학술논문

Missense variants in DPYSL5 cause a neurodevelopmental disorder with corpus callosum agenesis and cerebellar abnormalities
Document Type
article
Source
American Journal of Human Genetics. 108(5)
Subject
Biological Sciences
Biomedical and Clinical Sciences
Genetics
Rare Diseases
Neurosciences
Brain Disorders
Pediatric
Intellectual and Developmental Disabilities (IDD)
Mental Health
Aetiology
2.1 Biological and endogenous factors
Mental health
Neurological
Adult
Agenesis of Corpus Callosum
Cerebellum
Child
Child
Preschool
Female
Humans
Hydrolases
Intellectual Disability
Male
Microtubule-Associated Proteins
Models
Molecular
Mutation
Missense
Neurodevelopmental Disorders
Tubulin
Young Adult
DPYSL5
brain malformation
corpus callosum agenesis
de novo missense variants
dendrite branching
neurodevelopmental disorder
primary neuronal cultures
Medical and Health Sciences
Genetics & Heredity
Biological sciences
Biomedical and clinical sciences
Health sciences
Language
Abstract
The collapsin response mediator protein (CRMP) family proteins are intracellular mediators of neurotrophic factors regulating neurite structure/spine formation and are essential for dendrite patterning and directional axonal pathfinding during brain developmental processes. Among this family, CRMP5/DPYSL5 plays a significant role in neuronal migration, axonal guidance, dendrite outgrowth, and synapse formation by interacting with microtubules. Here, we report the identification of missense mutations in DPYSL5 in nine individuals with brain malformations, including corpus callosum agenesis and/or posterior fossa abnormalities, associated with variable degrees of intellectual disability. A recurrent de novo p.Glu41Lys variant was found in eight unrelated patients, and a p.Gly47Arg variant was identified in one individual from the first family reported with Ritscher-Schinzel syndrome. Functional analyses of the two missense mutations revealed impaired dendritic outgrowth processes in young developing hippocampal primary neuronal cultures. We further demonstrated that these mutations, both located in the same loop on the surface of DPYSL5 monomers and oligomers, reduced the interaction of DPYSL5 with neuronal cytoskeleton-associated proteins MAP2 and βIII-tubulin. Our findings collectively indicate that the p.Glu41Lys and p.Gly47Arg variants impair DPYSL5 function on dendritic outgrowth regulation by preventing the formation of the ternary complex with MAP2 and βIII-tubulin, ultimately leading to abnormal brain development. This study adds DPYSL5 to the list of genes implicated in brain malformation and in neurodevelopmental disorders.