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De Novo Heterozygous POLR2A Variants Cause a Neurodevelopmental Syndrome with Profound Infantile-Onset Hypotonia
HA. Haijes, MJE. Koster, H. Rehmann, D. Li, H. Hakonarson, G. Cappuccio, M. Hancarova, D. Lehalle, W. Reardon, GB. Schaefer, A. Lehman, IMBH. van de Laar, CD. Tesselaar, C. Turner, A. Goldenberg, S. Patrier, J. Thevenon, M. Pinelli, N....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, práce podpořená grantem
Grantová podpora
NV17-29423A
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Článek
NLK
Cell Press Free Archives
od 1997-01-01 do Před 6 měsíci
Free Medical Journals
od 1949 do Před 6 měsíci
PubMed Central
od 1949 do Před 6 měsíci
Europe PubMed Central
od 1949 do Před 6 měsíci
Open Access Digital Library
od 2005-01-01
- MeSH
- dítě MeSH
- DNA řízené RNA-polymerasy genetika MeSH
- fenotyp MeSH
- HeLa buňky MeSH
- heterozygot MeSH
- lidé MeSH
- mladiství MeSH
- mutace * MeSH
- neurovývojové poruchy enzymologie genetika patologie MeSH
- předškolní dítě MeSH
- Saccharomyces cerevisiae genetika růst a vývoj metabolismus MeSH
- svalová hypotonie enzymologie genetika patologie MeSH
- věk při počátku nemoci MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
The RNA polymerase II complex (pol II) is responsible for transcription of all ∼21,000 human protein-encoding genes. Here, we describe sixteen individuals harboring de novo heterozygous variants in POLR2A, encoding RPB1, the largest subunit of pol II. An iterative approach combining structural evaluation and mass spectrometry analyses, the use of S. cerevisiae as a model system, and the assessment of cell viability in HeLa cells allowed us to classify eleven variants as probably disease-causing and four variants as possibly disease-causing. The significance of one variant remains unresolved. By quantification of phenotypic severity, we could distinguish mild and severe phenotypic consequences of the disease-causing variants. Missense variants expected to exert only mild structural effects led to a malfunctioning pol II enzyme, thereby inducing a dominant-negative effect on gene transcription. Intriguingly, individuals carrying these variants presented with a severe phenotype dominated by profound infantile-onset hypotonia and developmental delay. Conversely, individuals carrying variants expected to result in complete loss of function, thus reduced levels of functional pol II from the normal allele, exhibited the mildest phenotypes. We conclude that subtle variants that are central in functionally important domains of POLR2A cause a neurodevelopmental syndrome characterized by profound infantile-onset hypotonia and developmental delay through a dominant-negative effect on pol-II-mediated transcription of DNA.
Center for Applied Genomics the Children's Hospital of Philadelphia Philadelphia PA 19104 USA
Department of Clinical Genetics Odense University Hospital 5000 Odense Denmark
Department of Genetics Centre Hospitalier Universitaire de Dijon 21000 Dijon France
Department of Medicine the University of Melbourne VIC 3010 Melbourne Australia
Department of Pediatrics Amphia Hospital Breda 4818 CK Breda the Netherlands
Department of Pediatrics Duke University School of Medicine Durham North Carolina NC 27710 USA
Department of Translational Medicine Federico 2 University 80126 Naples Italy
Division of Human Genetics the Children's Hospital of Philadelphia Philadelphia PA 19104 USA
German Cancer Consortium 79106 Heidelberg Germany
H C Andersen Children Hospital Odense University Hospital 5000 Odense Denmark
Perelman School of Medicine University of Pennsylvania Philadelphia PA 19104 USA
Telethon Institute of Genetics and Medicine Pozzuoli 80126 Naples Italy
Citace poskytuje Crossref.org
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- $a Haijes, Hanneke A $u Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, 3584 EA Utrecht, the Netherlands; Department of Biomedical Genetics, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, 3584 EA Utrecht, the Netherlands; German Cancer Consortium (DKTK) standort Freiburg and German Cancer Research Center (DKFZ), 79106 Heidelberg, Germany.
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- $a De Novo Heterozygous POLR2A Variants Cause a Neurodevelopmental Syndrome with Profound Infantile-Onset Hypotonia / $c HA. Haijes, MJE. Koster, H. Rehmann, D. Li, H. Hakonarson, G. Cappuccio, M. Hancarova, D. Lehalle, W. Reardon, GB. Schaefer, A. Lehman, IMBH. van de Laar, CD. Tesselaar, C. Turner, A. Goldenberg, S. Patrier, J. Thevenon, M. Pinelli, N. Brunetti-Pierri, D. Prchalová, M. Havlovicová, M. Vlckova, Z. Sedláček, E. Lopez, V. Ragoussis, AT. Pagnamenta, U. Kini, HR. Vos, RM. van Es, RFMA. van Schaik, TAJ. van Essen, M. Kibaek, JC. Taylor, J. Sullivan, V. Shashi, S. Petrovski, C. Fagerberg, DM. Martin, KLI. van Gassen, R. Pfundt, MJ. Falk, EM. McCormick, HTM. Timmers, PM. van Hasselt,
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- $a The RNA polymerase II complex (pol II) is responsible for transcription of all ∼21,000 human protein-encoding genes. Here, we describe sixteen individuals harboring de novo heterozygous variants in POLR2A, encoding RPB1, the largest subunit of pol II. An iterative approach combining structural evaluation and mass spectrometry analyses, the use of S. cerevisiae as a model system, and the assessment of cell viability in HeLa cells allowed us to classify eleven variants as probably disease-causing and four variants as possibly disease-causing. The significance of one variant remains unresolved. By quantification of phenotypic severity, we could distinguish mild and severe phenotypic consequences of the disease-causing variants. Missense variants expected to exert only mild structural effects led to a malfunctioning pol II enzyme, thereby inducing a dominant-negative effect on gene transcription. Intriguingly, individuals carrying these variants presented with a severe phenotype dominated by profound infantile-onset hypotonia and developmental delay. Conversely, individuals carrying variants expected to result in complete loss of function, thus reduced levels of functional pol II from the normal allele, exhibited the mildest phenotypes. We conclude that subtle variants that are central in functionally important domains of POLR2A cause a neurodevelopmental syndrome characterized by profound infantile-onset hypotonia and developmental delay through a dominant-negative effect on pol-II-mediated transcription of DNA.
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