Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations

As a consequence of the implementation of NGS technologies, the diagnostic yield of neurodevelopmental disorders has dramatically increased during the past two decades. Among neurodevelopmental genes, transcription-related genes and chromatin remodeling genes are the most represented category of dis...

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Main Authors: Carla Lintas, Irene Bottillo, Roberto Sacco, Alessia Azzarà, Ilaria Cassano, Maria Pia Ciccone, Paola Grammatico, Fiorella Gurrieri
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Genes
Subjects:
Online Access:https://www.mdpi.com/2073-4425/13/12/2266
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author Carla Lintas
Irene Bottillo
Roberto Sacco
Alessia Azzarà
Ilaria Cassano
Maria Pia Ciccone
Paola Grammatico
Fiorella Gurrieri
author_facet Carla Lintas
Irene Bottillo
Roberto Sacco
Alessia Azzarà
Ilaria Cassano
Maria Pia Ciccone
Paola Grammatico
Fiorella Gurrieri
author_sort Carla Lintas
collection DOAJ
description As a consequence of the implementation of NGS technologies, the diagnostic yield of neurodevelopmental disorders has dramatically increased during the past two decades. Among neurodevelopmental genes, transcription-related genes and chromatin remodeling genes are the most represented category of disease-causing genes. Indeed, the term “chromatinopathies” is now widely used to describe epigenetic disorders caused by mutations in these genes. We hereby describe a twenty-seven-year-old female patient diagnosed with moderate intellectual disability comorbid with other neuropsychiatric and behavioral issues carrying a de novo heterozygous stop variant in the <i>KDM5C</i> gene (NM_004187.5: c. 3847G>T, p.Glu1283*), encoding a histone demethylase that specifically acts on the H3K4 lysines. The gene is located on the X chromosome and has been associated with Claes–Jensen-type intellectual disability, an X-linked syndromic disorder. We discuss our case in relation to previously reported affected females harboring pathogenic mutations in the <i>KDM5C</i> gene with the objective of delineating genotype–phenotype correlations and further defining a common recognizable phenotype. We also highlight the importance of reverse phenotyping in relation to whole-exome sequencing results.
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spelling doaj.art-4fe9e321f6de40fca55c5e2ccca643d12023-11-24T15:03:54ZengMDPI AGGenes2073-44252022-12-011312226610.3390/genes13122266Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype CorrelationsCarla Lintas0Irene Bottillo1Roberto Sacco2Alessia Azzarà3Ilaria Cassano4Maria Pia Ciccone5Paola Grammatico6Fiorella Gurrieri7Research Unit of Medical Genetics, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, ItalyDivision of Medical Genetics, Department of Experimental Medicine, San Camillo-Forlanini Hospital, Sapienza University, 00185 Rome, ItalyResearch Unit of Medical Genetics, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, ItalyResearch Unit of Medical Genetics, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, ItalyResearch Unit of Medical Genetics, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, ItalyDivision of Medical Genetics, Department of Experimental Medicine, San Camillo-Forlanini Hospital, Sapienza University, 00185 Rome, ItalyDivision of Medical Genetics, Department of Experimental Medicine, San Camillo-Forlanini Hospital, Sapienza University, 00185 Rome, ItalyResearch Unit of Medical Genetics, Department of Medicine, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Rome, ItalyAs a consequence of the implementation of NGS technologies, the diagnostic yield of neurodevelopmental disorders has dramatically increased during the past two decades. Among neurodevelopmental genes, transcription-related genes and chromatin remodeling genes are the most represented category of disease-causing genes. Indeed, the term “chromatinopathies” is now widely used to describe epigenetic disorders caused by mutations in these genes. We hereby describe a twenty-seven-year-old female patient diagnosed with moderate intellectual disability comorbid with other neuropsychiatric and behavioral issues carrying a de novo heterozygous stop variant in the <i>KDM5C</i> gene (NM_004187.5: c. 3847G>T, p.Glu1283*), encoding a histone demethylase that specifically acts on the H3K4 lysines. The gene is located on the X chromosome and has been associated with Claes–Jensen-type intellectual disability, an X-linked syndromic disorder. We discuss our case in relation to previously reported affected females harboring pathogenic mutations in the <i>KDM5C</i> gene with the objective of delineating genotype–phenotype correlations and further defining a common recognizable phenotype. We also highlight the importance of reverse phenotyping in relation to whole-exome sequencing results.https://www.mdpi.com/2073-4425/13/12/2266X-linked intellectual disabilityneuropsychiatric disorders<i>KDM5C</i> geneepigenetic signatureClaes–Jensen syndrome
spellingShingle Carla Lintas
Irene Bottillo
Roberto Sacco
Alessia Azzarà
Ilaria Cassano
Maria Pia Ciccone
Paola Grammatico
Fiorella Gurrieri
Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
Genes
X-linked intellectual disability
neuropsychiatric disorders
<i>KDM5C</i> gene
epigenetic signature
Claes–Jensen syndrome
title Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
title_full Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
title_fullStr Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
title_full_unstemmed Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
title_short Expanding the Spectrum of <i>KDM5C</i> Neurodevelopmental Disorder: A Novel De Novo Stop Variant in a Young Woman and Emerging Genotype–Phenotype Correlations
title_sort expanding the spectrum of i kdm5c i neurodevelopmental disorder a novel de novo stop variant in a young woman and emerging genotype phenotype correlations
topic X-linked intellectual disability
neuropsychiatric disorders
<i>KDM5C</i> gene
epigenetic signature
Claes–Jensen syndrome
url https://www.mdpi.com/2073-4425/13/12/2266
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