---
_id: '14368'
abstract:
- lang: eng
  text: "Purpose: \r\nBiallelic variants in TARS2, encoding the mitochondrial threonyl-tRNA-synthetase,
    have been reported in a small group of individuals displaying a neurodevelopmental
    phenotype but with limited neuroradiological data and insufficient evidence for
    causality of the variants.\r\nMethods:\r\nExome or genome sequencing was carried
    out in 15 families. Clinical and neuroradiological evaluation was performed for
    all affected individuals, including review of 10 previously reported individuals.
    The pathogenicity of TARS2 variants was evaluated using in vitro assays and a
    zebrafish model.\r\nResults:\r\nWe report 18 new individuals harboring biallelic
    TARS2 variants. Phenotypically, these individuals show developmental delay/intellectual
    disability, regression, cerebellar and cerebral atrophy, basal ganglia signal
    alterations, hypotonia, cerebellar signs, and increased blood lactate. In vitro
    studies showed that variants within the TARS2301-381 region had decreased binding
    to Rag GTPases, likely impairing mTORC1 activity. The zebrafish model recapitulated
    key features of the human phenotype and unraveled dysregulation of downstream
    targets of mTORC1 signaling. Functional testing of the variants confirmed the
    pathogenicity in a zebrafish model.\r\nConclusion:\r\nWe define the clinico-radiological
    spectrum of TARS2-related mitochondrial disease, unveil the likely involvement
    of the mTORC1 signaling pathway as a distinct molecular mechanism, and establish
    a TARS2 zebrafish model as an important tool to study variant pathogenicity."
article_number: '100938'
article_processing_charge: No
article_type: original
author:
- first_name: Andrea
  full_name: Accogli, Andrea
  last_name: Accogli
- first_name: Sheng-Jia
  full_name: Lin, Sheng-Jia
  last_name: Lin
- first_name: Mariasavina
  full_name: Severino, Mariasavina
  last_name: Severino
- first_name: Sung-Hoon
  full_name: Kim, Sung-Hoon
  last_name: Kim
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Clarissa
  full_name: Rocca, Clarissa
  last_name: Rocca
- first_name: Megan
  full_name: Landsverk, Megan
  last_name: Landsverk
- first_name: Maha S.
  full_name: Zaki, Maha S.
  last_name: Zaki
- first_name: Almundher
  full_name: Al-Maawali, Almundher
  last_name: Al-Maawali
- first_name: Varunvenkat M.
  full_name: Srinivasan, Varunvenkat M.
  last_name: Srinivasan
- first_name: Khalid
  full_name: Al-Thihli, Khalid
  last_name: Al-Thihli
- first_name: G. Bradly
  full_name: Schaefer, G. Bradly
  last_name: Schaefer
- first_name: Monica
  full_name: Davis, Monica
  last_name: Davis
- first_name: Davide
  full_name: Tonduti, Davide
  last_name: Tonduti
- first_name: Chiara
  full_name: Doneda, Chiara
  last_name: Doneda
- first_name: Lara M.
  full_name: Marten, Lara M.
  last_name: Marten
- first_name: Chris
  full_name: Mühlhausen, Chris
  last_name: Mühlhausen
- first_name: Maria
  full_name: Gomez, Maria
  last_name: Gomez
- first_name: Eleonora
  full_name: Lamantea, Eleonora
  last_name: Lamantea
- first_name: Rafael
  full_name: Mena, Rafael
  last_name: Mena
- first_name: Mathilde
  full_name: Nizon, Mathilde
  last_name: Nizon
- first_name: Vincent
  full_name: Procaccio, Vincent
  last_name: Procaccio
- first_name: Amber
  full_name: Begtrup, Amber
  last_name: Begtrup
- first_name: Aida
  full_name: Telegrafi, Aida
  last_name: Telegrafi
- first_name: Hong
  full_name: Cui, Hong
  last_name: Cui
- first_name: Heidi L.
  full_name: Schulz, Heidi L.
  last_name: Schulz
- first_name: Julia
  full_name: Mohr, Julia
  last_name: Mohr
- first_name: Saskia
  full_name: Biskup, Saskia
  last_name: Biskup
- first_name: Mariana Amina
  full_name: Loos, Mariana Amina
  last_name: Loos
- first_name: Hilda Verónica
  full_name: Aráoz, Hilda Verónica
  last_name: Aráoz
- first_name: Vincenzo
  full_name: Salpietro, Vincenzo
  last_name: Salpietro
- first_name: Laura Davis
  full_name: Keppen, Laura Davis
  last_name: Keppen
- first_name: Manali
  full_name: Chitre, Manali
  last_name: Chitre
- first_name: Cassidy
  full_name: Petree, Cassidy
  last_name: Petree
- first_name: Lucy
  full_name: Raymond, Lucy
  last_name: Raymond
- first_name: Julie
  full_name: Vogt, Julie
  last_name: Vogt
- first_name: Lindsey B.
  full_name: Sawyer, Lindsey B.
  last_name: Sawyer
- first_name: Alice A.
  full_name: Basinger, Alice A.
  last_name: Basinger
- first_name: Signe Vandal
  full_name: Pedersen, Signe Vandal
  last_name: Pedersen
- first_name: Toni S.
  full_name: Pearson, Toni S.
  last_name: Pearson
- first_name: Dorothy K.
  full_name: Grange, Dorothy K.
  last_name: Grange
- first_name: Lokesh
  full_name: Lingappa, Lokesh
  last_name: Lingappa
- first_name: Paige
  full_name: McDunnah, Paige
  last_name: McDunnah
- first_name: Rita
  full_name: Horvath, Rita
  last_name: Horvath
- first_name: Benjamin
  full_name: Cognè, Benjamin
  last_name: Cognè
- first_name: Bertrand
  full_name: Isidor, Bertrand
  last_name: Isidor
- first_name: Andreas
  full_name: Hahn, Andreas
  last_name: Hahn
- first_name: Karen W.
  full_name: Gripp, Karen W.
  last_name: Gripp
- first_name: Seyed Mehdi
  full_name: Jafarnejad, Seyed Mehdi
  last_name: Jafarnejad
- first_name: Elsebet
  full_name: Østergaard, Elsebet
  last_name: Østergaard
- first_name: Carlos E.
  full_name: Prada, Carlos E.
  last_name: Prada
- first_name: Daniele
  full_name: Ghezzi, Daniele
  last_name: Ghezzi
- first_name: Vykuntaraju K.
  full_name: Gowda, Vykuntaraju K.
  last_name: Gowda
- first_name: Robert W.
  full_name: Taylor, Robert W.
  last_name: Taylor
- first_name: Nahum
  full_name: Sonenberg, Nahum
  last_name: Sonenberg
- first_name: Henry
  full_name: Houlden, Henry
  last_name: Houlden
- first_name: Marie
  full_name: Sissler, Marie
  last_name: Sissler
- first_name: Gaurav K.
  full_name: Varshney, Gaurav K.
  last_name: Varshney
- first_name: Reza
  full_name: Maroofian, Reza
  last_name: Maroofian
citation:
  ama: Accogli A, Lin S-J, Severino M, et al. Clinical, neuroradiological, and molecular
    characterization of mitochondrial threonyl-tRNA-synthetase (TARS2)-related disorder.
    <i>Genetics in Medicine</i>. 2023;25(11). doi:<a href="https://doi.org/10.1016/j.gim.2023.100938">10.1016/j.gim.2023.100938</a>
  apa: Accogli, A., Lin, S.-J., Severino, M., Kim, S.-H., Huang, K., Rocca, C., …
    Maroofian, R. (2023). Clinical, neuroradiological, and molecular characterization
    of mitochondrial threonyl-tRNA-synthetase (TARS2)-related disorder. <i>Genetics
    in Medicine</i>. Elsevier. <a href="https://doi.org/10.1016/j.gim.2023.100938">https://doi.org/10.1016/j.gim.2023.100938</a>
  chicago: Accogli, Andrea, Sheng-Jia Lin, Mariasavina Severino, Sung-Hoon Kim, Kevin
    Huang, Clarissa Rocca, Megan Landsverk, et al. “Clinical, Neuroradiological, and
    Molecular Characterization of Mitochondrial Threonyl-TRNA-Synthetase (TARS2)-Related
    Disorder.” <i>Genetics in Medicine</i>. Elsevier, 2023. <a href="https://doi.org/10.1016/j.gim.2023.100938">https://doi.org/10.1016/j.gim.2023.100938</a>.
  ieee: A. Accogli <i>et al.</i>, “Clinical, neuroradiological, and molecular characterization
    of mitochondrial threonyl-tRNA-synthetase (TARS2)-related disorder,” <i>Genetics
    in Medicine</i>, vol. 25, no. 11. Elsevier, 2023.
  ista: Accogli A, Lin S-J, Severino M, Kim S-H, Huang K, Rocca C, Landsverk M, Zaki
    MS, Al-Maawali A, Srinivasan VM, Al-Thihli K, Schaefer GB, Davis M, Tonduti D,
    Doneda C, Marten LM, Mühlhausen C, Gomez M, Lamantea E, Mena R, Nizon M, Procaccio
    V, Begtrup A, Telegrafi A, Cui H, Schulz HL, Mohr J, Biskup S, Loos MA, Aráoz
    HV, Salpietro V, Keppen LD, Chitre M, Petree C, Raymond L, Vogt J, Sawyer LB,
    Basinger AA, Pedersen SV, Pearson TS, Grange DK, Lingappa L, McDunnah P, Horvath
    R, Cognè B, Isidor B, Hahn A, Gripp KW, Jafarnejad SM, Østergaard E, Prada CE,
    Ghezzi D, Gowda VK, Taylor RW, Sonenberg N, Houlden H, Sissler M, Varshney GK,
    Maroofian R. 2023. Clinical, neuroradiological, and molecular characterization
    of mitochondrial threonyl-tRNA-synthetase (TARS2)-related disorder. Genetics in
    Medicine. 25(11), 100938.
  mla: Accogli, Andrea, et al. “Clinical, Neuroradiological, and Molecular Characterization
    of Mitochondrial Threonyl-TRNA-Synthetase (TARS2)-Related Disorder.” <i>Genetics
    in Medicine</i>, vol. 25, no. 11, 100938, Elsevier, 2023, doi:<a href="https://doi.org/10.1016/j.gim.2023.100938">10.1016/j.gim.2023.100938</a>.
  short: A. Accogli, S.-J. Lin, M. Severino, S.-H. Kim, K. Huang, C. Rocca, M. Landsverk,
    M.S. Zaki, A. Al-Maawali, V.M. Srinivasan, K. Al-Thihli, G.B. Schaefer, M. Davis,
    D. Tonduti, C. Doneda, L.M. Marten, C. Mühlhausen, M. Gomez, E. Lamantea, R. Mena,
    M. Nizon, V. Procaccio, A. Begtrup, A. Telegrafi, H. Cui, H.L. Schulz, J. Mohr,
    S. Biskup, M.A. Loos, H.V. Aráoz, V. Salpietro, L.D. Keppen, M. Chitre, C. Petree,
    L. Raymond, J. Vogt, L.B. Sawyer, A.A. Basinger, S.V. Pedersen, T.S. Pearson,
    D.K. Grange, L. Lingappa, P. McDunnah, R. Horvath, B. Cognè, B. Isidor, A. Hahn,
    K.W. Gripp, S.M. Jafarnejad, E. Østergaard, C.E. Prada, D. Ghezzi, V.K. Gowda,
    R.W. Taylor, N. Sonenberg, H. Houlden, M. Sissler, G.K. Varshney, R. Maroofian,
    Genetics in Medicine 25 (2023).
date_created: 2023-09-25T08:44:29Z
date_published: 2023-11-01T00:00:00Z
date_updated: 2023-09-25T08:50:10Z
day: '01'
ddc:
- '570'
doi: 10.1016/j.gim.2023.100938
extern: '1'
file:
- access_level: open_access
  checksum: 440f0cd8a2ffcbe03c015c1746728387
  content_type: application/pdf
  creator: dernst
  date_created: 2023-09-25T08:48:54Z
  date_updated: 2023-09-25T08:48:54Z
  file_id: '14369'
  file_name: 2023_GeneticsMedicine_Accogli.pdf
  file_size: 4105513
  relation: main_file
  success: 1
file_date_updated: 2023-09-25T08:48:54Z
has_accepted_license: '1'
intvolume: '        25'
issue: '11'
keyword:
- Genetics (clinical)
language:
- iso: eng
month: '11'
oa: 1
oa_version: Published Version
publication: Genetics in Medicine
publication_identifier:
  issn:
  - 1098-3600
publication_status: published
publisher: Elsevier
quality_controlled: '1'
scopus_import: '1'
status: public
title: Clinical, neuroradiological, and molecular characterization of mitochondrial
  threonyl-tRNA-synthetase (TARS2)-related disorder
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: 25
year: '2023'
...
---
_id: '14543'
abstract:
- lang: eng
  text: The acyl-CoA-binding domain-containing protein 6 (ACBD6) is ubiquitously expressed,
    plays a role in the acylation of lipids and proteins, and regulates the N-myristoylation
    of proteins via N-myristoyltransferase enzymes (NMTs). However, its precise function
    in cells is still unclear, as is the consequence of ACBD6 defects on human pathophysiology.
    Utilizing exome sequencing and extensive international data sharing efforts, we
    identified 45 affected individuals from 28 unrelated families (consanguinity 93%)
    with bi-allelic pathogenic, predominantly loss-of-function (18/20) variants in
    ACBD6. We generated zebrafish and Xenopus tropicalis acbd6 knockouts by CRISPR/Cas9
    and characterized the role of ACBD6 on protein N-myristoylation with YnMyr chemical
    proteomics in the model organisms and human cells, with the latter also being
    subjected further to ACBD6 peroxisomal localization studies. The affected individuals
    (23 males and 22 females), with ages ranging from 1 to 50 years old, typically
    present with a complex and progressive disease involving moderate-to-severe global
    developmental delay/intellectual disability (100%) with significant expressive
    language impairment (98%), movement disorders (97%), facial dysmorphism (95%),
    and mild cerebellar ataxia (85%) associated with gait impairment (94%), limb spasticity/hypertonia
    (76%), oculomotor (71%) and behavioural abnormalities (65%), overweight (59%),
    microcephaly (39%) and epilepsy (33%). The most conspicuous and common movement
    disorder was dystonia (94%), frequently leading to early-onset progressive postural
    deformities (97%), limb dystonia (55%), and cervical dystonia (31%). A jerky tremor
    in the upper limbs (63%), a mild head tremor (59%), parkinsonism/hypokinesia developing
    with advancing age (32%), and simple motor and vocal tics were among other frequent
    movement disorders. Midline brain malformations including corpus callosum abnormalities
    (70%), hypoplasia/agenesis of the anterior commissure (66%), short midbrain and
    small inferior cerebellar vermis (38% each), as well as hypertrophy of the clava
    (24%) were common neuroimaging findings. acbd6-deficient zebrafish and Xenopus
    models effectively recapitulated many clinical phenotypes reported in patients
    including movement disorders, progressive neuromotor impairment, seizures, microcephaly,
    craniofacial dysmorphism, and midbrain defects accompanied by developmental delay
    with increased mortality over time. Unlike ACBD5, ACBD6 did not show a peroxisomal
    localisation and ACBD6-deficiency was not associated with altered peroxisomal
    parameters in patient fibroblasts. Significant differences in YnMyr-labelling
    were observed for 68 co- and 18 post-translationally N-myristoylated proteins
    in patient-derived fibroblasts. N-Myristoylation was similarly affected in acbd6-deficient
    zebrafish and Xenopus tropicalis models, including Fus, Marcks, and Chchd-related
    proteins implicated in neurological diseases. The present study provides evidence
    that bi-allelic pathogenic variants in ACBD6 lead to a distinct neurodevelopmental
    syndrome accompanied by complex and progressive cognitive and movement disorders.
article_number: awad380
article_processing_charge: No
article_type: original
author:
- first_name: Rauan
  full_name: Kaiyrzhanov, Rauan
  last_name: Kaiyrzhanov
- first_name: Aboulfazl
  full_name: Rad, Aboulfazl
  last_name: Rad
- first_name: Sheng-Jia
  full_name: Lin, Sheng-Jia
  last_name: Lin
- first_name: Aida
  full_name: Bertoli-Avella, Aida
  last_name: Bertoli-Avella
- first_name: Wouter W
  full_name: Kallemeijn, Wouter W
  last_name: Kallemeijn
- first_name: Annie
  full_name: Godwin, Annie
  last_name: Godwin
- first_name: Maha S
  full_name: Zaki, Maha S
  last_name: Zaki
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Tracy
  full_name: Lau, Tracy
  last_name: Lau
- first_name: Cassidy
  full_name: Petree, Cassidy
  last_name: Petree
- first_name: Stephanie
  full_name: Efthymiou, Stephanie
  last_name: Efthymiou
- first_name: Ehsan
  full_name: Ghayoor Karimiani, Ehsan
  last_name: Ghayoor Karimiani
- first_name: Maja
  full_name: Hempel, Maja
  last_name: Hempel
- first_name: Elizabeth A
  full_name: Normand, Elizabeth A
  last_name: Normand
- first_name: Sabine
  full_name: Rudnik-Schöneborn, Sabine
  last_name: Rudnik-Schöneborn
- first_name: Ulrich A
  full_name: Schatz, Ulrich A
  last_name: Schatz
- first_name: Marc P
  full_name: Baggelaar, Marc P
  last_name: Baggelaar
- first_name: Muhammad
  full_name: Ilyas, Muhammad
  last_name: Ilyas
- first_name: Tipu
  full_name: Sultan, Tipu
  last_name: Sultan
- first_name: Javeria Raza
  full_name: Alvi, Javeria Raza
  last_name: Alvi
- first_name: Manizha
  full_name: Ganieva, Manizha
  last_name: Ganieva
- first_name: Ben
  full_name: Fowler, Ben
  last_name: Fowler
- first_name: Ruxandra
  full_name: Aanicai, Ruxandra
  last_name: Aanicai
- first_name: Gulsen
  full_name: Akay Tayfun, Gulsen
  last_name: Akay Tayfun
- first_name: Abdulaziz
  full_name: Al Saman, Abdulaziz
  last_name: Al Saman
- first_name: Abdulrahman
  full_name: Alswaid, Abdulrahman
  last_name: Alswaid
- first_name: Nafise
  full_name: Amiri, Nafise
  last_name: Amiri
- first_name: Nilufar
  full_name: Asilova, Nilufar
  last_name: Asilova
- first_name: Vorasuk
  full_name: Shotelersuk, Vorasuk
  last_name: Shotelersuk
- first_name: Patra
  full_name: Yeetong, Patra
  last_name: Yeetong
- first_name: Matloob
  full_name: Azam, Matloob
  last_name: Azam
- first_name: Meisam
  full_name: Babaei, Meisam
  last_name: Babaei
- first_name: Gholamreza
  full_name: Bahrami Monajemi, Gholamreza
  last_name: Bahrami Monajemi
- first_name: Pouria
  full_name: Mohammadi, Pouria
  last_name: Mohammadi
- first_name: Saeed
  full_name: Samie, Saeed
  last_name: Samie
- first_name: Selina Husna
  full_name: Banu, Selina Husna
  last_name: Banu
- first_name: Jorge Pinto
  full_name: Basto, Jorge Pinto
  last_name: Basto
- first_name: Fanny
  full_name: Kortüm, Fanny
  last_name: Kortüm
- first_name: Mislen
  full_name: Bauer, Mislen
  last_name: Bauer
- first_name: Peter
  full_name: Bauer, Peter
  last_name: Bauer
- first_name: Christian
  full_name: Beetz, Christian
  last_name: Beetz
- first_name: Masoud
  full_name: Garshasbi, Masoud
  last_name: Garshasbi
- first_name: Awatif
  full_name: Hameed Issa, Awatif
  last_name: Hameed Issa
- first_name: Wafaa
  full_name: Eyaid, Wafaa
  last_name: Eyaid
- first_name: Hind
  full_name: Ahmed, Hind
  last_name: Ahmed
- first_name: Narges
  full_name: Hashemi, Narges
  last_name: Hashemi
- first_name: Kazem
  full_name: Hassanpour, Kazem
  last_name: Hassanpour
- first_name: Isabella
  full_name: Herman, Isabella
  last_name: Herman
- first_name: Sherozjon
  full_name: Ibrohimov, Sherozjon
  last_name: Ibrohimov
- first_name: Ban A
  full_name: Abdul-Majeed, Ban A
  last_name: Abdul-Majeed
- first_name: Maria
  full_name: Imdad, Maria
  last_name: Imdad
- first_name: Maksudjon
  full_name: Isrofilov, Maksudjon
  last_name: Isrofilov
- first_name: Qassem
  full_name: Kaiyal, Qassem
  last_name: Kaiyal
- first_name: Suliman
  full_name: Khan, Suliman
  last_name: Khan
- first_name: Brian
  full_name: Kirmse, Brian
  last_name: Kirmse
- first_name: Janet
  full_name: Koster, Janet
  last_name: Koster
- first_name: Charles Marques
  full_name: Lourenço, Charles Marques
  last_name: Lourenço
- first_name: Tadahiro
  full_name: Mitani, Tadahiro
  last_name: Mitani
- first_name: Oana
  full_name: Moldovan, Oana
  last_name: Moldovan
- first_name: David
  full_name: Murphy, David
  last_name: Murphy
- first_name: Maryam
  full_name: Najafi, Maryam
  last_name: Najafi
- first_name: Davut
  full_name: Pehlivan, Davut
  last_name: Pehlivan
- first_name: Maria Eugenia
  full_name: Rocha, Maria Eugenia
  last_name: Rocha
- first_name: Vincenzo
  full_name: Salpietro, Vincenzo
  last_name: Salpietro
- first_name: Miriam
  full_name: Schmidts, Miriam
  last_name: Schmidts
- first_name: Adel
  full_name: Shalata, Adel
  last_name: Shalata
- first_name: Mohammad
  full_name: Mahroum, Mohammad
  last_name: Mahroum
- first_name: Jawabreh Kassem
  full_name: Talbeya, Jawabreh Kassem
  last_name: Talbeya
- first_name: Robert W
  full_name: Taylor, Robert W
  last_name: Taylor
- first_name: Dayana
  full_name: Vazquez, Dayana
  last_name: Vazquez
- first_name: Annalisa
  full_name: Vetro, Annalisa
  last_name: Vetro
- first_name: Hans R
  full_name: Waterham, Hans R
  last_name: Waterham
- first_name: Mashaya
  full_name: Zaman, Mashaya
  last_name: Zaman
- first_name: Tina A
  full_name: Schrader, Tina A
  last_name: Schrader
- first_name: Wendy K
  full_name: Chung, Wendy K
  last_name: Chung
- first_name: Renzo
  full_name: Guerrini, Renzo
  last_name: Guerrini
- first_name: James R
  full_name: Lupski, James R
  last_name: Lupski
- first_name: Joseph
  full_name: Gleeson, Joseph
  last_name: Gleeson
- first_name: Mohnish
  full_name: Suri, Mohnish
  last_name: Suri
- first_name: Yalda
  full_name: Jamshidi, Yalda
  last_name: Jamshidi
- first_name: Kailash P
  full_name: Bhatia, Kailash P
  last_name: Bhatia
- first_name: Barbara
  full_name: Vona, Barbara
  last_name: Vona
- first_name: Michael
  full_name: Schrader, Michael
  last_name: Schrader
- first_name: Mariasavina
  full_name: Severino, Mariasavina
  last_name: Severino
- first_name: Matthew
  full_name: Guille, Matthew
  last_name: Guille
- first_name: Edward W
  full_name: Tate, Edward W
  last_name: Tate
- first_name: Gaurav K
  full_name: Varshney, Gaurav K
  last_name: Varshney
- first_name: Henry
  full_name: Houlden, Henry
  last_name: Houlden
- first_name: Reza
  full_name: Maroofian, Reza
  last_name: Maroofian
citation:
  ama: Kaiyrzhanov R, Rad A, Lin S-J, et al. Bi-allelic ACBD6 variants lead to a neurodevelopmental
    syndrome with progressive and complex movement disorders. <i>Brain</i>. 2023.
    doi:<a href="https://doi.org/10.1093/brain/awad380">10.1093/brain/awad380</a>
  apa: Kaiyrzhanov, R., Rad, A., Lin, S.-J., Bertoli-Avella, A., Kallemeijn, W. W.,
    Godwin, A., … Maroofian, R. (2023). Bi-allelic ACBD6 variants lead to a neurodevelopmental
    syndrome with progressive and complex movement disorders. <i>Brain</i>. Oxford
    University Press. <a href="https://doi.org/10.1093/brain/awad380">https://doi.org/10.1093/brain/awad380</a>
  chicago: Kaiyrzhanov, Rauan, Aboulfazl Rad, Sheng-Jia Lin, Aida Bertoli-Avella,
    Wouter W Kallemeijn, Annie Godwin, Maha S Zaki, et al. “Bi-Allelic ACBD6 Variants
    Lead to a Neurodevelopmental Syndrome with Progressive and Complex Movement Disorders.”
    <i>Brain</i>. Oxford University Press, 2023. <a href="https://doi.org/10.1093/brain/awad380">https://doi.org/10.1093/brain/awad380</a>.
  ieee: R. Kaiyrzhanov <i>et al.</i>, “Bi-allelic ACBD6 variants lead to a neurodevelopmental
    syndrome with progressive and complex movement disorders,” <i>Brain</i>. Oxford
    University Press, 2023.
  ista: Kaiyrzhanov R, Rad A, Lin S-J, Bertoli-Avella A, Kallemeijn WW, Godwin A,
    Zaki MS, Huang K, Lau T, Petree C, Efthymiou S, Ghayoor Karimiani E, Hempel M,
    Normand EA, Rudnik-Schöneborn S, Schatz UA, Baggelaar MP, Ilyas M, Sultan T, Alvi
    JR, Ganieva M, Fowler B, Aanicai R, Akay Tayfun G, Al Saman A, Alswaid A, Amiri
    N, Asilova N, Shotelersuk V, Yeetong P, Azam M, Babaei M, Bahrami Monajemi G,
    Mohammadi P, Samie S, Banu SH, Basto JP, Kortüm F, Bauer M, Bauer P, Beetz C,
    Garshasbi M, Hameed Issa A, Eyaid W, Ahmed H, Hashemi N, Hassanpour K, Herman
    I, Ibrohimov S, Abdul-Majeed BA, Imdad M, Isrofilov M, Kaiyal Q, Khan S, Kirmse
    B, Koster J, Lourenço CM, Mitani T, Moldovan O, Murphy D, Najafi M, Pehlivan D,
    Rocha ME, Salpietro V, Schmidts M, Shalata A, Mahroum M, Talbeya JK, Taylor RW,
    Vazquez D, Vetro A, Waterham HR, Zaman M, Schrader TA, Chung WK, Guerrini R, Lupski
    JR, Gleeson J, Suri M, Jamshidi Y, Bhatia KP, Vona B, Schrader M, Severino M,
    Guille M, Tate EW, Varshney GK, Houlden H, Maroofian R. 2023. Bi-allelic ACBD6
    variants lead to a neurodevelopmental syndrome with progressive and complex movement
    disorders. Brain., awad380.
  mla: Kaiyrzhanov, Rauan, et al. “Bi-Allelic ACBD6 Variants Lead to a Neurodevelopmental
    Syndrome with Progressive and Complex Movement Disorders.” <i>Brain</i>, awad380,
    Oxford University Press, 2023, doi:<a href="https://doi.org/10.1093/brain/awad380">10.1093/brain/awad380</a>.
  short: R. Kaiyrzhanov, A. Rad, S.-J. Lin, A. Bertoli-Avella, W.W. Kallemeijn, A.
    Godwin, M.S. Zaki, K. Huang, T. Lau, C. Petree, S. Efthymiou, E. Ghayoor Karimiani,
    M. Hempel, E.A. Normand, S. Rudnik-Schöneborn, U.A. Schatz, M.P. Baggelaar, M.
    Ilyas, T. Sultan, J.R. Alvi, M. Ganieva, B. Fowler, R. Aanicai, G. Akay Tayfun,
    A. Al Saman, A. Alswaid, N. Amiri, N. Asilova, V. Shotelersuk, P. Yeetong, M.
    Azam, M. Babaei, G. Bahrami Monajemi, P. Mohammadi, S. Samie, S.H. Banu, J.P.
    Basto, F. Kortüm, M. Bauer, P. Bauer, C. Beetz, M. Garshasbi, A. Hameed Issa,
    W. Eyaid, H. Ahmed, N. Hashemi, K. Hassanpour, I. Herman, S. Ibrohimov, B.A. Abdul-Majeed,
    M. Imdad, M. Isrofilov, Q. Kaiyal, S. Khan, B. Kirmse, J. Koster, C.M. Lourenço,
    T. Mitani, O. Moldovan, D. Murphy, M. Najafi, D. Pehlivan, M.E. Rocha, V. Salpietro,
    M. Schmidts, A. Shalata, M. Mahroum, J.K. Talbeya, R.W. Taylor, D. Vazquez, A.
    Vetro, H.R. Waterham, M. Zaman, T.A. Schrader, W.K. Chung, R. Guerrini, J.R. Lupski,
    J. Gleeson, M. Suri, Y. Jamshidi, K.P. Bhatia, B. Vona, M. Schrader, M. Severino,
    M. Guille, E.W. Tate, G.K. Varshney, H. Houlden, R. Maroofian, Brain (2023).
date_created: 2023-11-16T12:36:51Z
date_published: 2023-11-10T00:00:00Z
date_updated: 2023-11-20T10:17:32Z
day: '10'
department:
- _id: GradSch
doi: 10.1093/brain/awad380
extern: '1'
keyword:
- Neurology (clinical)
language:
- iso: eng
main_file_link:
- open_access: '1'
  url: https://doi.org/10.1093/brain/awad380
month: '11'
oa: 1
oa_version: Submitted Version
publication: Brain
publication_identifier:
  eissn:
  - 1460-2156
  issn:
  - 0006-8950
publication_status: epub_ahead
publisher: Oxford University Press
quality_controlled: '1'
scopus_import: '1'
status: public
title: Bi-allelic ACBD6 variants lead to a neurodevelopmental syndrome with progressive
  and complex movement disorders
type: journal_article
user_id: 2DF688A6-F248-11E8-B48F-1D18A9856A87
year: '2023'
...
---
_id: '14639'
abstract:
- lang: eng
  text: "Background: Biallelic variants in OGDHL, encoding part of the α-ketoglutarate
    dehydrogenase complex, have been associated with highly heterogeneous neurological
    and neurodevelopmental disorders. However, the validity of this association remains
    to be confirmed. A second OGDHL patient cohort was recruited to carefully assess
    the gene-disease relationship.\r\nMethods: Using an unbiased genotype-first approach,
    we screened large, multiethnic aggregated sequencing datasets worldwide for biallelic
    OGDHL variants. We used CRISPR/Cas9 to generate zebrafish knockouts of ogdhl,
    ogdh paralogs, and dhtkd1 to investigate functional relationships and impact during
    development. Functional complementation with patient variant transcripts was conducted
    to systematically assess protein functionality as a readout for pathogenicity.\r\nResults:
    A cohort of 14 individuals from 12 unrelated families exhibited highly variable
    clinical phenotypes, with the majority of them presenting at least one additional
    variant, potentially accounting for a blended phenotype and complicating phenotypic
    understanding. We also uncovered extreme clinical heterogeneity and high allele
    frequencies, occasionally incompatible with a fully penetrant recessive disorder.
    Human cDNA of previously described and new variants were tested in an ogdhl zebrafish
    knockout model, adding functional evidence for variant reclassification. We disclosed
    evidence of hypomorphic alleles as well as a loss-of-function variant without
    deleterious effects in zebrafish variant testing also showing discordant familial
    segregation, challenging the relationship of OGDHL as a conventional Mendelian
    gene. Going further, we uncovered evidence for a complex compensatory relationship
    among OGDH, OGDHL, and DHTKD1 isoenzymes that are associated with neurodevelopmental
    disorders and exhibit complex transcriptional compensation patterns with partial
    functional redundancy.\r\nConclusions: Based on the results of genetic, clinical,
    and functional studies, we formed three hypotheses in which to frame observations:
    biallelic OGDHL variants lead to a highly variable monogenic disorder, variants
    in OGDHL are following a complex pattern of inheritance, or they may not be causative
    at all. Our study further highlights the continuing challenges of assessing the
    validity of reported disease-gene associations and effects of variants identified
    in these genes. This is particularly more complicated in making genetic diagnoses
    based on identification of variants in genes presenting a highly heterogenous
    phenotype such as “OGDHL-related disorders”."
article_number: '102'
article_processing_charge: Yes
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: Tracy
  full_name: Lau, Tracy
  last_name: Lau
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Maha S.
  full_name: Zaki, Maha S.
  last_name: Zaki
- first_name: Huda Shujaa
  full_name: Aldeen, Huda Shujaa
  last_name: Aldeen
- first_name: Ehsan Ghayoor
  full_name: Karimiani, Ehsan Ghayoor
  last_name: Karimiani
- first_name: Clarissa
  full_name: Rocca, Clarissa
  last_name: Rocca
- first_name: Mahmoud M.
  full_name: Noureldeen, Mahmoud M.
  last_name: Noureldeen
- first_name: Ahmed K.
  full_name: Saad, Ahmed K.
  last_name: Saad
- first_name: Cassidy
  full_name: Petree, Cassidy
  last_name: Petree
- first_name: Tobias
  full_name: Bartolomaeus, Tobias
  last_name: Bartolomaeus
- first_name: Rami
  full_name: Abou Jamra, Rami
  last_name: Abou Jamra
- first_name: Giovanni
  full_name: Zifarelli, Giovanni
  last_name: Zifarelli
- first_name: Aditi
  full_name: Gotkhindikar, Aditi
  last_name: Gotkhindikar
- first_name: Ingrid M.
  full_name: Wentzensen, Ingrid M.
  last_name: Wentzensen
- first_name: Mingjuan
  full_name: Liao, Mingjuan
  last_name: Liao
- first_name: Emalyn Elise
  full_name: Cork, Emalyn Elise
  last_name: Cork
- first_name: Pratishtha
  full_name: Varshney, Pratishtha
  last_name: Varshney
- first_name: Narges
  full_name: Hashemi, Narges
  last_name: Hashemi
- first_name: Mohammad Hasan
  full_name: Mohammadi, Mohammad Hasan
  last_name: Mohammadi
- first_name: Aboulfazl
  full_name: Rad, Aboulfazl
  last_name: Rad
- first_name: Juanita
  full_name: Neira, Juanita
  last_name: Neira
- first_name: Mehran Beiraghi
  full_name: Toosi, Mehran Beiraghi
  last_name: Toosi
- first_name: Cordula
  full_name: Knopp, Cordula
  last_name: Knopp
- first_name: Ingo
  full_name: Kurth, Ingo
  last_name: Kurth
- first_name: Thomas D.
  full_name: Challman, Thomas D.
  last_name: Challman
- first_name: Rebecca
  full_name: Smith, Rebecca
  last_name: Smith
- first_name: Asmahan
  full_name: Abdalla, Asmahan
  last_name: Abdalla
- first_name: Thomas
  full_name: Haaf, Thomas
  last_name: Haaf
- first_name: Mohnish
  full_name: Suri, Mohnish
  last_name: Suri
- first_name: Manali
  full_name: Joshi, Manali
  last_name: Joshi
- first_name: Wendy K.
  full_name: Chung, Wendy K.
  last_name: Chung
- first_name: Andres
  full_name: Moreno-De-Luca, Andres
  last_name: Moreno-De-Luca
- first_name: Henry
  full_name: Houlden, Henry
  last_name: Houlden
- first_name: Reza
  full_name: Maroofian, Reza
  last_name: Maroofian
- first_name: Gaurav K.
  full_name: Varshney, Gaurav K.
  last_name: Varshney
citation:
  ama: Lin S-J, Vona B, Lau T, et al. Evaluating the association of biallelic OGDHL
    variants with significant phenotypic heterogeneity. <i>Genome Medicine</i>. 2023;15.
    doi:<a href="https://doi.org/10.1186/s13073-023-01258-4">10.1186/s13073-023-01258-4</a>
  apa: Lin, S.-J., Vona, B., Lau, T., Huang, K., Zaki, M. S., Aldeen, H. S., … Varshney,
    G. K. (2023). Evaluating the association of biallelic OGDHL variants with significant
    phenotypic heterogeneity. <i>Genome Medicine</i>. Springer Nature. <a href="https://doi.org/10.1186/s13073-023-01258-4">https://doi.org/10.1186/s13073-023-01258-4</a>
  chicago: Lin, Sheng-Jia, Barbara Vona, Tracy Lau, Kevin Huang, Maha S. Zaki, Huda
    Shujaa Aldeen, Ehsan Ghayoor Karimiani, et al. “Evaluating the Association of
    Biallelic OGDHL Variants with Significant Phenotypic Heterogeneity.” <i>Genome
    Medicine</i>. Springer Nature, 2023. <a href="https://doi.org/10.1186/s13073-023-01258-4">https://doi.org/10.1186/s13073-023-01258-4</a>.
  ieee: S.-J. Lin <i>et al.</i>, “Evaluating the association of biallelic OGDHL variants
    with significant phenotypic heterogeneity,” <i>Genome Medicine</i>, vol. 15. Springer
    Nature, 2023.
  ista: Lin S-J, Vona B, Lau T, Huang K, Zaki MS, Aldeen HS, Karimiani EG, Rocca C,
    Noureldeen MM, Saad AK, Petree C, Bartolomaeus T, Abou Jamra R, Zifarelli G, Gotkhindikar
    A, Wentzensen IM, Liao M, Cork EE, Varshney P, Hashemi N, Mohammadi MH, Rad A,
    Neira J, Toosi MB, Knopp C, Kurth I, Challman TD, Smith R, Abdalla A, Haaf T,
    Suri M, Joshi M, Chung WK, Moreno-De-Luca A, Houlden H, Maroofian R, Varshney
    GK. 2023. Evaluating the association of biallelic OGDHL variants with significant
    phenotypic heterogeneity. Genome Medicine. 15, 102.
  mla: Lin, Sheng-Jia, et al. “Evaluating the Association of Biallelic OGDHL Variants
    with Significant Phenotypic Heterogeneity.” <i>Genome Medicine</i>, vol. 15, 102,
    Springer Nature, 2023, doi:<a href="https://doi.org/10.1186/s13073-023-01258-4">10.1186/s13073-023-01258-4</a>.
  short: S.-J. Lin, B. Vona, T. Lau, K. Huang, M.S. Zaki, H.S. Aldeen, E.G. Karimiani,
    C. Rocca, M.M. Noureldeen, A.K. Saad, C. Petree, T. Bartolomaeus, R. Abou Jamra,
    G. Zifarelli, A. Gotkhindikar, I.M. Wentzensen, M. Liao, E.E. Cork, P. Varshney,
    N. Hashemi, M.H. Mohammadi, A. Rad, J. Neira, M.B. Toosi, C. Knopp, I. Kurth,
    T.D. Challman, R. Smith, A. Abdalla, T. Haaf, M. Suri, M. Joshi, W.K. Chung, A.
    Moreno-De-Luca, H. Houlden, R. Maroofian, G.K. Varshney, Genome Medicine 15 (2023).
date_created: 2023-12-04T08:10:55Z
date_published: 2023-11-23T00:00:00Z
date_updated: 2023-12-04T08:17:22Z
day: '23'
ddc:
- '570'
doi: 10.1186/s13073-023-01258-4
extern: '1'
file:
- access_level: open_access
  checksum: 279efd212005549aba817a487d56d363
  content_type: application/pdf
  creator: dernst
  date_created: 2023-12-04T08:15:43Z
  date_updated: 2023-12-04T08:15:43Z
  file_id: '14640'
  file_name: 2023_GenomeMed_Lin.pdf
  file_size: 14791081
  relation: main_file
  success: 1
file_date_updated: 2023-12-04T08:15:43Z
has_accepted_license: '1'
intvolume: '        15'
keyword:
- Genetics (clinical)
- Genetics
- Molecular Biology
- Molecular Medicine
language:
- iso: eng
month: '11'
oa: 1
oa_version: Published Version
publication: Genome Medicine
publication_identifier:
  issn:
  - 1756-994X
publication_status: published
publisher: Springer Nature
quality_controlled: '1'
status: public
title: Evaluating the association of biallelic OGDHL variants with significant phenotypic
  heterogeneity
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: 15
year: '2023'
...
---
_id: '14355'
abstract:
- lang: eng
  text: 'Purpose: The mediator (MED) multisubunit-complex modulates the activity of
    the transcriptional machinery, and genetic defects in different MED subunits (17,
    20, 27) have been implicated in neurologic diseases. In this study, we identified
    a recurrent homozygous variant in MED11 (c.325C>T; p.Arg109Ter) in 7 affected
    individuals from 5 unrelated families. Methods: To investigate the genetic cause
    of the disease, exome or genome sequencing were performed in 5 unrelated families
    identified via different research networks and Matchmaker Exchange. Deep clinical
    and brain imaging evaluations were performed by clinical pediatric neurologists
    and neuroradiologists. The functional effect of the candidate variant on both
    MED11 RNA and protein was assessed using reverse transcriptase polymerase chain
    reaction and western blotting using fibroblast cell lines derived from 1 affected
    individual and controls and through computational approaches. Knockouts in zebrafish
    were generated using clustered regularly interspaced short palindromic repeats/Cas9.
    Results: The disease was characterized by microcephaly, profound neurodevelopmental
    impairment, exaggerated startle response, myoclonic seizures, progressive widespread
    neurodegeneration, and premature death. Functional studies on patient-derived
    fibroblasts did not show a loss of protein function but rather disruption of the
    C-terminal of MED11, likely impairing binding to other MED subunits. A zebrafish
    knockout model recapitulates key clinical phenotypes. Conclusion: Loss of the
    C-terminal of MED subunit 11 may affect its binding efficiency to other MED subunits,
    thus implicating the MED-complex stability in brain development and neurodegeneration.
    (C) 2022 The Authors. Published by Elsevier Inc. on behalf of American College
    of Medical Genetics and Genomics.'
article_processing_charge: No
article_type: original
author:
- first_name: Elisa
  full_name: Cali, Elisa
  last_name: Cali
- first_name: Sheng-Jia
  full_name: Lin, Sheng-Jia
  last_name: Lin
- first_name: Clarissa
  full_name: Rocca, Clarissa
  last_name: Rocca
- first_name: Yavuz
  full_name: Sahin, Yavuz
  last_name: Sahin
- first_name: Aisha
  full_name: Al Shamsi, Aisha
  last_name: Al Shamsi
- first_name: Salima
  full_name: El Chehadeh, Salima
  last_name: El Chehadeh
- first_name: Myriam
  full_name: Chaabouni, Myriam
  last_name: Chaabouni
- first_name: Kshitij
  full_name: Mankad, Kshitij
  last_name: Mankad
- first_name: Evangelia
  full_name: Galanaki, Evangelia
  last_name: Galanaki
- first_name: Stephanie
  full_name: Efthymiou, Stephanie
  last_name: Efthymiou
- first_name: Sniya
  full_name: Sudhakar, Sniya
  last_name: Sudhakar
- first_name: Alkyoni
  full_name: Athanasiou-Fragkouli, Alkyoni
  last_name: Athanasiou-Fragkouli
- first_name: Tamer
  full_name: Celik, Tamer
  last_name: Celik
- first_name: Nejat
  full_name: Narli, Nejat
  last_name: Narli
- first_name: Sebastiano
  full_name: Bianca, Sebastiano
  last_name: Bianca
- first_name: David
  full_name: Murphy, David
  last_name: Murphy
- first_name: Francisco Martins De Carvalho
  full_name: Moreira, Francisco Martins De Carvalho
  last_name: Moreira
- first_name: Andrea
  full_name: Accogli, Andrea
  last_name: Accogli
- first_name: Cassidy
  full_name: Petree, Cassidy
  last_name: Petree
- first_name: Kevin
  full_name: Huang, Kevin
  id: 3b3d2888-1ff6-11ee-9fa6-8f209ca91fe3
  last_name: Huang
  orcid: 0000-0002-2512-7812
- first_name: Kamel
  full_name: Monastiri, Kamel
  last_name: Monastiri
- first_name: Masoud
  full_name: Edizadeh, Masoud
  last_name: Edizadeh
- first_name: Rosaria
  full_name: Nardello, Rosaria
  last_name: Nardello
- first_name: Marzia
  full_name: Ognibene, Marzia
  last_name: Ognibene
- first_name: Patrizia
  full_name: De Marco, Patrizia
  last_name: De Marco
- first_name: Martino
  full_name: Ruggieri, Martino
  last_name: Ruggieri
- first_name: Federico
  full_name: Zara, Federico
  last_name: Zara
- first_name: Pasquale
  full_name: Striano, Pasquale
  last_name: Striano
- first_name: Yavuz
  full_name: Sahin, Yavuz
  last_name: Sahin
- first_name: Lihadh
  full_name: Al-Gazali, Lihadh
  last_name: Al-Gazali
- first_name: Marie Therese Abi
  full_name: Warde, Marie Therese Abi
  last_name: Warde
- first_name: Benedicte
  full_name: Gerard, Benedicte
  last_name: Gerard
- first_name: Giovanni
  full_name: Zifarelli, Giovanni
  last_name: Zifarelli
- first_name: Christian
  full_name: Beetz, Christian
  last_name: Beetz
- first_name: Sara
  full_name: Fortuna, Sara
  last_name: Fortuna
- first_name: Miguel
  full_name: Soler, Miguel
  last_name: Soler
- first_name: Enza Maria
  full_name: Valente, Enza Maria
  last_name: Valente
- first_name: Gaurav
  full_name: Varshney, Gaurav
  last_name: Varshney
- first_name: Reza
  full_name: Maroofian, Reza
  last_name: Maroofian
- first_name: Vincenzo
  full_name: Salpietro, Vincenzo
  last_name: Salpietro
- first_name: Henry
  full_name: Houlden, Henry
  last_name: Houlden
- first_name: SYNaPS Study
  full_name: Grp, SYNaPS Study
  last_name: Grp
citation:
  ama: Cali E, Lin S-J, Rocca C, et al. A homozygous MED11 C-terminal variant causes
    a lethal neurodegenerative disease. <i>Genetics in Medicine</i>. 2022;24(10):2194-2203.
    doi:<a href="https://doi.org/10.1016/j.gim.2022.07.013">10.1016/j.gim.2022.07.013</a>
  apa: Cali, E., Lin, S.-J., Rocca, C., Sahin, Y., Al Shamsi, A., El Chehadeh, S.,
    … Grp, Syn. S. (2022). A homozygous MED11 C-terminal variant causes a lethal neurodegenerative
    disease. <i>Genetics in Medicine</i>. Elsevier. <a href="https://doi.org/10.1016/j.gim.2022.07.013">https://doi.org/10.1016/j.gim.2022.07.013</a>
  chicago: Cali, Elisa, Sheng-Jia Lin, Clarissa Rocca, Yavuz Sahin, Aisha Al Shamsi,
    Salima El Chehadeh, Myriam Chaabouni, et al. “A Homozygous MED11 C-Terminal Variant
    Causes a Lethal Neurodegenerative Disease.” <i>Genetics in Medicine</i>. Elsevier,
    2022. <a href="https://doi.org/10.1016/j.gim.2022.07.013">https://doi.org/10.1016/j.gim.2022.07.013</a>.
  ieee: E. Cali <i>et al.</i>, “A homozygous MED11 C-terminal variant causes a lethal
    neurodegenerative disease,” <i>Genetics in Medicine</i>, vol. 24, no. 10. Elsevier,
    pp. 2194–2203, 2022.
  ista: Cali E, Lin S-J, Rocca C, Sahin Y, Al Shamsi A, El Chehadeh S, Chaabouni M,
    Mankad K, Galanaki E, Efthymiou S, Sudhakar S, Athanasiou-Fragkouli A, Celik T,
    Narli N, Bianca S, Murphy D, Moreira FMDC, Accogli A, Petree C, Huang K, Monastiri
    K, Edizadeh M, Nardello R, Ognibene M, De Marco P, Ruggieri M, Zara F, Striano
    P, Sahin Y, Al-Gazali L, Warde MTA, Gerard B, Zifarelli G, Beetz C, Fortuna S,
    Soler M, Valente EM, Varshney G, Maroofian R, Salpietro V, Houlden H, Grp SynS.
    2022. A homozygous MED11 C-terminal variant causes a lethal neurodegenerative
    disease. Genetics in Medicine. 24(10), 2194–2203.
  mla: Cali, Elisa, et al. “A Homozygous MED11 C-Terminal Variant Causes a Lethal
    Neurodegenerative Disease.” <i>Genetics in Medicine</i>, vol. 24, no. 10, Elsevier,
    2022, pp. 2194–203, doi:<a href="https://doi.org/10.1016/j.gim.2022.07.013">10.1016/j.gim.2022.07.013</a>.
  short: E. Cali, S.-J. Lin, C. Rocca, Y. Sahin, A. Al Shamsi, S. El Chehadeh, M.
    Chaabouni, K. Mankad, E. Galanaki, S. Efthymiou, S. Sudhakar, A. Athanasiou-Fragkouli,
    T. Celik, N. Narli, S. Bianca, D. Murphy, F.M.D.C. Moreira, A. Accogli, C. Petree,
    K. Huang, K. Monastiri, M. Edizadeh, R. Nardello, M. Ognibene, P. De Marco, M.
    Ruggieri, F. Zara, P. Striano, Y. Sahin, L. Al-Gazali, M.T.A. Warde, B. Gerard,
    G. Zifarelli, C. Beetz, S. Fortuna, M. Soler, E.M. Valente, G. Varshney, R. Maroofian,
    V. Salpietro, H. Houlden, Syn.S. Grp, Genetics in Medicine 24 (2022) 2194–2203.
date_created: 2023-09-20T20:57:18Z
date_published: 2022-10-01T00:00:00Z
date_updated: 2023-09-25T08:57:07Z
day: '01'
ddc:
- '570'
department:
- _id: GradSch
doi: 10.1016/j.gim.2022.07.013
extern: '1'
file:
- access_level: open_access
  checksum: 8117175a89129eb5022d81ffe7625f9f
  content_type: application/pdf
  creator: dernst
  date_created: 2023-09-25T08:56:06Z
  date_updated: 2023-09-25T08:56:06Z
  file_id: '14371'
  file_name: 2022_GeneticsMedicine_Calin.pdf
  file_size: 1434037
  relation: main_file
  success: 1
file_date_updated: 2023-09-25T08:56:06Z
has_accepted_license: '1'
intvolume: '        24'
issue: '10'
keyword:
- Human mediator complex
- MED11
- MEDopathies
language:
- iso: eng
month: '10'
oa: 1
oa_version: Published Version
page: 2194-2203
publication: Genetics in Medicine
publication_identifier:
  issn:
  - 1098-3600
publication_status: published
publisher: Elsevier
quality_controlled: '1'
scopus_import: '1'
status: public
title: A homozygous MED11 C-terminal variant causes a lethal neurodegenerative disease
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: 24
year: '2022'
...
---
_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'
...
