Abstract
Herein, we present a Chinese infant with an early-onset intellectual developmental disorder with cardiac arrhythmia syndrome. A 6-month-old boy visited our hospital because of convulsions and paroxysmal cyanosis for 1 day. Mental development analysis showed that the patient had a neurodevelopmental delay. Frequent seizures occurred, and ECG monitoring demonstrated severe cardiac arrhythmia. Whole-exome sequencing showed that the infant had two compound heterozygous variants, NM_016194:c.458G>A/p.Cys153Tyr and NM_016194:c.1032C>A/p.Tyr344*, in GNB5. The first variant was inherited from his mother, while the other one was a de novo variant. Haplotype analysis indicated that the de novo variant was located in the paternal chromosome. Structural modeling indicated that both mutations could influence the interaction of GNB5 with its binding protein. Our study expanded the known genetic and phenotypic spectrum of GNB5-associated diseases, by presenting a Chinese male infant with IDDCA.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Petrovski S, Kury S, Myers CT, Anyane-Yeboa K, Cogne B, Bialer M, et al. Germline De Novo mutations in GNB1 cause severe neurodevelopmental disability, hypotonia, and seizures. Am J Hum Genet. 2016;98:1001–10.
den Hoed M, Eijgelsheim M, Esko T, Brundel BJ, Peal DS, Evans DM, et al. Identification of heart rate-associated loci and their effects on cardiac conduction and rhythm disorders. Nat Genet. 2013;45:621–31.
Nakao R, Tanaka H, Takitani K, Kajiura M, Okamoto N, Kanbara Y, et al. GNB3 C825T polymorphism is associated with postural tachycardia syndrome in children. Pediatrics Int Off J Jpn Pediatr Soc. 2012;54:829–37.
Smolock EM, Ilyushkina IA, Ghazalpour A, Gerloff J, Murashev AN, Lusis AJ, et al. Genetic locus on mouse chromosome 7 controls elevated heart rate. Physiol Genom. 2012;44:689–98.
Lodder EM, De Nittis P, Koopman CD, Wiszniewski W, Moura de Souza CF, Lahrouchi N, et al. GNB5 mutations cause an autosomal-recessive multisystem syndrome with sinus bradycardia and cognitive disability. Am J Hum Genet. 2016;99:704–10.
Shamseldin HE, Masuho I, Alenizi A, Alyamani S, Patil DN, Ibrahim N, et al. GNB5 mutation causes a novel neuropsychiatric disorder featuring attention deficit hyperactivity disorder, severely impaired language development and normal cognition. Genome Biol. 2016;17:195.
Vernon H, Cohen J, De Nittis P, Fatemi A, McClellan R, Goldstein A, et al. Intellectual developmental disorder with cardiac arrhythmia syndrome in a child with compound heterozygous GNB5 variants. Clin Genet. 2018;93:1254–6.
Turkdogan D, Usluer S, Akalin F, Agyuz U, Aslan ES. Familial early infantile epileptic encephalopathy and cardiac conduction disorder: a rare cause of SUDEP in infancy. Seizure. 2017;50:171–2.
Malerba N, Towner S, Keating K, Squeo GM, Wilson W, Merla G. A NGS-targeted autism/ID panel reveals compound heterozygous GNB5 variants in a novel patient. Front Genet. 2018;9:626.
Gao C, Wang X, Mei S, Li D, Duan J, Zhang P, et al. Diagnostic yields of trio-WES accompanied by CNVseq for rare neurodevelopmental disorders. Front Genet. 2019;10:485.
Shao Z, Tumber A, Maynes J, Tavares E, Kannu P, Heon E, et al. Unique retinal signaling defect in GNB5-related disease. Doc Ophthalmol Adv Ophthalmol. 2019. [Epub ahead of print].
Richards S, Aziz N, Bale S, Bick D, Das S, Gastier-Foster J, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17:405–24.
Acknowledgements
This study is financially supported by Initial Scientific Research Fund for High-Level Talents of Chengde Medical University (No. 201901), Scientific and Technological Research Projects of Hebei Higher Education (No. ZD2019084), and Key Research and Development Plan of Anhui Province (No.1804h08020282).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
About this article
Cite this article
Tang, M., Wang, Y., Xu, Y. et al. IDDCA syndrome in a Chinese infant due to GNB5 biallelic mutations. J Hum Genet 65, 627–631 (2020). https://doi.org/10.1038/s10038-020-0742-x
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s10038-020-0742-x
This article is cited by
-
Clinical Utility of Next-Generation Sequencing for Developmental Disorders in the Rehabilitation Department: Experiences from a Single Chinese Center
Journal of Molecular Neuroscience (2021)