A novel homozygous splice site mutation in NALCN identified in siblings with cachexia, strabismus, severe intellectual disability, epilepsy and abnormal respiratory rhythm

  • Moran Gal
  • , Daniella Magen
  • , Younan Zahran
  • , Ayelet Eran
  • , Morad Khayat
  • , Chen Gafni
  • , Erez Y. Levanon
  • , Hanna Mandel
  • , Sarit Ravidi

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

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 languageEnglish
Pages (from-to)204-209
Number of pages6
JournalEuropean Journal of Medical Genetics
Volume59
Issue number4
DOIs
StatePublished - 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 ].

FundersFunder number
Israel Science Foundation41/11, 1796/12
Planning and Budgeting Committee of the Council for Higher Education of Israel

    Keywords

    • Abnormal respiratory rhythm
    • Cachexia
    • Intellectual disability
    • NALCN gene
    • Seizures

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