Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants

Abstract Background Houge type of X-linked syndromic mental retardation (MRXSHG) is a type of X-linked condition which is mainly manifested as delayed development, mental retardation, epilepsy that begins at an early age, and delayed language acquisition. MRXSHG is a serious disorder with CNKSR2 var...

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Main Authors: Si-Hua Chang, Jie-Yuan Jin, Yi-Qiao Hu, Run-Yan Wang, Rong Xiang, Xia Wang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Italian Journal of Pediatrics
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Online Access:https://doi.org/10.1186/s13052-025-01877-0
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author Si-Hua Chang
Jie-Yuan Jin
Yi-Qiao Hu
Run-Yan Wang
Rong Xiang
Xia Wang
author_facet Si-Hua Chang
Jie-Yuan Jin
Yi-Qiao Hu
Run-Yan Wang
Rong Xiang
Xia Wang
author_sort Si-Hua Chang
collection DOAJ
description Abstract Background Houge type of X-linked syndromic mental retardation (MRXSHG) is a type of X-linked condition which is mainly manifested as delayed development, mental retardation, epilepsy that begins at an early age, and delayed language acquisition. MRXSHG is a serious disorder with CNKSR2 variant and at least 34 variants have been identified in MRXSHG patients. However, the genotype-phenotype correlation and variants characteristics of CNKSR2 need further investigation and improvement. Methods Two Chinese MRXSHG families were recruited, and their genetic causes were investigated using whole-exome sequencing (WES), Sanger sequencing, and bioinformatics analysis. To verify the impact of these variants, we used real-time PCR and minigenes consisting of exon 14, intron 14, and exon 15 from both the wild-type and the c.1658-3_1676del DNA sequences. Results In this study, we reported two Chinese boys with MRXSHG and described some rare MRXSHG phenotypes, such as delayed bone age, slightly widened right fissure, and an underdeveloped right temporal lobe, characterized by reduced growth and volume compared to typical development. Two novel variants in CNKSR2 (c.1658-3_1676del and c.1102G > T, p.Gly368*) were identified in these cases. Minigenes results revealed that variant c.1658-3_1676del produced an aberrant spliceosome assembly. Conclusions We identified two novel CNKSR2 variants in MRXSHG families, expanding the variant spectrum of CNKSR2, enriching MRXSHG-related phenotypes, and contributing to genetic counseling for MRXSHG patients.
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spelling doaj-art-24108cc350dd4502be803e6dafa25c3f2025-02-09T12:47:57ZengBMCItalian Journal of Pediatrics1824-72882025-02-0151111010.1186/s13052-025-01877-0Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variantsSi-Hua Chang0Jie-Yuan Jin1Yi-Qiao Hu2Run-Yan Wang3Rong Xiang4Xia Wang5Department of Pediatrics, Xiangya Hospital, Central South UniversityDepartment of Hand and Microsurgery, Xiangya Hospital, Central South UniversitySchool of Life Sciences, Central South UniversitySchool of Life Sciences, Central South UniversityDepartment of Pediatrics, Xiangya Hospital, Central South UniversityDepartment of Pediatrics, Xiangya Hospital, Central South UniversityAbstract Background Houge type of X-linked syndromic mental retardation (MRXSHG) is a type of X-linked condition which is mainly manifested as delayed development, mental retardation, epilepsy that begins at an early age, and delayed language acquisition. MRXSHG is a serious disorder with CNKSR2 variant and at least 34 variants have been identified in MRXSHG patients. However, the genotype-phenotype correlation and variants characteristics of CNKSR2 need further investigation and improvement. Methods Two Chinese MRXSHG families were recruited, and their genetic causes were investigated using whole-exome sequencing (WES), Sanger sequencing, and bioinformatics analysis. To verify the impact of these variants, we used real-time PCR and minigenes consisting of exon 14, intron 14, and exon 15 from both the wild-type and the c.1658-3_1676del DNA sequences. Results In this study, we reported two Chinese boys with MRXSHG and described some rare MRXSHG phenotypes, such as delayed bone age, slightly widened right fissure, and an underdeveloped right temporal lobe, characterized by reduced growth and volume compared to typical development. Two novel variants in CNKSR2 (c.1658-3_1676del and c.1102G > T, p.Gly368*) were identified in these cases. Minigenes results revealed that variant c.1658-3_1676del produced an aberrant spliceosome assembly. Conclusions We identified two novel CNKSR2 variants in MRXSHG families, expanding the variant spectrum of CNKSR2, enriching MRXSHG-related phenotypes, and contributing to genetic counseling for MRXSHG patients.https://doi.org/10.1186/s13052-025-01877-0CNKSR2MRXSHGMinigeneTruncated variantsMental retardation
spellingShingle Si-Hua Chang
Jie-Yuan Jin
Yi-Qiao Hu
Run-Yan Wang
Rong Xiang
Xia Wang
Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
Italian Journal of Pediatrics
CNKSR2
MRXSHG
Minigene
Truncated variants
Mental retardation
title Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
title_full Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
title_fullStr Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
title_full_unstemmed Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
title_short Identification of Houge type of X-linked syndromic mental retardation caused by CNKSR2 truncated variants
title_sort identification of houge type of x linked syndromic mental retardation caused by cnksr2 truncated variants
topic CNKSR2
MRXSHG
Minigene
Truncated variants
Mental retardation
url https://doi.org/10.1186/s13052-025-01877-0
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