PUBLICATION

ABCC9-related Intellectual disability Myopathy Syndrome is a KATP channelopathy with loss-of-function mutations in ABCC9

Authors
Smeland, M.F., McClenaghan, C., Roessler, H.I., Savelberg, S., Hansen, G.Å.M., Hjellnes, H., Arntzen, K.A., Müller, K.I., Dybesland, A.R., Harter, T., Sala-Rabanal, M., Emfinger, C.H., Huang, Y., Singareddy, S.S., Gunn, J., Wozniak, D.F., Kovacs, A., Massink, M., Tessadori, F., Kamel, S.M., Bakkers, J., Remedi, M.S., Van Ghelue, M., Nichols, C.G., van Haaften, G.
ID
ZDB-PUB-191003-4
Date
2019
Source
Nature communications   10: 4457 (Journal)
Registered Authors
Bakkers, Jeroen
Keywords
none
MeSH Terms
  • Adenosine Triphosphate/metabolism*
  • Adolescent
  • Adult
  • Amino Acid Sequence
  • Animals
  • Cardiomegaly/genetics
  • Cardiomegaly/metabolism
  • Cell Line
  • Channelopathies/metabolism*
  • Child
  • Disease Models, Animal
  • Facies
  • Female
  • Genetic Diseases, X-Linked/genetics
  • Genetic Predisposition to Disease/genetics*
  • Heart
  • Heart Diseases/genetics
  • Heart Diseases/metabolism
  • Homozygote
  • Humans
  • Hypertrichosis/genetics
  • Hypertrichosis/metabolism
  • Intellectual Disability/metabolism*
  • Intellectual Disability/parasitology
  • Male
  • Mediator Complex/metabolism
  • Membrane Proteins/metabolism
  • Mice
  • Muscular Diseases/genetics
  • Muscular Diseases/metabolism*
  • Mutation*
  • Neurodevelopmental Disorders/genetics
  • Neurodevelopmental Disorders/metabolism
  • Neurodevelopmental Disorders/physiopathology
  • Osteochondrodysplasias/genetics
  • Osteochondrodysplasias/metabolism
  • Pedigree
  • Phenotype
  • Rubidium
  • Sulfonylurea Receptors/genetics*
  • Sulfonylurea Receptors/metabolism*
  • Whole Genome Sequencing
  • Young Adult
  • Zebrafish
PubMed
31575858 Full text @ Nat. Commun.
Abstract
Mutations in genes encoding KATP channel subunits have been reported for pancreatic disorders and Cantú syndrome. Here, we report a syndrome in six patients from two families with a consistent phenotype of mild intellectual disability, similar facies, myopathy, and cerebral white matter hyperintensities, with cardiac systolic dysfunction present in the two oldest patients. Patients are homozygous for a splice-site mutation in ABCC9 (c.1320 + 1 G > A), which encodes the sulfonylurea receptor 2 (SUR2) subunit of KATP channels. This mutation results in an in-frame deletion of exon 8, which results in non-functional KATP channels in recombinant assays. SUR2 loss-of-function causes fatigability and cardiac dysfunction in mice, and reduced activity, cardiac dysfunction and ventricular enlargement in zebrafish. We term this channelopathy resulting from loss-of-function of SUR2-containing KATP channels ABCC9-related Intellectual disability Myopathy Syndrome (AIMS). The phenotype differs from Cantú syndrome, which is caused by gain-of-function ABCC9 mutations, reflecting the opposing consequences of KATP loss- versus gain-of-function.
Genes / Markers
Figures
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Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping