A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability

Calcium/calmodulin-dependent protein kinase II (CAMK2) plays fundamental roles in synaptic plasticity that underlies learning and memory. Here, we describe a new recessive neurodevelopmental syndrome with global developmental delay, seizures and intellectual disability. Using linkage analysis and ex...

Full description

Bibliographic Details
Main Authors: Poh Hui Chia, Franklin Lei Zhong, Shinsuke Niwa, Carine Bonnard, Kagistia Hana Utami, Ruizhu Zeng, Hane Lee, Ascia Eskin, Stanley F Nelson, William H Xie, Samah Al-Tawalbeh, Mohammad El-Khateeb, Mohammad Shboul, Mahmoud A Pouladi, Mohammed Al-Raqad, Bruno Reversade
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2018-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/32451
_version_ 1811181057294204928
author Poh Hui Chia
Franklin Lei Zhong
Shinsuke Niwa
Carine Bonnard
Kagistia Hana Utami
Ruizhu Zeng
Hane Lee
Ascia Eskin
Stanley F Nelson
William H Xie
Samah Al-Tawalbeh
Mohammad El-Khateeb
Mohammad Shboul
Mahmoud A Pouladi
Mohammed Al-Raqad
Bruno Reversade
author_facet Poh Hui Chia
Franklin Lei Zhong
Shinsuke Niwa
Carine Bonnard
Kagistia Hana Utami
Ruizhu Zeng
Hane Lee
Ascia Eskin
Stanley F Nelson
William H Xie
Samah Al-Tawalbeh
Mohammad El-Khateeb
Mohammad Shboul
Mahmoud A Pouladi
Mohammed Al-Raqad
Bruno Reversade
author_sort Poh Hui Chia
collection DOAJ
description Calcium/calmodulin-dependent protein kinase II (CAMK2) plays fundamental roles in synaptic plasticity that underlies learning and memory. Here, we describe a new recessive neurodevelopmental syndrome with global developmental delay, seizures and intellectual disability. Using linkage analysis and exome sequencing, we found that this disease maps to chromosome 5q31.1-q34 and is caused by a biallelic germline mutation in CAMK2A. The missense mutation, p.His477Tyr is located in the CAMK2A association domain that is critical for its function and localization. Biochemically, the p.His477Tyr mutant is defective in self-oligomerization and unable to assemble into the multimeric holoenzyme.In vivo, CAMK2AH477Y failed to rescue neuronal defects in C. elegans lacking unc-43, the ortholog of human CAMK2A. In vitro, neurons derived from patient iPSCs displayed profound synaptic defects. Together, our data demonstrate that a recessive germline mutation in CAMK2A leads to neurodevelopmental defects in humans and suggest that dysfunctional CAMK2 paralogs may contribute to other neurological disorders.
first_indexed 2024-04-11T09:13:15Z
format Article
id doaj.art-db6a2998912a4cdc9e37796ad1f08f29
institution Directory Open Access Journal
issn 2050-084X
language English
last_indexed 2024-04-11T09:13:15Z
publishDate 2018-05-01
publisher eLife Sciences Publications Ltd
record_format Article
series eLife
spelling doaj.art-db6a2998912a4cdc9e37796ad1f08f292022-12-22T04:32:26ZengeLife Sciences Publications LtdeLife2050-084X2018-05-01710.7554/eLife.32451A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disabilityPoh Hui Chia0https://orcid.org/0000-0001-8070-112XFranklin Lei Zhong1https://orcid.org/0000-0002-0516-6021Shinsuke Niwa2Carine Bonnard3Kagistia Hana Utami4Ruizhu Zeng5Hane Lee6Ascia Eskin7Stanley F Nelson8William H Xie9Samah Al-Tawalbeh10Mohammad El-Khateeb11Mohammad Shboul12Mahmoud A Pouladi13https://orcid.org/0000-0002-9030-0976Mohammed Al-Raqad14Bruno Reversade15https://orcid.org/0000-0002-4070-7997Institute of Medical Biology, Immunos, SingaporeInstitute of Medical Biology, Immunos, Singapore; Institute of Molecular and Cell Biology, Proteos, SingaporeFrontier Research Institute for Interdisciplinary Sciences, Tohoku University, Sendai, Japan; Graduate School of Life Sciences, Tohoku University, Sendai, JapanInstitute of Medical Biology, Immunos, SingaporeTranslational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore, SingaporeTranslational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore, SingaporeDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, United States; Department of Human Genetics, David Geffen School of Medicine University of California, Los Angeles, Los Angeles, United StatesDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, United States; Department of Human Genetics, David Geffen School of Medicine University of California, Los Angeles, Los Angeles, United StatesDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, United States; Department of Human Genetics, David Geffen School of Medicine University of California, Los Angeles, Los Angeles, United StatesInstitute of Medical Biology, Immunos, SingaporeQueen Rania Paediatric Hospital, King Hussein Medical Centre, Royal Medical Services, Amman, JordanNational Center for Diabetes, Endocrinology and Genetics, Amman, JordanAl-Balqa Applied University, Faculty of Science, Al-Salt, JordanTranslational Laboratory in Genetic Medicine, Agency for Science, Technology and Research, Singapore, Singapore; Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporeQueen Rania Paediatric Hospital, King Hussein Medical Centre, Royal Medical Services, Amman, JordanInstitute of Medical Biology, Immunos, Singapore; Institute of Molecular and Cell Biology, Proteos, Singapore; Department of Paediatrics, National University of Singapore, Singapore, Singapore; Medical Genetics Department, Koç University School of Medicine, Istanbul, TurkeyCalcium/calmodulin-dependent protein kinase II (CAMK2) plays fundamental roles in synaptic plasticity that underlies learning and memory. Here, we describe a new recessive neurodevelopmental syndrome with global developmental delay, seizures and intellectual disability. Using linkage analysis and exome sequencing, we found that this disease maps to chromosome 5q31.1-q34 and is caused by a biallelic germline mutation in CAMK2A. The missense mutation, p.His477Tyr is located in the CAMK2A association domain that is critical for its function and localization. Biochemically, the p.His477Tyr mutant is defective in self-oligomerization and unable to assemble into the multimeric holoenzyme.In vivo, CAMK2AH477Y failed to rescue neuronal defects in C. elegans lacking unc-43, the ortholog of human CAMK2A. In vitro, neurons derived from patient iPSCs displayed profound synaptic defects. Together, our data demonstrate that a recessive germline mutation in CAMK2A leads to neurodevelopmental defects in humans and suggest that dysfunctional CAMK2 paralogs may contribute to other neurological disorders.https://elifesciences.org/articles/32451neurological diseaseMendelian disorderoligomerizationintellectual disabilityseizuresCAMK2
spellingShingle Poh Hui Chia
Franklin Lei Zhong
Shinsuke Niwa
Carine Bonnard
Kagistia Hana Utami
Ruizhu Zeng
Hane Lee
Ascia Eskin
Stanley F Nelson
William H Xie
Samah Al-Tawalbeh
Mohammad El-Khateeb
Mohammad Shboul
Mahmoud A Pouladi
Mohammed Al-Raqad
Bruno Reversade
A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
eLife
neurological disease
Mendelian disorder
oligomerization
intellectual disability
seizures
CAMK2
title A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
title_full A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
title_fullStr A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
title_full_unstemmed A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
title_short A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability
title_sort homozygous loss of function camk2a mutation causes growth delay frequent seizures and severe intellectual disability
topic neurological disease
Mendelian disorder
oligomerization
intellectual disability
seizures
CAMK2
url https://elifesciences.org/articles/32451
work_keys_str_mv AT pohhuichia ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT franklinleizhong ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT shinsukeniwa ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT carinebonnard ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT kagistiahanautami ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT ruizhuzeng ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT hanelee ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT asciaeskin ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT stanleyfnelson ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT williamhxie ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT samahaltawalbeh ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammadelkhateeb ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammadshboul ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mahmoudapouladi ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammedalraqad ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT brunoreversade ahomozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT pohhuichia homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT franklinleizhong homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT shinsukeniwa homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT carinebonnard homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT kagistiahanautami homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT ruizhuzeng homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT hanelee homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT asciaeskin homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT stanleyfnelson homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT williamhxie homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT samahaltawalbeh homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammadelkhateeb homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammadshboul homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mahmoudapouladi homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT mohammedalraqad homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability
AT brunoreversade homozygouslossoffunctioncamk2amutationcausesgrowthdelayfrequentseizuresandsevereintellectualdisability