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GNB5 Mutations Cause an Autosomal-Recessive Multisystem Syndrome with Sinus Bradycardia and Cognitive Disability.


ABSTRACT: GNB5 encodes the G protein ? subunit 5 and is involved in inhibitory G protein signaling. Here, we report mutations in GNB5 that are associated with heart-rate disturbance, eye disease, intellectual disability, gastric problems, hypotonia, and seizures in nine individuals from six families. We observed an association between the nature of the variants and clinical severity; individuals with loss-of-function alleles had more severe symptoms, including substantial developmental delay, speech defects, severe hypotonia, pathological gastro-esophageal reflux, retinal disease, and sinus-node dysfunction, whereas related heterozygotes harboring missense variants presented with a clinically milder phenotype. Zebrafish gnb5 knockouts recapitulated the phenotypic spectrum of affected individuals, including cardiac, neurological, and ophthalmological abnormalities, supporting a direct role of GNB5 in the control of heart rate, hypotonia, and vision.

SUBMITTER: Lodder EM 

PROVIDER: S-EPMC5010642 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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GNB5 Mutations Cause an Autosomal-Recessive Multisystem Syndrome with Sinus Bradycardia and Cognitive Disability.

Lodder Elisabeth M EM   De Nittis Pasquelena P   Koopman Charlotte D CD   Wiszniewski Wojciech W   Moura de Souza Carolina Fischinger CF   Lahrouchi Najim N   Guex Nicolas N   Napolioni Valerio V   Tessadori Federico F   Beekman Leander L   Nannenberg Eline A EA   Boualla Lamiae L   Blom Nico A NA   de Graaff Wim W   Kamermans Maarten M   Cocciadiferro Dario D   Malerba Natascia N   Mandriani Barbara B   Akdemir Zeynep Hande Coban ZHC   Fish Richard J RJ   Eldomery Mohammad K MK   Ratbi Ilham I   Wilde Arthur A M AAM   de Boer Teun T   Simonds William F WF   Neerman-Arbez Marguerite M   Sutton V Reid VR   Kok Fernando F   Lupski James R JR   Reymond Alexandre A   Bezzina Connie R CR   Bakkers Jeroen J   Merla Giuseppe G  

American journal of human genetics 20160811 3


GNB5 encodes the G protein β subunit 5 and is involved in inhibitory G protein signaling. Here, we report mutations in GNB5 that are associated with heart-rate disturbance, eye disease, intellectual disability, gastric problems, hypotonia, and seizures in nine individuals from six families. We observed an association between the nature of the variants and clinical severity; individuals with loss-of-function alleles had more severe symptoms, including substantial developmental delay, speech defec  ...[more]

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