2020
DOI: 10.3389/fped.2020.00303
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A de novo DDX3X Variant Is Associated With Syndromic Intellectual Disability: Case Report and Literature Review

Abstract: De novo DDX3X variants account for 1%-3% of intellectual disability (ID) in females and have been occasionally reported in males. Here, we report a female patient with severe ID and various other features, including epilepsy, movement disorders, behavior problems, sleep disturbance, precocious puberty, dysmorphic features, and hippocampus atrophy. With the use of family-based exome sequencing, we identified a de novo pathogenic variant (c.1745dupG/p.S583 *) in the DDX3X gene. However, our patient did not prese… Show more

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Cited by 7 publications
(2 citation statements)
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“…Genetic conditions linked to sleep disturbances include people with Down's Syndrome with and without obstructive sleep apnoea (Al‐Khudhairy et al, 2019; Bassell et al, 2015; Chawla, Howard, et al, 2021; Esbensen et al, 2018; Heubi et al, 2021; Stores, 2019; Worley et al, 2015), Tuberous sclerosis complex (Trickett et al, 2018), Mowat–Wilson Syndrome (Di Pisa et al, 2019; Evans et al, 2016), Cornelia de Lange Syndrome (Zambrelli et al, 2016), Angelman syndrome (den Bakker et al, 2018; den Bestern et al, 2021; Levin et al, 2022; Pearson et al, 2018; Trickett et al, 2018), Smith‐Magenis syndrome (Mullegama et al, 2015; Rive Le Gouard et al, 2021; Smith et al, 2019; Trickett et al, 2020), Fragile X syndrome (Budimirovic et al, 2022; Mullegama et al, 2015). In addition to rare conditions which are linked to sleep disturbances such as Christianson Syndrome (Gruber et al, 2022), Dup15q Syndrome (Barstein et al, 2021), Pallister‐Killian Syndrome (Fetta et al, 2022), Phelan‐McDermid Syndrome and SYNGAP1‐ID (Smith‐Hicks et al, 2021), MBD5‐associated neurodevelopmental disorder (Gandhi et al, 2021), Arboleda‐Tham syndrome (Smith & Harris, 2021), Bosch‐Boonstra‐Schaaf optic atrophy syndrome (Rech et al, 2020) and emerging genetic variants including microdeletion syndrome at 2q22.1q22.3 and de novo DDX3X variants (Chen et al, 2020; Verhoeven et al, 2020). This shows that a wide array of specific intellectual disability syndromes are associated with sleep problems, although variation from night to night and within syndrome groupings is found (Trickett et al, 2019).…”
Section: Resultsmentioning
confidence: 99%
“…Genetic conditions linked to sleep disturbances include people with Down's Syndrome with and without obstructive sleep apnoea (Al‐Khudhairy et al, 2019; Bassell et al, 2015; Chawla, Howard, et al, 2021; Esbensen et al, 2018; Heubi et al, 2021; Stores, 2019; Worley et al, 2015), Tuberous sclerosis complex (Trickett et al, 2018), Mowat–Wilson Syndrome (Di Pisa et al, 2019; Evans et al, 2016), Cornelia de Lange Syndrome (Zambrelli et al, 2016), Angelman syndrome (den Bakker et al, 2018; den Bestern et al, 2021; Levin et al, 2022; Pearson et al, 2018; Trickett et al, 2018), Smith‐Magenis syndrome (Mullegama et al, 2015; Rive Le Gouard et al, 2021; Smith et al, 2019; Trickett et al, 2020), Fragile X syndrome (Budimirovic et al, 2022; Mullegama et al, 2015). In addition to rare conditions which are linked to sleep disturbances such as Christianson Syndrome (Gruber et al, 2022), Dup15q Syndrome (Barstein et al, 2021), Pallister‐Killian Syndrome (Fetta et al, 2022), Phelan‐McDermid Syndrome and SYNGAP1‐ID (Smith‐Hicks et al, 2021), MBD5‐associated neurodevelopmental disorder (Gandhi et al, 2021), Arboleda‐Tham syndrome (Smith & Harris, 2021), Bosch‐Boonstra‐Schaaf optic atrophy syndrome (Rech et al, 2020) and emerging genetic variants including microdeletion syndrome at 2q22.1q22.3 and de novo DDX3X variants (Chen et al, 2020; Verhoeven et al, 2020). This shows that a wide array of specific intellectual disability syndromes are associated with sleep problems, although variation from night to night and within syndrome groupings is found (Trickett et al, 2019).…”
Section: Resultsmentioning
confidence: 99%
“…This could be interpreted by different pathogenic mechanisms. Many aberrant truncating mRNAs (i.e., frameshift or non-sense variants) might undergo non-sense-mediated RNA decay (NMD) and resulted in a haploinsufficiency effect, while a subset of missense variants could function in a dominant-negative manner ( Chen et al, 2020 ; Lennox et al, 2020 ). Further investigations about gain-of-function mechanism behind certain missense mutations will be carried out by modeling missense mutations in mice.…”
Section: Discussionmentioning
confidence: 99%