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ATP2B2 de novo variants as a cause of variable neurodevelopmental disorders that feature dystonia, ataxia, intellectual disability, behavioral symptoms, and seizures
E. Poggio, L. Barazzuol, A. Salmaso, C. Milani, A. Deligiannopoulou, ÁG. Cazorla, SS. Jang, N. Juliá-Palacios, B. Keren, R. Kopajtich, SA. Lynch, C. Mignot, C. Moorwood, C. Neuhofer, V. Nigro, A. Oostra, H. Prokisch, V. Saillour, N. Schuermans,...
Language English Country United States
Document type Journal Article
- MeSH
- Plasma Membrane Calcium-Transporting ATPases MeSH
- Behavioral Symptoms MeSH
- Cerebellar Ataxia * genetics MeSH
- Dystonia * genetics MeSH
- Phenotype MeSH
- Humans MeSH
- Intellectual Disability * genetics MeSH
- Mice MeSH
- Hearing Loss * MeSH
- Neurodevelopmental Disorders * genetics MeSH
- Calcium MeSH
- Seizures genetics MeSH
- Animals MeSH
- Check Tag
- Humans MeSH
- Mice MeSH
- Animals MeSH
- Publication type
- Journal Article MeSH
PURPOSE: ATP2B2 encodes the variant-constrained plasma-membrane calcium-transporting ATPase-2, expressed in sensory ear cells and specialized neurons. ATP2B2/Atp2b2 variants were previously linked to isolated hearing loss in patients and neurodevelopmental deficits with ataxia in mice. We aimed to establish the association between ATP2B2 and human neurological disorders. METHODS: Multinational case recruitment, scrutiny of trio-based genomics data, in silico analyses, and functional variant characterization were performed. RESULTS: We assembled 7 individuals harboring rare, predicted deleterious heterozygous ATP2B2 variants. The alleles comprised 5 missense substitutions that affected evolutionarily conserved sites and 2 frameshift variants in the penultimate exon. For 6 variants, a de novo status was confirmed. Unlike described patients with hearing loss, the individuals displayed a spectrum of neurological abnormalities, ranging from ataxia with dystonic features to complex neurodevelopmental manifestations with intellectual disability, autism, and seizures. Two cases with recurrent amino-acid variation showed distinctive overlap with cerebellar atrophy-associated ataxia and epilepsy. In cell-based studies, all variants caused significant alterations in cytosolic calcium handling with both loss- and gain-of-function effects. CONCLUSION: Presentations in our series recapitulate key phenotypic aspects of Atp2b2-mouse models and underline the importance of precise calcium regulation for neurodevelopment and cerebellar function. Our study documents a role for ATP2B2 variants in causing heterogeneous neurodevelopmental and movement-disorder syndromes.
2nd Department of Neurology Faculty of Medicine Comenius University Bratislava Slovakia
Center for Medical Genetics Ghent Ghent University Hospital Ghent Belgium
Centro Studi per la Neurodegenerazione University of Padua Padua Italy
Department of Biology University of Padua Padua Italy
Department of Biomedical Sciences University of Padua Padua Italy
Department of Biomolecular Medicine Ghent University Hospital Ghent Belgium
Department of Clinical Genetics Temple Street Children's University Hospital Dublin Ireland
Department of Neurology Zvolen Hospital Zvolen Slovakia
Department of Precision Medicine University of Campania Luigi Vanvitelli Napoli Italy
European Reference Network for Hereditary Metabolic Diseases Madrid Spain
Institute for Advanced Study Technical University of Munich Garching Germany
Institute of Human Genetics School of Medicine Technical University of Munich Munich Germany
Institute of Neurogenomics Helmholtz Zentrum München Munich Germany
Laboratoire de biologie médicale multisites Seqoia FMG2025 Paris France
Munich Cluster for Systems Neurology SyNergy Munich Germany
Neuroscience Center University of Padua Padua Italy
Seoul National University College of Medicine Seoul South Korea
References provided by Crossref.org
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