Clinical and genetic characteristics of X-linked mental retardation 102 type caused by novel mutations in the DDX3X gene (OMIM:300958)
https://doi.org/10.17650/2222-8721-2020-10-1-75-80
Abstract
Introduction. X-linked mental retardation 102 type caused by novel mutations in the DDX3X gene is one of the most common monogenic variants of intellectual deficiency in women.
Purpose of the study. Description of the clinical and genetic characteristics of Russian female patients with type 102 mental retardation due to newly identified mutations.
Materials and methods. The diagnosis of mental retardation of type 102 was established on the basis of the features of clinical manifestations and the detection of the mutations in the DDX3X gene as a result of exome sequencing and subsequent confirmation of the identified variants of Sanger sequencing.
Results. A description is given of the clinical and genetic characteristics of two female patients with type 102 X-linked mental retardation due newly to identified mutations p.1703C> G and c.113A> G (NM_001193416) in the DDX3X gene in the heterozygous state. New features of the phenotype are described. The mechanism of the appearance of clinical and genetic correlations is suggested, which can be used as a prognostic marker of the development of the disease.
Conclusion. Clinical and genetic characteristics of two patients with mutations in the DDX3X gene that violate the amino acid sequence of different protein regions with different severity of clinical manifestations are described. The results obtained may testify in favor of the existence of a dependence of the severity of the phenotype on the localization and nature of mutations in the gene and determine the relevance of further research aimed at searching for clinical and genetic correlations.
About the Authors
E. L. DadaliRussian Federation
1 Mockvorech’e St., Moscow 115478, Russia
T. V. Markova
Russian Federation
1 Mockvorech’e St., Moscow 115478, Russia
O. A. Levchenko
Russian Federation
1 Mockvorech’e St., Moscow 115478, Russia
A. L. Chukhrova
Russian Federation
1 Mockvorech’e St., Moscow 115478, Russia
O. A. Shchagina
Russian Federation
1 Mockvorech’e St., Moscow 115478, Russia
References
1. Blok L.S., Madsen E., Juusola J. et al. Mutations in DDX3X are a common cause of unexplained intellectual disability with gender-specific effects on wnt signaling. American Journal of Human Genetics 2015;97:343–52 DOI: 10.1016/j.ajhg.2015.07.004. PMID: 26235985.
2. Hu H., Haas S.A., Chelly J. et al. X- exome sequencing of 405 unresolved families identifies seven novel intellectual disability genes. Mol Psychiatry 2016;21(1): 133–48. DOI: 10.1038/mp.2014.193. PMID: 25644381.
3. Maulik, P.K., Mascarenhas, M.N., Mathers, C.D. et al. Prevalence of intellectual disability: A meta-analysis of population-based studies. Research in Developmental Disabilities 2011;32(2):419–36. DOI: 10.1016/j.ridd.2010.12.018.
4. Wang X., Posey J.E., Rosenfeld J.A. et al. Phenotypic expansion in DDX3X – a common cause of intellectual disability in females. Annals of Clinical Translational Neurology 2018;5(10):1277–85. DOI: 10.1002/acn3.622. PMID: 30349862.
5. Abdelhaleem M. RNA helicases: Regulators of differentiation. Clinical Biochemistry 2005;38(6):499–503. DOI: 10.1016/j.clinbiochem.2005.01.010. PMID: 15885226.
6. Garbelli A., Radi M., Falchi F. et al. Targeting the human DEAD-box polypeptide 3 (DDX3) RNA helicase as a novel strategy to inhibit viral replication. Curr Med Chem 2011;18(20):3015–27. DOI: 10.2174/092986711796391688. PMID: 21651478.
7. Ryzhkova O.P., Kardymon O.L., Prohorchuk E.B et al. Guidelines for the interpretation of massive parallel sequencing variants (update 2018, vertion 2). Meditsinskaya genetika = Medical genetic 2019;18(2):3–24. (In Russ.)
8. Rezek R.F., Abbas A.A., Mazzeu J.F. et al. A rare interstitial duplication of 8q22.1-q24.3 associated with syndromic bilateral cleft lip/palate. Case Rep Dent 2014;2014:730375. DOI: 10.1155/2014/730375. PMID: 25506438.
9. Nicola P. Blackburn P., Rasmussen K. De novo DDX3X missense variants in males appear viable and contribute to syndromic intellectual disability. Am J Med Genet 2019;179(4):570–8. DOI: 10.1002/ajmg.a.61061. PMID: 30734472.
10. Kellaris G., Khan K., Baig S.M. A hypomorphic inherited pathogenic variant in DDX3X causes male intellectual disability with additional neurodevelopmental and neurodegenerative features. Human Genomics 2018;12(1):11. DOI: 10.1186/s40246-018-0141-y. PMID: 29490693.
11. Morleo M., Franco B. Dosage compensation of the mammalian X chromosome influences the phenotypic variability of X-linked dominant male-lethal disorders. J Med Genet 2008;45:401–8. DOI: 10.1136/jmg.2008.058305. PMID: 18463129.
Review
For citations:
Dadali E.L., Markova T.V., Levchenko O.A., Chukhrova A.L., Shchagina O.A. Clinical and genetic characteristics of X-linked mental retardation 102 type caused by novel mutations in the DDX3X gene (OMIM:300958). Neuromuscular Diseases. 2020;10(1):75-80. (In Russ.) https://doi.org/10.17650/2222-8721-2020-10-1-75-80