A recurrent de novo variant in NUSAP1 escapes nonsense-mediated decay and leads to microcephaly, epilepsy, and developmental delay

© 2023 The Authors. Clinical Genetics published by John Wiley & Sons Ltd..

NUSAP1 encodes a cell cycle-dependent protein with key roles in mitotic progression, spindle formation, and microtubule stability. Both over- and under-expression of NUSAP1 lead to dysregulation of mitosis and impaired cell proliferation. Through exome sequencing and Matchmaker Exchange, we identified two unrelated individuals with the same recurrent, de novo heterozygous variant (NM_016359.5 c.1209C > A; p.(Tyr403Ter)) in NUSAP1. Both individuals had microcephaly, severe developmental delay, brain abnormalities, and seizures. The gene is predicted to be tolerant of heterozygous loss-of-function mutations, and we show that the mutant transcript escapes nonsense mediated decay, suggesting that the mechanism is likely dominant-negative or toxic gain of function. Single-cell RNA-sequencing of an affected individual's post-mortem brain tissue indicated that the NUSAP1 mutant brain contains all main cell lineages, and that the microcephaly could not be attributed to loss of a specific cell type. We hypothesize that pathogenic variants in NUSAP1 lead to microcephaly possibly by an underlying defect in neural progenitor cells.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:104

Enthalten in:

Clinical genetics - 104(2023), 1 vom: 03. Juli, Seite 73-80

Sprache:

Englisch

Beteiligte Personen:

Mo, Alisa [VerfasserIn]
Paz-Ebstein, Emuna [VerfasserIn]
Yanovsky-Dagan, Shira [VerfasserIn]
Lai, Abbe [VerfasserIn]
Mor-Shaked, Hagar [VerfasserIn]
Gilboa, Tal [VerfasserIn]
Yang, Edward [VerfasserIn]
Shao, Diane D [VerfasserIn]
Walsh, Christopher A [VerfasserIn]
Harel, Tamar [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Exome sequencing
Journal Article
Mendelian genetics
Microcephaly
NUSAP1
Nonsense mediated decay
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 13.06.2023

Date Revised 21.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/cge.14335

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM355101912