SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings

The SYN1 gene encodes synapsin I, variants within the SYN1 gene are linked to X-linked neurodevelopmental disorders with high clinical heterogeneity, with reflex epilepsies (REs) being a representative clinical manifestation. This report analyzes a Chinese pedigree affected by seizures associated wi...

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Main Authors: Bin Ren, Xiaoyan Wu, Yuqiang Zhou, Lijuan Chen, Jingzi Jiang
Format: Article
Jezik:English
Izdano: Frontiers Media S.A. 2024-03-01
Serija:Frontiers in Neurology
Teme:
Online dostop:https://www.frontiersin.org/articles/10.3389/fneur.2024.1359287/full
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author Bin Ren
Xiaoyan Wu
Yuqiang Zhou
Lijuan Chen
Jingzi Jiang
author_facet Bin Ren
Xiaoyan Wu
Yuqiang Zhou
Lijuan Chen
Jingzi Jiang
author_sort Bin Ren
collection DOAJ
description The SYN1 gene encodes synapsin I, variants within the SYN1 gene are linked to X-linked neurodevelopmental disorders with high clinical heterogeneity, with reflex epilepsies (REs) being a representative clinical manifestation. This report analyzes a Chinese pedigree affected by seizures associated with SYN1 variants and explores the genotype–phenotype correlation. The proband, a 9-year-old boy, experienced seizures triggered by bathing at the age of 3, followed by recurrent absence seizures, behavioral issues, and learning difficulties. His elder brother exhibited a distinct clinical phenotype, experiencing sudden seizures during sleep at the age of 16, accompanied by hippocampal sclerosis. Whole exome sequencing (WES) confirmed a pathogenic SYN1 variant, c.1647_1650dup (p. Ser551Argfs*134), inherited in an X-linked manner from their mother. Notably, this variant displayed diverse clinical phenotypes in the two brothers and one previously reported case in the literature. Retrospective examination of SYN1 variants revealed an association between truncating variants and the pathogenicity of REs, and non-truncating variants are more related to developmental delay/intellectual disability (DD/ID). In summary, this study contributes to understanding complex neurodevelopmental disorders associated with SYN1, highlighting the clinical heterogeneity of gene variants and emphasizing the necessity for comprehensive genetic analysis in elucidating the pathogenic mechanisms of such diseases.
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spelling doaj.art-59b291562f9a477cb8d1d5727a43c9b72024-03-21T04:56:00ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-03-011510.3389/fneur.2024.13592871359287SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblingsBin Ren0Xiaoyan Wu1Yuqiang Zhou2Lijuan Chen3Jingzi Jiang4Shanghai Nyuen Biotechnology Co., Ltd., Shanghai, ChinaShanghai Nyuen Biotechnology Co., Ltd., Shanghai, ChinaShanghai Nyuen Biotechnology Co., Ltd., Shanghai, ChinaShanghai Nyuen Biotechnology Co., Ltd., Shanghai, ChinaDepartment of Neurology, Affiliated Hospital of Guilin Medical University, Guilin, ChinaThe SYN1 gene encodes synapsin I, variants within the SYN1 gene are linked to X-linked neurodevelopmental disorders with high clinical heterogeneity, with reflex epilepsies (REs) being a representative clinical manifestation. This report analyzes a Chinese pedigree affected by seizures associated with SYN1 variants and explores the genotype–phenotype correlation. The proband, a 9-year-old boy, experienced seizures triggered by bathing at the age of 3, followed by recurrent absence seizures, behavioral issues, and learning difficulties. His elder brother exhibited a distinct clinical phenotype, experiencing sudden seizures during sleep at the age of 16, accompanied by hippocampal sclerosis. Whole exome sequencing (WES) confirmed a pathogenic SYN1 variant, c.1647_1650dup (p. Ser551Argfs*134), inherited in an X-linked manner from their mother. Notably, this variant displayed diverse clinical phenotypes in the two brothers and one previously reported case in the literature. Retrospective examination of SYN1 variants revealed an association between truncating variants and the pathogenicity of REs, and non-truncating variants are more related to developmental delay/intellectual disability (DD/ID). In summary, this study contributes to understanding complex neurodevelopmental disorders associated with SYN1, highlighting the clinical heterogeneity of gene variants and emphasizing the necessity for comprehensive genetic analysis in elucidating the pathogenic mechanisms of such diseases.https://www.frontiersin.org/articles/10.3389/fneur.2024.1359287/fullSYN1reflex epilepsybathing epilepsygenotype–phenotype correlationclinical heterogeneity
spellingShingle Bin Ren
Xiaoyan Wu
Yuqiang Zhou
Lijuan Chen
Jingzi Jiang
SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
Frontiers in Neurology
SYN1
reflex epilepsy
bathing epilepsy
genotype–phenotype correlation
clinical heterogeneity
title SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
title_full SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
title_fullStr SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
title_full_unstemmed SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
title_short SYN1 variant causes X-linked neurodevelopmental disorders: a case report of variable clinical phenotypes in siblings
title_sort syn1 variant causes x linked neurodevelopmental disorders a case report of variable clinical phenotypes in siblings
topic SYN1
reflex epilepsy
bathing epilepsy
genotype–phenotype correlation
clinical heterogeneity
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1359287/full
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AT yuqiangzhou syn1variantcausesxlinkedneurodevelopmentaldisordersacasereportofvariableclinicalphenotypesinsiblings
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