Clinical and neurogenetic characterisation of autosomal recessive RBL2-associated progressive neurodevelopmental disorder Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1101/2024.05.03.24306631
Retinoblastoma (RB) proteins are highly conserved transcriptional regulators that play important roles during development by regulating cell-cycle gene expression. RBL2 dysfunction has been linked to a severe neurodevelopmental disorder. However, to date, clinical features have only been described in six individuals carrying five biallelic predicted loss of function (pLOF) variants. To define the phenotypic effects of RBL2 mutations in detail, we identified and clinically characterized a cohort of 28 patients from 18 families carrying LOF variants in RBL2 , including fourteen new variants that substantially broaden the molecular spectrum. The clinical presentation of affected individuals is characterized by a range of neurological and developmental abnormalities. Global developmental delay and intellectual disability were uniformly observed, ranging from moderate to profound and involving lack of acquisition of key motor and speech milestones in most patients. Frequent features included postnatal microcephaly, infantile hypotonia, aggressive behaviour, stereotypic movements and non-specific dysmorphic features. Common neuroimaging features were cerebral atrophy, white matter volume loss, corpus callosum hypoplasia and cerebellar atrophy. In parallel, we used the fruit fly, Drosophila melanogaster , to investigate how disruption of the conserved RBL2 orthologueue Rbf impacts nervous system function and development. We found that Drosophila Rbf LOF mutants recapitulate several features of patients harboring RBL2 variants, including alterations in the head and brain morphology reminiscent of microcephaly, and perturbed locomotor behaviour. Surprisingly, in addition to its known role in controlling tissue growth during development, we find that continued Rbf expression is also required in fully differentiated post-mitotic neurons for normal locomotion in Drosophila , and that adult-stage neuronal re-expression of Rbf is sufficient to rescue Rbf mutant locomotor defects. Taken together, this study provides a clinical and experimental basis to understand genotype-phenotype correlations in an RBL2 -linked neurodevelopmental disorder and suggests that restoring RBL2 expression through gene therapy approaches may ameliorate aspects of RBL2 LOF patient symptoms.
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- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2024.05.03.24306631
- https://www.medrxiv.org/content/medrxiv/early/2024/05/05/2024.05.03.24306631.full.pdf
- OA Status
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- References
- 49
- Related Works
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- OpenAlex ID
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https://openalex.org/W4396655685Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1101/2024.05.03.24306631Digital Object Identifier
- Title
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Clinical and neurogenetic characterisation of autosomal recessive RBL2-associated progressive neurodevelopmental disorderWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-05-05Full publication date if available
- Authors
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Gabriel Aughey, Elisa Calì, Reza Maroofian, Maha S. Zaki, Alistair T. Pagnamenta, Fatima Rahman, Lara Menzies, Anum Shafique, Mohnish Suri, Emmanuel Roze, M. Aguennouz, Zouiri Ghizlane, Saadia Maryam Saadi, Zafar Ali, Uzma Abdulllah, Huma Arshad Cheema, Muhammad Nadeem Anjum, Godeliève Morel, Robert McFarland, Umut Altunoğlu, Verena Kraus, Moneef Shoukier, David Murphy, Kristina Flemming, Hilde Yttervik, Hajar Rhouda, Gaëtan Lesca, Bibi Nazia Murtaza, Mujaddad Ur Rehman, Genomics England Research Consortium, Go Hun Seo, Christian Beetz, Hülya Kayserili, Yamna Krioulie, Wendy K. Chung, Sadaf Naz, Shazia Maqbool, Joseph G. Gleeson, Shahid Mahmood Baig, Stéphanie Efthymiou, Jenny C Taylor, Mariasavina Severino, James E.C. Jepson, Henry HouldenList of authors in order
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https://doi.org/10.1101/2024.05.03.24306631Publisher landing page
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https://www.medrxiv.org/content/medrxiv/early/2024/05/05/2024.05.03.24306631.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
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https://www.medrxiv.org/content/medrxiv/early/2024/05/05/2024.05.03.24306631.full.pdfDirect OA link when available
- Concepts
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Neurodevelopmental disorder, Genetics, Medicine, Biology, GeneTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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49Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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