Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH

Mental retardation and microcephaly with pontine and cerebellar hypoplasia (MICPCH) is a rare genetic disorder that results in varying levels of pontocerebellar hypoplasia, microcephaly, and severe intellectual disabilities. Prior genetic analyses have identified the CASK gene as a driver of MICPCH....

Full description

Bibliographic Details
Main Authors: Runfeng Zhang, Peng Jia, Yanyi Yao, Feng Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.933785/full
_version_ 1817999359175819264
author Runfeng Zhang
Peng Jia
Yanyi Yao
Feng Zhu
Feng Zhu
author_facet Runfeng Zhang
Peng Jia
Yanyi Yao
Feng Zhu
Feng Zhu
author_sort Runfeng Zhang
collection DOAJ
description Mental retardation and microcephaly with pontine and cerebellar hypoplasia (MICPCH) is a rare genetic disorder that results in varying levels of pontocerebellar hypoplasia, microcephaly, and severe intellectual disabilities. Prior genetic analyses have identified the CASK gene as a driver of MICPCH. Herein, we analyzed a Chinese family with MICPCH. The index patient was an 8-year-old male. He and his 3-year-old brother suffered from microcephaly, pontocerebellar hypoplasia, serious mental retardation, ataxia, gait disorder, and inability to speak. Through a combination of whole-exome sequencing and subsequent Sanger sequencing, a novel X-linked missense mutation, c.1882G>C (p.D628H) in the CASK gene, was identified in two siblings, as well as their mother and grandmother, who exhibited mild mental retardation. Other family members with negative genetic testing were normal. In silico analyses indicated that this missense mutation was predicted to reduce CASK protein stability, disrupt the SRC homology 3 (SH3) domain, and abolish its function. In summary, we identified a novel missense variate in CASK associated with MICPCH. Our work facilitates the diagnosis of the disease in this family and broadens the gene variant spectrum of the CASK in MICPCH patients.
first_indexed 2024-04-14T03:07:43Z
format Article
id doaj.art-f8a63d503d684223b92ee39734e793ae
institution Directory Open Access Journal
issn 1664-8021
language English
last_indexed 2024-04-14T03:07:43Z
publishDate 2022-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Genetics
spelling doaj.art-f8a63d503d684223b92ee39734e793ae2022-12-22T02:15:41ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-08-011310.3389/fgene.2022.933785933785Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCHRunfeng Zhang0Peng Jia1Yanyi Yao2Feng Zhu3Feng Zhu4College of Life Sciences, Hubei Normal University, Huangshi, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaMedical Genetic Center, Maternal and Child Health Hospital of Hubei Province, Wuhan, ChinaDepartment of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaClinic Center of Human Gene Research, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaMental retardation and microcephaly with pontine and cerebellar hypoplasia (MICPCH) is a rare genetic disorder that results in varying levels of pontocerebellar hypoplasia, microcephaly, and severe intellectual disabilities. Prior genetic analyses have identified the CASK gene as a driver of MICPCH. Herein, we analyzed a Chinese family with MICPCH. The index patient was an 8-year-old male. He and his 3-year-old brother suffered from microcephaly, pontocerebellar hypoplasia, serious mental retardation, ataxia, gait disorder, and inability to speak. Through a combination of whole-exome sequencing and subsequent Sanger sequencing, a novel X-linked missense mutation, c.1882G>C (p.D628H) in the CASK gene, was identified in two siblings, as well as their mother and grandmother, who exhibited mild mental retardation. Other family members with negative genetic testing were normal. In silico analyses indicated that this missense mutation was predicted to reduce CASK protein stability, disrupt the SRC homology 3 (SH3) domain, and abolish its function. In summary, we identified a novel missense variate in CASK associated with MICPCH. Our work facilitates the diagnosis of the disease in this family and broadens the gene variant spectrum of the CASK in MICPCH patients.https://www.frontiersin.org/articles/10.3389/fgene.2022.933785/fullCASK genespinocerebellar ataxiamutationwhole-exome sequencingmental retardation
spellingShingle Runfeng Zhang
Peng Jia
Yanyi Yao
Feng Zhu
Feng Zhu
Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
Frontiers in Genetics
CASK gene
spinocerebellar ataxia
mutation
whole-exome sequencing
mental retardation
title Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
title_full Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
title_fullStr Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
title_full_unstemmed Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
title_short Case Report: Identification of a novel CASK missense variant in a Chinese family with MICPCH
title_sort case report identification of a novel cask missense variant in a chinese family with micpch
topic CASK gene
spinocerebellar ataxia
mutation
whole-exome sequencing
mental retardation
url https://www.frontiersin.org/articles/10.3389/fgene.2022.933785/full
work_keys_str_mv AT runfengzhang casereportidentificationofanovelcaskmissensevariantinachinesefamilywithmicpch
AT pengjia casereportidentificationofanovelcaskmissensevariantinachinesefamilywithmicpch
AT yanyiyao casereportidentificationofanovelcaskmissensevariantinachinesefamilywithmicpch
AT fengzhu casereportidentificationofanovelcaskmissensevariantinachinesefamilywithmicpch
AT fengzhu casereportidentificationofanovelcaskmissensevariantinachinesefamilywithmicpch