Neurological Phenotype of Mowat-Wilson Syndrome

Mowat-Wilson Syndrome (MWS) (OMIM # 235730) is a rare disorder due to <i>ZEB2</i> gene defects (heterozygous mutation or deletion). The <i>ZEB2</i> gene is a widely expressed regulatory gene, extremely important for the proper prenatal development. MWS is characterized by a s...

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Main Authors: Duccio Maria Cordelli, Veronica Di Pisa, Anna Fetta, Livia Garavelli, Lucia Maltoni, Luca Soliani, Emilia Ricci
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/12/7/982
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author Duccio Maria Cordelli
Veronica Di Pisa
Anna Fetta
Livia Garavelli
Lucia Maltoni
Luca Soliani
Emilia Ricci
author_facet Duccio Maria Cordelli
Veronica Di Pisa
Anna Fetta
Livia Garavelli
Lucia Maltoni
Luca Soliani
Emilia Ricci
author_sort Duccio Maria Cordelli
collection DOAJ
description Mowat-Wilson Syndrome (MWS) (OMIM # 235730) is a rare disorder due to <i>ZEB2</i> gene defects (heterozygous mutation or deletion). The <i>ZEB2</i> gene is a widely expressed regulatory gene, extremely important for the proper prenatal development. MWS is characterized by a specific facial gestalt and multiple musculoskeletal, cardiac, gastrointestinal, and urogenital anomalies. The nervous system involvement is extensive and constitutes one of the main features in MWS, heavily affecting prognosis and life quality of affected individuals. This review aims to comprehensively organize and discuss the neurological and neurodevelopmental phenotype of MWS. First, we will describe the role of <i>ZEB2</i> in the formation and development of the nervous system by reviewing the preclinical studies in this regard. <i>ZEB2</i> regulates the neural crest cell differentiation and migration, as well as in the modulation of GABAergic transmission. This leads to different degrees of structural and functional impairment that have been explored and deepened by various authors over the years. Subsequently, the different neurological aspects of MWS (head and brain malformations, epilepsy, sleep disorders, and enteric and peripheral nervous system involvement, as well as developmental, cognitive, and behavioral features) will be faced one at a time and extensively examined from both a clinical and etiopathogenetic point of view, linking them to the <i>ZEB2</i> related pathways.
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spelling doaj.art-1ffdd7a3cf1a4a33a45bce5544e4e7e02023-11-22T01:56:18ZengMDPI AGGenes2073-44252021-06-0112798210.3390/genes12070982Neurological Phenotype of Mowat-Wilson SyndromeDuccio Maria Cordelli0Veronica Di Pisa1Anna Fetta2Livia Garavelli3Lucia Maltoni4Luca Soliani5Emilia Ricci6IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’Età Pediatrica, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’Età Pediatrica, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’Età Pediatrica, 40139 Bologna, ItalyMedical Genetics Unit, Department of Mother and Child, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’Età Pediatrica, 40139 Bologna, ItalyIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria dell’Età Pediatrica, 40139 Bologna, ItalyChild Neuropsychiatry Unit, Epilepsy Center, San Paolo Hospital, Department of Health Sciences, University of Milan, 20142 Milan, ItalyMowat-Wilson Syndrome (MWS) (OMIM # 235730) is a rare disorder due to <i>ZEB2</i> gene defects (heterozygous mutation or deletion). The <i>ZEB2</i> gene is a widely expressed regulatory gene, extremely important for the proper prenatal development. MWS is characterized by a specific facial gestalt and multiple musculoskeletal, cardiac, gastrointestinal, and urogenital anomalies. The nervous system involvement is extensive and constitutes one of the main features in MWS, heavily affecting prognosis and life quality of affected individuals. This review aims to comprehensively organize and discuss the neurological and neurodevelopmental phenotype of MWS. First, we will describe the role of <i>ZEB2</i> in the formation and development of the nervous system by reviewing the preclinical studies in this regard. <i>ZEB2</i> regulates the neural crest cell differentiation and migration, as well as in the modulation of GABAergic transmission. This leads to different degrees of structural and functional impairment that have been explored and deepened by various authors over the years. Subsequently, the different neurological aspects of MWS (head and brain malformations, epilepsy, sleep disorders, and enteric and peripheral nervous system involvement, as well as developmental, cognitive, and behavioral features) will be faced one at a time and extensively examined from both a clinical and etiopathogenetic point of view, linking them to the <i>ZEB2</i> related pathways.https://www.mdpi.com/2073-4425/12/7/982<i>ZEB2</i>neural crestGABAergic transmissioncorpus callosumepilepsysleep disorders
spellingShingle Duccio Maria Cordelli
Veronica Di Pisa
Anna Fetta
Livia Garavelli
Lucia Maltoni
Luca Soliani
Emilia Ricci
Neurological Phenotype of Mowat-Wilson Syndrome
Genes
<i>ZEB2</i>
neural crest
GABAergic transmission
corpus callosum
epilepsy
sleep disorders
title Neurological Phenotype of Mowat-Wilson Syndrome
title_full Neurological Phenotype of Mowat-Wilson Syndrome
title_fullStr Neurological Phenotype of Mowat-Wilson Syndrome
title_full_unstemmed Neurological Phenotype of Mowat-Wilson Syndrome
title_short Neurological Phenotype of Mowat-Wilson Syndrome
title_sort neurological phenotype of mowat wilson syndrome
topic <i>ZEB2</i>
neural crest
GABAergic transmission
corpus callosum
epilepsy
sleep disorders
url https://www.mdpi.com/2073-4425/12/7/982
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