---
_id: '14356'
abstract:
- lang: eng
  text: Aminoacyl-tRNA synthetases (ARSs) are essential enzymes for faithful assignment
    of amino acids to their cognate tRNA. Variants in ARS genes are frequently associated
    with clinically heterogeneous phenotypes in humans and follow both autosomal dominant
    or recessive inheritance patterns in many instances. Variants in tryptophanyl-tRNA
    synthetase 1 (WARS1) cause autosomal dominantly inherited distal hereditary motor
    neuropathy and Charcot-Marie-Tooth disease. Presently, only one family with biallelic
    WARS1 variants has been described. We present three affected individuals from
    two families with biallelic variants (p.Met1? and p.(Asp419Asn)) in WARS1, showing
    varying severities of developmental delay and intellectual disability. Hearing
    impairment and microcephaly, as well as abnormalities of the brain, skeletal system,
    movement/gait, and behavior were variable features. Phenotyping of knocked down
    wars-1 in a Caenorhabditis elegans model showed depletion is associated with defects
    in germ cell development. A wars1 knockout vertebrate model recapitulates the
    human clinical phenotypes, confirms variant pathogenicity, and uncovers evidence
    implicating the p.Met1? variant as potentially impacting an exon critical for
    normal hearing. Together, our findings provide consolidating evidence for biallelic
    disruption of WARS1 as causal for an autosomal recessive neurodevelopmental syndrome
    and present a vertebrate model that recapitulates key phenotypes observed in patients.
article_processing_charge: No
article_type: original
author:
- first_name: Sheng-Jia
  full_name: Lin, Sheng-Jia
  last_name: Lin
- first_name: Barbara
  full_name: Vona, Barbara
  last_name: Vona
- first_name: Hillary M.
  full_name: Porter, Hillary M.
  last_name: Porter
- first_name: Mahmoud
  full_name: Izadi, Mahmoud
  last_name: Izadi
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Yves
  full_name: Lacassie, Yves
  last_name: Lacassie
- first_name: Jill A.
  full_name: Rosenfeld, Jill A.
  last_name: Rosenfeld
- first_name: Saadullah
  full_name: Khan, Saadullah
  last_name: Khan
- first_name: Cassidy
  full_name: Petree, Cassidy
  last_name: Petree
- first_name: Tayyiba A.
  full_name: Ali, Tayyiba A.
  last_name: Ali
- first_name: Nazif
  full_name: Muhammad, Nazif
  last_name: Muhammad
- first_name: Sher A.
  full_name: Khan, Sher A.
  last_name: Khan
- first_name: Noor
  full_name: Muhammad, Noor
  last_name: Muhammad
- first_name: Pengfei
  full_name: Liu, Pengfei
  last_name: Liu
- first_name: Marie-Louise
  full_name: Haymon, Marie-Louise
  last_name: Haymon
- first_name: Franz
  full_name: Rueschendorf, Franz
  last_name: Rueschendorf
- first_name: Il-Keun
  full_name: Kong, Il-Keun
  last_name: Kong
- first_name: Linda
  full_name: Schnapp, Linda
  last_name: Schnapp
- first_name: Natasha
  full_name: Shur, Natasha
  last_name: Shur
- first_name: Lynn
  full_name: Chorich, Lynn
  last_name: Chorich
- first_name: Lawrence
  full_name: Layman, Lawrence
  last_name: Layman
- first_name: Thomas
  full_name: Haaf, Thomas
  last_name: Haaf
- first_name: Ehsan
  full_name: Pourkarimi, Ehsan
  last_name: Pourkarimi
- first_name: Hyung-Goo
  full_name: Kim, Hyung-Goo
  last_name: Kim
- first_name: Gaurav K.
  full_name: Varshney, Gaurav K.
  last_name: Varshney
citation:
  ama: Lin S-J, Vona B, Porter HM, et al. Biallelic variants in WARS1 cause a highly
    variable neurodevelopmental syndrome and implicate a critical exon for normal
    auditory function. <i>Human Mutation</i>. 2022;43(10):1472-1489. doi:<a href="https://doi.org/10.1002/humu.24435">10.1002/humu.24435</a>
  apa: Lin, S.-J., Vona, B., Porter, H. M., Izadi, M., Huang, K., Lacassie, Y., …
    Varshney, G. K. (2022). Biallelic variants in WARS1 cause a highly variable neurodevelopmental
    syndrome and implicate a critical exon for normal auditory function. <i>Human
    Mutation</i>. Wiley. <a href="https://doi.org/10.1002/humu.24435">https://doi.org/10.1002/humu.24435</a>
  chicago: Lin, Sheng-Jia, Barbara Vona, Hillary M. Porter, Mahmoud Izadi, Kevin Huang,
    Yves Lacassie, Jill A. Rosenfeld, et al. “Biallelic Variants in WARS1 Cause a
    Highly Variable Neurodevelopmental Syndrome and Implicate a Critical Exon for
    Normal Auditory Function.” <i>Human Mutation</i>. Wiley, 2022. <a href="https://doi.org/10.1002/humu.24435">https://doi.org/10.1002/humu.24435</a>.
  ieee: S.-J. Lin <i>et al.</i>, “Biallelic variants in WARS1 cause a highly variable
    neurodevelopmental syndrome and implicate a critical exon for normal auditory
    function,” <i>Human Mutation</i>, vol. 43, no. 10. Wiley, pp. 1472–1489, 2022.
  ista: Lin S-J, Vona B, Porter HM, Izadi M, Huang K, Lacassie Y, Rosenfeld JA, Khan
    S, Petree C, Ali TA, Muhammad N, Khan SA, Muhammad N, Liu P, Haymon M-L, Rueschendorf
    F, Kong I-K, Schnapp L, Shur N, Chorich L, Layman L, Haaf T, Pourkarimi E, Kim
    H-G, Varshney GK. 2022. Biallelic variants in WARS1 cause a highly variable neurodevelopmental
    syndrome and implicate a critical exon for normal auditory function. Human Mutation.
    43(10), 1472–1489.
  mla: Lin, Sheng-Jia, et al. “Biallelic Variants in WARS1 Cause a Highly Variable
    Neurodevelopmental Syndrome and Implicate a Critical Exon for Normal Auditory
    Function.” <i>Human Mutation</i>, vol. 43, no. 10, Wiley, 2022, pp. 1472–89, doi:<a
    href="https://doi.org/10.1002/humu.24435">10.1002/humu.24435</a>.
  short: S.-J. Lin, B. Vona, H.M. Porter, M. Izadi, K. Huang, Y. Lacassie, J.A. Rosenfeld,
    S. Khan, C. Petree, T.A. Ali, N. Muhammad, S.A. Khan, N. Muhammad, P. Liu, M.-L.
    Haymon, F. Rueschendorf, I.-K. Kong, L. Schnapp, N. Shur, L. Chorich, L. Layman,
    T. Haaf, E. Pourkarimi, H.-G. Kim, G.K. Varshney, Human Mutation 43 (2022) 1472–1489.
date_created: 2023-09-20T20:58:24Z
date_published: 2022-10-01T00:00:00Z
date_updated: 2023-09-25T08:54:14Z
day: '01'
ddc:
- '570'
doi: 10.1002/humu.24435
extern: '1'
file:
- access_level: open_access
  checksum: 74b01d4e4084b2f64c30ed32b18ee928
  content_type: application/pdf
  creator: dernst
  date_created: 2023-09-25T08:52:54Z
  date_updated: 2023-09-25T08:52:54Z
  file_id: '14370'
  file_name: 2022_HumanMutation_Lin.pdf
  file_size: 12131312
  relation: main_file
  success: 1
file_date_updated: 2023-09-25T08:52:54Z
has_accepted_license: '1'
intvolume: '        43'
issue: '10'
keyword:
- autosomal recessive
- biallelic variants
- C
- elegans
- translation initiation sites
- tryptophanyl-tRNA synthetase 1 (WARS1)
- WHEP domain
- zebrafish
language:
- iso: eng
month: '10'
oa: 1
oa_version: Published Version
page: 1472-1489
publication: Human Mutation
publication_identifier:
  issn:
  - 1059-7794
publication_status: published
publisher: Wiley
quality_controlled: '1'
scopus_import: '1'
status: public
title: Biallelic variants in WARS1 cause a highly variable neurodevelopmental syndrome
  and implicate a critical exon for normal auditory function
tmp:
  image: /images/cc_by.png
  legal_code_url: https://creativecommons.org/licenses/by/4.0/legalcode
  name: Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
  short: CC BY (4.0)
type: journal_article
user_id: 2DF688A6-F248-11E8-B48F-1D18A9856A87
volume: 43
year: '2022'
...
---
_id: '14357'
abstract:
- lang: eng
  text: 'Aminoacylation of transfer RNA (tRNA) is a key step in protein biosynthesis,
    carried out by highly specific aminoacyl-tRNA synthetases (ARSs). ARSs have been
    implicated in autosomal dominant and autosomal recessive human disorders. Autosomal
    dominant variants in tryptophanyl-tRNA synthetase 1 (WARS1) are known to cause
    distal hereditary motor neuropathy and Charcot-Marie-Tooth disease, but a recessively
    inherited phenotype is yet to be clearly defined. Seryl-tRNA synthetase 1 (SARS1)
    has rarely been implicated in an autosomal recessive developmental disorder. Here,
    we report five individuals with biallelic missense variants in WARS1 or SARS1,
    who presented with an overlapping phenotype of microcephaly, developmental delay,
    intellectual disability, and brain anomalies. Structural mapping showed that the
    SARS1 variant is located directly within the enzyme’s active site, most likely
    diminishing activity, while the WARS1 variant is located in the N-terminal domain.
    We further characterize the identified WARS1 variant by showing that it negatively
    impacts protein abundance and is unable to rescue the phenotype of a CRISPR/Cas9
    wars1 knockout zebrafish model. In summary, we describe two overlapping autosomal
    recessive syndromes caused by variants in WARS1 and SARS1, present functional
    insights into the pathogenesis of the WARS1-related syndrome and define an emerging
    disease spectrum: ARS-related developmental disorders with or without microcephaly.'
article_processing_charge: No
article_type: original
author:
- first_name: Nina
  full_name: Boegershausen, Nina
  last_name: Boegershausen
- first_name: Hannah E.
  full_name: Krawczyk, Hannah E.
  last_name: Krawczyk
- first_name: Rami A.
  full_name: Jamra, Rami A.
  last_name: Jamra
- first_name: Sheng-Jia
  full_name: Lin, Sheng-Jia
  last_name: Lin
- first_name: Goekhan
  full_name: Yigit, Goekhan
  last_name: Yigit
- first_name: Irina
  full_name: Huening, Irina
  last_name: Huening
- first_name: Anna M.
  full_name: Polo, Anna M.
  last_name: Polo
- first_name: Barbara
  full_name: Vona, Barbara
  last_name: Vona
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Julia
  full_name: Schmidt, Julia
  last_name: Schmidt
- first_name: Janine
  full_name: Altmueller, Janine
  last_name: Altmueller
- first_name: Johannes
  full_name: Luppe, Johannes
  last_name: Luppe
- first_name: Konrad
  full_name: Platzer, Konrad
  last_name: Platzer
- first_name: Beate B.
  full_name: Doergeloh, Beate B.
  last_name: Doergeloh
- first_name: Andreas
  full_name: Busche, Andreas
  last_name: Busche
- first_name: Saskia
  full_name: Biskup, Saskia
  last_name: Biskup
- first_name: Marisa
  full_name: Mendes, I, Marisa
  last_name: Mendes, I
- first_name: Desiree E. C.
  full_name: Smith, Desiree E. C.
  last_name: Smith
- first_name: Gajja S.
  full_name: Salomons, Gajja S.
  last_name: Salomons
- first_name: Arne
  full_name: Zibat, Arne
  last_name: Zibat
- first_name: Eva
  full_name: Bueltmann, Eva
  last_name: Bueltmann
- first_name: Peter
  full_name: Nuernberg, Peter
  last_name: Nuernberg
- first_name: Malte
  full_name: Spielmann, Malte
  last_name: Spielmann
- first_name: Johannes R.
  full_name: Lemke, Johannes R.
  last_name: Lemke
- first_name: Yun
  full_name: Li, Yun
  last_name: Li
- first_name: Martin
  full_name: Zenker, Martin
  last_name: Zenker
- first_name: Gaurav K.
  full_name: Varshney, Gaurav K.
  last_name: Varshney
- first_name: Hauke S.
  full_name: Hillen, Hauke S.
  last_name: Hillen
- first_name: Christian P.
  full_name: Kratz, Christian P.
  last_name: Kratz
- first_name: Bernd
  full_name: Wollnik, Bernd
  last_name: Wollnik
citation:
  ama: 'Boegershausen N, Krawczyk HE, Jamra RA, et al. WARS1 and SARS1: Two tRNA synthetases
    implicated in autosomal recessive microcephaly. <i>Human Mutation</i>. 2022;43(10):1454-1471.
    doi:<a href="https://doi.org/10.1002/humu.24430">10.1002/humu.24430</a>'
  apa: 'Boegershausen, N., Krawczyk, H. E., Jamra, R. A., Lin, S.-J., Yigit, G., Huening,
    I., … Wollnik, B. (2022). WARS1 and SARS1: Two tRNA synthetases implicated in
    autosomal recessive microcephaly. <i>Human Mutation</i>. Wiley. <a href="https://doi.org/10.1002/humu.24430">https://doi.org/10.1002/humu.24430</a>'
  chicago: 'Boegershausen, Nina, Hannah E. Krawczyk, Rami A. Jamra, Sheng-Jia Lin,
    Goekhan Yigit, Irina Huening, Anna M. Polo, et al. “WARS1 and SARS1: Two TRNA
    Synthetases Implicated in Autosomal Recessive Microcephaly.” <i>Human Mutation</i>.
    Wiley, 2022. <a href="https://doi.org/10.1002/humu.24430">https://doi.org/10.1002/humu.24430</a>.'
  ieee: 'N. Boegershausen <i>et al.</i>, “WARS1 and SARS1: Two tRNA synthetases implicated
    in autosomal recessive microcephaly,” <i>Human Mutation</i>, vol. 43, no. 10.
    Wiley, pp. 1454–1471, 2022.'
  ista: 'Boegershausen N, Krawczyk HE, Jamra RA, Lin S-J, Yigit G, Huening I, Polo
    AM, Vona B, Huang K, Schmidt J, Altmueller J, Luppe J, Platzer K, Doergeloh BB,
    Busche A, Biskup S, Mendes, I M, Smith DEC, Salomons GS, Zibat A, Bueltmann E,
    Nuernberg P, Spielmann M, Lemke JR, Li Y, Zenker M, Varshney GK, Hillen HS, Kratz
    CP, Wollnik B. 2022. WARS1 and SARS1: Two tRNA synthetases implicated in autosomal
    recessive microcephaly. Human Mutation. 43(10), 1454–1471.'
  mla: 'Boegershausen, Nina, et al. “WARS1 and SARS1: Two TRNA Synthetases Implicated
    in Autosomal Recessive Microcephaly.” <i>Human Mutation</i>, vol. 43, no. 10,
    Wiley, 2022, pp. 1454–71, doi:<a href="https://doi.org/10.1002/humu.24430">10.1002/humu.24430</a>.'
  short: N. Boegershausen, H.E. Krawczyk, R.A. Jamra, S.-J. Lin, G. Yigit, I. Huening,
    A.M. Polo, B. Vona, K. Huang, J. Schmidt, J. Altmueller, J. Luppe, K. Platzer,
    B.B. Doergeloh, A. Busche, S. Biskup, M. Mendes, I, D.E.C. Smith, G.S. Salomons,
    A. Zibat, E. Bueltmann, P. Nuernberg, M. Spielmann, J.R. Lemke, Y. Li, M. Zenker,
    G.K. Varshney, H.S. Hillen, C.P. Kratz, B. Wollnik, Human Mutation 43 (2022) 1454–1471.
date_created: 2023-09-20T20:59:33Z
date_published: 2022-10-01T00:00:00Z
date_updated: 2023-09-25T08:43:06Z
day: '01'
ddc:
- '570'
doi: 10.1002/humu.24430
extern: '1'
external_id:
  pmid:
  - '35790048'
file:
- access_level: open_access
  checksum: c31fc91e0445c35b9da83eb911a9b552
  content_type: application/pdf
  creator: dernst
  date_created: 2023-09-25T08:41:23Z
  date_updated: 2023-09-25T08:41:23Z
  file_id: '14367'
  file_name: 2022_HumanMutation_Boegershausen.pdf
  file_size: 4863605
  relation: main_file
  success: 1
file_date_updated: 2023-09-25T08:41:23Z
has_accepted_license: '1'
intvolume: '        43'
issue: '10'
keyword:
- aminoacylation
- aminoacyl-tRNA synthetase
- ARS
- CRISPR
- Cas9
- intellectual disability
- microcephaly
- SARS1
- tRNA
- WARS1
- zebrafish
language:
- iso: eng
license: https://creativecommons.org/licenses/by-nc-nd/4.0/
month: '10'
oa: 1
oa_version: Published Version
page: 1454-1471
pmid: 1
publication: Human Mutation
publication_identifier:
  issn:
  - 1059-7794
publication_status: published
publisher: Wiley
quality_controlled: '1'
scopus_import: '1'
status: public
title: 'WARS1 and SARS1: Two tRNA synthetases implicated in autosomal recessive microcephaly'
tmp:
  image: /images/cc_by_nc_nd.png
  legal_code_url: https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode
  name: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
    (CC BY-NC-ND 4.0)
  short: CC BY-NC-ND (4.0)
type: journal_article
user_id: 2DF688A6-F248-11E8-B48F-1D18A9856A87
volume: 43
year: '2022'
...
