Abstract

Variety of genes has been reported for intellectual disability in different ethnic group and whole exome sequencing facilitate the way of gene discovery in such heterogeneous diseases. Here, we reported a novel mutation in ELP2 gene (c.2429 G>A) in Iranian case of mental retardation. The gene ELP2 encodes acetyl transferase subunit of RNA polymerase II playing an important role in transcription elongation and chromatin remodeling. The c.2429 G>A mutation predicted as pathogenic and resulted in substitution of amino acid cysteine with tyrosine at position 811 of polypeptide chain. The proband was homozygous of the mutation and received one copy of affected allele from each parent. Although, the association of elongator proteins with neurological diseases is well established, there is only one study reported two missense mutations of ELP2 in the world which was observed in Iranian mental retarded patients. In fact, c.2429 A>G is the third report of ELP2 mutations in Iranian families suffering from mental retardation showing the importance of this gene in Iranian cases although phenotype-genotype correlation is needed.

Highlights

  • The genetic counseling of intellectual disabilities (ID) is very complicated as variety of genetics and environmental factors can be involved in etiology of the disease

  • We found that the proband is a homozygous for Elangator Complex (ELP2) c.2429G>A (C811Y) on chromosome 18

  • We present a novel mutation of ELP2 in Iranian child suffering from non-syndromic mental retardation using WES analysis

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Summary

Introduction

The genetic counseling of intellectual disabilities (ID) is very complicated as variety of genetics and environmental factors can be involved in etiology of the disease. Chromosomal aneuploidies, copy number variations (CNVs), unbalanced translocations, single gene defects, microdeletion and microduplication syndromes are the wellknown genetic causes of ID9 while pregnancy’s teratogens including infections, ray and chemical exposure can resulted in mental retarded babies [1,2]. These indicated that precise genetic counseling is urgent in such cases. Glissen et al reported 528 confirmed- and 628 candidate-genes for intellectual disability using deep genome sequencing [7]

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