Abstract
We studied three siblings, born to consanguineous parents who presented with severe intellectual disability, cachexia, strabismus, seizures and episodes of abnormal respiratory rhythm. Whole exome sequencing led to identification of a novel homozygous splice site mutation, IVS29-1G > A in the NALCN gene, that resulted in aberrant transcript in the patients. NALCN encodes a voltage-independent cation channel, involved in regulation of neuronal excitability. Three homozygous mutations in the NALCN gene were previously identified in only eight patients with severe hypotonia, speech impairment, cognitive delay, constipation and Infantile-Neuroaxonal-dystrophy- like symptoms. Our patients broaden the clinical spectrum associated with recessive mutations in NALCN, featuring also disrupted respiratory rhythm mimicking homozygous Nalcn knockout mice.
| Original language | English |
|---|---|
| Pages (from-to) | 204-209 |
| Number of pages | 6 |
| Journal | European Journal of Medical Genetics |
| Volume | 59 |
| Issue number | 4 |
| DOIs | |
| State | Published - 1 Apr 2016 |
Bibliographical note
Publisher Copyright:© 2016 Elsevier Masson SAS.
Funding
We Thanks Alona Zilberberg and Nurit Gal-Mark for their assistance with the cell lines culture and RNA extraction procedures. We thank Orly Elpeleg for reviewing the exome data and helpful suggestions. This work was supported by the I-CORE Program of the Planning and Budgeting Committee and the Israel Science Foundation [ 41/11 and 1796/12 ].
| Funders | Funder number |
|---|---|
| Israel Science Foundation | 41/11, 1796/12 |
| Planning and Budgeting Committee of the Council for Higher Education of Israel |
Keywords
- Abnormal respiratory rhythm
- Cachexia
- Intellectual disability
- NALCN gene
- Seizures