TRAPPC2L-related disorder: first homozygous protein-truncating variant and further delineation of the phenotype.
Mario AbajiCécile Mignon-RavixSvetlana GorokhovaPierre CacciagliJérémie MortreuxFlorence MolinariBrigitte ChabrolSabine SigaudyLaurent VillardFlorence RiccardiPublished in: Journal of medical genetics (2023)
The TRAPP (TRAfficking Protein Particle) complexes are evolutionarily conserved tethering factors involved in the intracellular transport of vesicles for secretion and autophagy processes. Pathogenic variants in 8 genes (of 14) encoding TRAPP proteins are involved in ultra-rare human diseases, called TRAPPopathies. Seven of them are autosomal recessive neurodevelopmental disorders with overlapping phenotypes. Since 2018, two homozygous missense variants in TRAPPC2L have been reported in five individuals from three unrelated families with early-onset and progressive encephalopathy, with episodic rhabdomyolysis. We now describe the first pathogenic protein-truncating variant in the TRAPPC2L gene found at a homozygous state in two affected siblings. This report provides key genetic evidence invaluable to establishing the gene-disease relationship for this gene and important insights into the TRAPPC2L phenotype. Regression, seizures and postnatal microcephaly initially described are not constant features. Acute episodes of infection do not contribute to the neurological course. HyperCKaemia is part of the clinical picture. Thus, TRAPPC2L syndrome is mainly characterised by a severe neurodevelopmental disorder and a variable degree of muscle involvement, suggesting that it belongs to the clinical entity of rare congenital muscular dystrophies.
Keyphrases
- early onset
- copy number
- genome wide
- intellectual disability
- genome wide identification
- late onset
- protein protein
- dna methylation
- amino acid
- zika virus
- endothelial cells
- multiple sclerosis
- drug induced
- skeletal muscle
- cell death
- acute kidney injury
- autism spectrum disorder
- high resolution
- genome wide analysis
- signaling pathway
- preterm infants
- transcription factor
- endoplasmic reticulum stress
- oxidative stress
- congenital heart disease
- gene expression
- small molecule
- respiratory failure
- brain injury
- blood brain barrier
- hepatitis b virus
- cord blood