Open Life Sci. 2017; 12: 167-177
IntroductionIntellectual disability is a neurodevelopmental disorder characterized by impaired cognitive functions, significant below-average intellectual ability, and functional limitations in some adaptive traits with onset prior to the age of 18 years [1][2]. Sometimes, this disorder manifests in infancy which is manifested by feeding problems, impaired visual acuity, and diminished motor skills, or sometimes in early childhood accompanied by abnormal play and delayed achievement of developmental skills. Clinically, individuals with an intelligence quotient (IQ) below 70 are considered intellectually disabled. Milder forms of intellectual disability, with IQ between 50 and 70, are more common than moderate and severe forms with IQ below 50 [3]. ID may be a syndrome accompanied by additional physical, metabolic and neurological abnormalities, or non-syndromic, lacking these additional abnormalities [4].Intellectual disability is among the major public health problems because of its frequency (1-3%) in general population, availability of few therapeutic or diagnostic options, and the consequential life-long harm to the affected individuals and their families [5][6]. Moreover, ID is one of the most difficult challenges faced today by clinicians as well as geneticists due to the fact that the causes of this disorder are exceptionally heterogeneous, contributed by both environmental and genetic factors that have been detected in only 50% of the cases [4]. Environmental factors include intoxication during pregnancy, viral infection in the mother, complications of delivery, premature birth, low birth weight and childhood diseases, which are responsible for damage of the nervous system [7]. It has also been reported that 25-50% of ID cases are influenced by genetic factors [8] including chromosomal abnormalities and monogenic defects. Chromosomal abnormalities have been reported in ID; most common being aneuploidies, duplications and submicroscopic deletions [9]. However, among the
Abstract:Intellectual disability (ID) is a neurodevelopmental disorder which appears frequently as the result of genetic mutations and may be syndromic (S-ID) or non-syndromic (NS-ID). ID causes an important economic burden, for patient's family, health systems, and society. Identifying genes that cause S-ID can easily be evaluated due to the clinical symptoms or physical anomalies. However, in the case of NS-ID due to the absence of co-morbid features, the latest molecular genetic techniques can be used to understand the genetic defects that underlie it. Recent studies have shown that non-syndromic autosomal recessive (NS-ARID) is extremely heterogeneous and contributes much more than X-linked ID. However, very little is known about the genes and loci involved in NS-ARID relative to X-linked ID, and whose complete genetic etiology remains obscure. In this review article, the known genetic etiology of NS-ARID and possible relationships between genes and the associated molecular pathways of their encode...