region is duplicated in two families and triplicated in a third reflected by more distinctive clinical features. The X-inactivation patterns in carrier females correspond well with their clinical symptoms. Our mapping data confirm that this recurrent gain is likely mediated by nonallelic homologous recombination between two directly oriented Int22h repeats. The affected region harbors eight genes of which RAB39B encoding a small GTPase, was the prime candidate since loss-of-function mutations had been linked to ID. RAB39B is expressed at stable levels in lymphocytes from control individuals, suggesting a tight regulation. mRNA levels in our patients were almost two-fold increased. Overexpression of Rab39b in mouse primary hippocampal neurons demonstrated a significant decrease in neuronal branching as well as in the number of synapses when compared with the control neurons. Taken together, we provide evidence that the increased dosage of RAB39B causes a disturbed neuronal development leading to cognitive impairment in patients with this recurrent copy number gain.
- Published
- 2014