Homozygous missense mutation in the LMAN2L gene segregates with intellectual disability in a large consanguineous Pakistani family

Background Intellectual disability (ID) is a neurodevelopmental disorder affecting 1%-3% of the population worldwide. It is characterised by high phenotypic and genetic heterogeneity and in most cases the underlying cause of the disorder is unknown. In our study we investigated a large consanguineou...

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Main Authors: Rafiullah, Rafiullah (Author) , Aslamkhan, Muhammad (Author) , Paramasivam, Nagarajan (Author) , Thiel, Christian (Author) , Mustafa, Ghulam (Author) , Wiemann, Stefan (Author) , Schlesner, Matthias (Author) , Wade, Rebecca C. (Author) , Rappold, Gudrun (Author) , Berkel, Simone (Author)
Format: Article (Journal)
Language:English
Published: 2016
In: Journal of medical genetics
Year: 2016, Volume: 53, Issue: 2, Pages: 138-144
ISSN:1468-6244
DOI:10.1136/jmedgenet-2015-103179
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/jmedgenet-2015-103179
Verlag, lizenzpflichtig, Volltext: https://jmg.bmj.com/content/53/2/138
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Author Notes:Rafiullah Rafiullah, Muhammad Aslamkhan, Nagarajan Paramasivam, Christian Thiel, Ghulam Mustafa, Stefan Wiemann, Matthias Schlesner, Rebecca C Wade, Gudrun A Rappold, Simone Berkel

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520 |a Background Intellectual disability (ID) is a neurodevelopmental disorder affecting 1%-3% of the population worldwide. It is characterised by high phenotypic and genetic heterogeneity and in most cases the underlying cause of the disorder is unknown. In our study we investigated a large consanguineous family from Baluchistan, Pakistan, comprising seven affected individuals with a severe form of autosomal recessive ID (ARID) and epilepsy, to elucidate a putative genetic cause. - Methods and results Whole exome sequencing (WES) of a trio, including a child with ID and epilepsy and its healthy parents that were part of this large family, revealed a homozygous missense variant p.R53Q in the lectin mannose-binding 2-like (LMAN2L) gene. This homozygous variant was co-segregating in the family with the phenotype of severe ID and infantile epilepsy; unaffected family members were heterozygous variant carriers. The variant was predicted to be pathogenic by five different in silico programmes and further three-dimensional structure modelling of the protein suggests that variant p.R53Q may impair protein-protein interaction. LMAN2L (OMIM: 609552) encodes for the lectin, mannose-binding 2-like protein which is a cargo receptor in the endoplasmic reticulum important for glycoprotein transport. Genome-wide association studies have identified an association of LMAN2L to different neuropsychiatric disorders. - Conclusion This is the first report linking LMAN2L to a phenotype of severe ARID and seizures, indicating that the deleterious homozygous p.R53Q variant very likely causes the disorder. 
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