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Kotzaeridou, U.* ; Young-Baird, S.K.* ; Suckow, V.* ; Thornburg, A.G.* ; Wagner, M. ; Harting, I.* ; Christ, S.* ; Strom, T.M. ; Dever, T.E.* ; Kalscheuer, V.M.*

Novel pathogenic EIF2S3 missense variants causing clinically variable MEHMO syndrome with impaired eIF2γ translational function, and literature review.

Clin. Genet. 98, 507-514 (2020)
Postprint DOI
Open Access Green
Rare pathogenicEIF2S3missense and terminal deletion variants cause the X-linked intellectual disability (ID) syndrome MEHMO, or a milder phenotype including pancreatic dysfunction and hypopituitarism. We present two unrelated male patients who carry novelEIF2S3pathogenic missense variants (p.(Thr144Ile) and p.(Ile159Leu)) thereby broadening the limited genetic spectrum and underscoring clinically variable expressivity of MEHMO. While the affected male with p.(Thr144Ile) presented with severe motor delay, severe microcephaly, moderate ID, epileptic seizures responsive to treatments, hypogenitalism, central obesity, facial features, and diabetes, the affected male with p.(Ile159Leu) presented with moderate ID, mild motor delay, microcephaly, epileptic seizures resistant to treatment, central obesity, and mild facial features. Both variants are located in the highly conserved guanine nucleotide binding domain of theEIF2S3encoded eIF2 gamma subunit of the heterotrimeric translation initiation factor 2 (eIF2) complex. Further, we investigated both variants in a structural model and in yeast. The reduced growth rates and lowered fidelity of translation with increased initiation at non-AUG codons observed for both mutants in these studies strongly support pathogenicity of the variants.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Eif2gamma ; Intellectual Disability ; Mehmo ; X-linked; Intellectual Disability; Mutation; Retardation; Mechanism; Switch
ISSN (print) / ISBN 0009-9163
e-ISSN 1399-0004
Quellenangaben Volume: 98, Issue: 5, Pages: 507-514 Article Number: , Supplement: ,
Publisher Wiley
Publishing Place 111 River St, Hoboken 07030-5774, Nj Usa
Reviewing status Peer reviewed
Grants National Institute of General Medical Sciences