1. Bi-allelic loss-of-function variants in WBP4, encoding a spliceosome protein, result in a variable neurodevelopmental syndrome.
- Author
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Engal, Eden, Oja, Kaisa Teele, Maroofian, Reza, Geminder, Ophir, Le, Thuy-Linh, Marzin, Pauline, Guimier, Anne, Mor, Evyatar, Zvi, Naama, Elefant, Naama, Zaki, Maha S., Gleeson, Joseph G., Muru, Kai, Pajusalu, Sander, Wojcik, Monica H., Pachat, Divya, Elmaksoud, Marwa Abd, Chan Jeong, Won, Lee, Hane, and Bauer, Peter
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NEURAL development , *SPLICEOSOMES , *HEREDITY , *BRAIN abnormalities , *GENETIC variation , *DISABILITIES - Abstract
Over two dozen spliceosome proteins are involved in human diseases, also referred to as spliceosomopathies. WW domain-binding protein 4 (WBP4) is part of the early spliceosomal complex and has not been previously associated with human pathologies in the Online Mendelian Inheritance in Man (OMIM) database. Through GeneMatcher, we identified ten individuals from eight families with a severe neurodevelopmental syndrome featuring variable manifestations. Clinical manifestations included hypotonia, global developmental delay, severe intellectual disability, brain abnormalities, musculoskeletal, and gastrointestinal abnormalities. Genetic analysis revealed five different homozygous loss-of-function variants in WBP4. Immunoblotting on fibroblasts from two affected individuals with different genetic variants demonstrated a complete loss of protein, and RNA sequencing analysis uncovered shared abnormal splicing patterns, including in genes associated with abnormalities of the nervous system, potentially underlying the phenotypes of the probands. We conclude that bi-allelic variants in WBP4 cause a developmental disorder with variable presentations, adding to the growing list of human spliceosomopathies. [Display omitted] Pathogenic variants in the spliceosome component WBP4 cause a severe neurodevelopmental disorder, expanding our understanding of spliceosome-related conditions. This research identifies ten individuals with five distinct homozygous loss-of-function WBP4 variants. This discovery reveals symptoms related to splicing targets of WBP4, shedding light on how abnormal splicing contributes to the disease. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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