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Rare pathogenic variants in WNK3 cause X-linked intellectual disability

Title: Rare pathogenic variants in WNK3 cause X-linked intellectual disability
Authors: Küry, S; Zhang, J; Besnard, T; Caro-Llopis, A; Zeng, X; Robert, SM; Josiah, SS; Kiziltug, E; Denommé-Pichon, AS; Cogné, B; Kundishora, AJ; Hao, LT; Li, H; Stevenson, RE; Louie, RJ; Deb, W; Torti, E; Vignard, V; McWalter, K; Raymond, FL; Rajabi, F; Ranza, E; Grozeva, D; Coury, SA; Blanc, X; Brischoux-Boucher, E; Keren, B; Õunap, K; Reinson, K; Ilves, P; Wentzensen, IM; Barr, EE; Guihard, SH; Charles, P; Seaby, EG; Monaghan, KG; Rio, M; van Bever, Y; van Slegtenhorst, M; Chung, WK; Wilson, A; Quinquis, D; Bréhéret, F; Retterer, K; Lindenbaum, P; Scalais, E; Rhodes, L; Stouffs, K; Pereira, EM; Berger, SM; Milla, SS; Jaykumar, AB; Cobb, MH; Panchagnula, S; Duy, PQ; Vincent, M; Mercier, S; Gilbert-Dussardier, B; Le Guillou, X; Audebert-Bellanger, S; Odent, S; Schmitt, S; Boisseau, P; Bonneau, D; Toutain, A; Colin, E; Pasquier, L; Redon, R; Bouman, A; Rosenfeld, JA; Friez, MJ; Pérez-Peña, H; Akhtar Rizvi, SR; Haider, S; Antonarakis, SE; Schwartz, CE; Martínez, F; Bézieau, S; Kahle, KT; Isidor, B
Source: Genetics in Medicine , 24 (9) pp. 1941-1951. (2022)
Publisher Information: Elsevier BV
Publication Year: 2022
Collection: University College London: UCL Discovery
Subject Terms: Exome sequencing; KCC2; Neurodevelopmental disease; WNK3; X-linked intellectual disability
Description: Purpose: WNK3 kinase (PRKWNK3) has been implicated in the development and function of the brain via its regulation of the cation-chloride cotransporters, but the role of WNK3 in human development is unknown. Method: We ascertained exome or genome sequences of individuals with rare familial or sporadic forms of intellectual disability (ID). Results: We identified a total of 6 different maternally-inherited, hemizygous, 3 loss-of-function or 3 pathogenic missense variants (p.Pro204Arg, p.Leu300Ser, p.Glu607Val) in WNK3 in 14 male individuals from 6 unrelated families. Affected individuals had ID with variable presence of epilepsy and structural brain defects. WNK3 variants cosegregated with the disease in 3 different families with multiple affected individuals. This included 1 large family previously diagnosed with X-linked Prieto syndrome. WNK3 pathogenic missense variants localize to the catalytic domain and impede the inhibitory phosphorylation of the neuronal-specific chloride cotransporter KCC2 at threonine 1007, a site critically regulated during the development of synaptic inhibition. Conclusion: Pathogenic WNK3 variants cause a rare form of human X-linked ID with variable epilepsy and structural brain abnormalities and implicate impaired phospho-regulation of KCC2 as a pathogenic mechanism.
Document Type: article in journal/newspaper
File Description: text
Language: English
Relation: https://discovery.ucl.ac.uk/id/eprint/10151159/
Availability: https://discovery.ucl.ac.uk/id/eprint/10151159/2/Shozeb_Rare%20pathogenic%20variants%20in%20WNK3%20cause%20X-linked%20intellectual%20disability_AAM.pdf; https://discovery.ucl.ac.uk/id/eprint/10151159/
Rights: open
Accession Number: edsbas.E0B4AACD
Database: BASE