Variants in CPLX1 in two families with autosomal-recessive severe infantile myoclonic epilepsy and ID
Open accessAbstract
For a large number of individuals with intellectual disability (ID), the molecular basis of the disorder is still unknown. However, whole-exome sequencing (WES) is providing more and more insights into the genetic landscape of ID. In the present study, we performed trio-based WES in 311 patients with unsolved ID and additional clinical features, and identified homozygous CPLX1 variants in three patients with ID from two unrelated families. All displayed marked developmental delay and migrating myoclonic epilepsy, and one showed a cerebellar cleft in addition. The encoded protein, complexin 1, is crucially involved in neuronal synaptic regulation, and homozygous Cplx1 knockout mice have the earliest known onset of ataxia seen in a mouse model. Recently, a homozygous truncating variant in CPLX1 was suggested to be causative for migrating epilepsy and structural brain abnormalities. ID was not reported although it cannot be completely ruled out. However, the currently limited knowledge on CPLX1 suggests that loss of complexin 1 function may lead to a complex but variable clinical phenotype, and our findings encourage further investigations of CPLX1 in patients with ID, developmental delay and myoclonic epilepsy to unravel the phenotypic spectrum of carriers of CPLX1 variants.
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Self-citation
- Authors
- Redler, S., Strom, T. M., Wieland, T., Cremer, K., Engels, H., Distelmaier, F., Schaper, J., Küchler, A., Lemke, J. R., Jeschke, S., Schreyer, N., Sticht, H., Koch, M., Lüdecke, H.-J., & Wieczorek, D.
- Affiliations
- Heinrich Heine University Düsseldorf (DE)
- Helmholtz Munich (DE)
- University of Bonn (DE)
- University of Duisburg-Essen (DE)
- Leipzig University (DE)
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Witten/Herdecke University (DE)
- Corresponding author
- Redler, Silke
- ORCID
- Venue
- European Journal of Human Genetics
- Published
- 2017-04-19
- Volume
- 25
- Issue
- 7
- Pages
- 889-893
- ISSN
- 1018-4813 (ISSN-L)
- 1476-5438
- PMC
- PMC5520065
- OpenAlex
- W2606727528
- Cited by
- 38
- References
- 12
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 5 · 2021: 4 · 2020: 7 · 2019: 2 · 2018: 3 · 2017: 1
- FWCI
- 2.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Journal of Human Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
- Site cant be reached (submittedVersion)
- PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Keywords
- complexin-1, intellectual disability, autosomal recessive inheritance, homozygous variant, developmental delay, synaptic regulation, phenotypic spectrum
- MeSH terms
- Child, Child, Preschool, Epilepsies, Myoclonic, Female, Genes, Recessive, Humans, Male, Intellectual Disability, Mutation, Nerve Tissue Proteins, Phenotype, Syndrome, Adaptor Proteins, Vesicular Transport
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