Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome

Complex neurodevelopmental syndromes frequently have an unknown etiology, in which genetic factors play a pathogenic role. This study utilizes whole-exome sequencing (WES) to examine four members of a family with a son presenting, since birth, with epileptic-like crises, combined with cerebral palsy...

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Main Authors: Pedro A. Lazo, Juan L. García, Paulino Gómez-Puertas, Íñigo Marcos-Alcalde, Cesar Arjona, Alvaro Villarroel, Rogelio González-Sarmiento, Carmen Fons
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/21/12/4447
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author Pedro A. Lazo
Juan L. García
Paulino Gómez-Puertas
Íñigo Marcos-Alcalde
Cesar Arjona
Alvaro Villarroel
Rogelio González-Sarmiento
Carmen Fons
author_facet Pedro A. Lazo
Juan L. García
Paulino Gómez-Puertas
Íñigo Marcos-Alcalde
Cesar Arjona
Alvaro Villarroel
Rogelio González-Sarmiento
Carmen Fons
author_sort Pedro A. Lazo
collection DOAJ
description Complex neurodevelopmental syndromes frequently have an unknown etiology, in which genetic factors play a pathogenic role. This study utilizes whole-exome sequencing (WES) to examine four members of a family with a son presenting, since birth, with epileptic-like crises, combined with cerebral palsy, severe neuromotor and developmental delay, dystonic tetraparexia, axonal motor affectation, and hyper-excitability of unknown origin. The WES study detected within the patient a de novo heterozygous in-frame duplication of thirty-six nucleotides within exon 7 of the human KCNQ2 gene. This insertion duplicates the first twelve amino acids of the calmodulin binding site I. Molecular dynamics simulations of this KCNQ2 peptide duplication, modelled on the 3D structure of the KCNQ2 protein, suggest that the duplication may lead to the dysregulation of calcium inhibition of this protein function.
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spelling doaj.art-03fc879969354257aa2b9e14a8a6a4982023-11-20T04:39:02ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-06-012112444710.3390/ijms21124447Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay SyndromePedro A. Lazo0Juan L. García1Paulino Gómez-Puertas2Íñigo Marcos-Alcalde3Cesar Arjona4Alvaro Villarroel5Rogelio González-Sarmiento6Carmen Fons7Molecular Mechanisms of Cancer Program, Instituto de Biología Molecular y Celular del Cáncer, Consejo Superior de Investigaciones Científicas (CSIC), Universidad de Salamanca, 30007 Salamanca, SpainMolecular Mechanisms of Cancer Program, Instituto de Biología Molecular y Celular del Cáncer, Consejo Superior de Investigaciones Científicas (CSIC), Universidad de Salamanca, 30007 Salamanca, SpainCentro de Biología Molecular Severo Ochoa, CSIC-Universidad Autónoma de Madrid, Cantoblanco, E-28049 Madrid, SpainCentro de Biología Molecular Severo Ochoa, CSIC-Universidad Autónoma de Madrid, Cantoblanco, E-28049 Madrid, SpainInstitut de Recerca Sant Joan de Déu, Esplugues de Llobregat, 08950 Barcelona, SpainInstituto de Biofísica, Consejo Superior de Investigaciones Científicas (CSIC), Universidad del País Vasco, 48940 Bilbao, SpainMolecular Mechanisms of Cancer Program, Instituto de Biología Molecular y Celular del Cáncer, Consejo Superior de Investigaciones Científicas (CSIC), Universidad de Salamanca, 30007 Salamanca, SpainInstitut de Recerca Sant Joan de Déu, Esplugues de Llobregat, 08950 Barcelona, SpainComplex neurodevelopmental syndromes frequently have an unknown etiology, in which genetic factors play a pathogenic role. This study utilizes whole-exome sequencing (WES) to examine four members of a family with a son presenting, since birth, with epileptic-like crises, combined with cerebral palsy, severe neuromotor and developmental delay, dystonic tetraparexia, axonal motor affectation, and hyper-excitability of unknown origin. The WES study detected within the patient a de novo heterozygous in-frame duplication of thirty-six nucleotides within exon 7 of the human KCNQ2 gene. This insertion duplicates the first twelve amino acids of the calmodulin binding site I. Molecular dynamics simulations of this KCNQ2 peptide duplication, modelled on the 3D structure of the KCNQ2 protein, suggest that the duplication may lead to the dysregulation of calcium inhibition of this protein function.https://www.mdpi.com/1422-0067/21/12/4447epilepsydystoniacerebral palsyneuromotor delayKCNQ2
spellingShingle Pedro A. Lazo
Juan L. García
Paulino Gómez-Puertas
Íñigo Marcos-Alcalde
Cesar Arjona
Alvaro Villarroel
Rogelio González-Sarmiento
Carmen Fons
Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
International Journal of Molecular Sciences
epilepsy
dystonia
cerebral palsy
neuromotor delay
KCNQ2
title Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
title_full Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
title_fullStr Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
title_full_unstemmed Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
title_short Novel Dominant KCNQ2 Exon 7 Partial In-Frame Duplication in a Complex Epileptic and Neurodevelopmental Delay Syndrome
title_sort novel dominant kcnq2 exon 7 partial in frame duplication in a complex epileptic and neurodevelopmental delay syndrome
topic epilepsy
dystonia
cerebral palsy
neuromotor delay
KCNQ2
url https://www.mdpi.com/1422-0067/21/12/4447
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