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Functional Dysregulation of CDC42 Causes Diverse Developmental Phenotypes.


ABSTRACT: Exome sequencing has markedly enhanced the discovery of genes implicated in Mendelian disorders, particularly for individuals in whom a known clinical entity could not be assigned. This has led to the recognition that phenotypic heterogeneity resulting from allelic mutations occurs more commonly than previously appreciated. Here, we report that missense variants in CDC42, a gene encoding a small GTPase functioning as an intracellular signaling node, underlie a clinically heterogeneous group of phenotypes characterized by variable growth dysregulation, facial dysmorphism, and neurodevelopmental, immunological, and hematological anomalies, including a phenotype resembling Noonan syndrome, a developmental disorder caused by dysregulated RAS signaling. In silico, in vitro, and in vivo analyses demonstrate that mutations variably perturb CDC42 function by altering the switch between the active and inactive states of the GTPase and/or affecting CDC42 interaction with effectors, and differentially disturb cellular and developmental processes. These findings reveal the remarkably variable impact that dominantly acting CDC42 mutations have on cell function and development, creating challenges in syndrome definition, and exemplify the importance of functional profiling for syndrome recognition and delineation.

SUBMITTER: Martinelli S 

PROVIDER: S-EPMC5985417 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Functional Dysregulation of CDC42 Causes Diverse Developmental Phenotypes.

Martinelli Simone S   Krumbach Oliver H F OHF   Pantaleoni Francesca F   Coppola Simona S   Amin Ehsan E   Pannone Luca L   Nouri Kazem K   Farina Luciapia L   Dvorsky Radovan R   Lepri Francesca F   Buchholzer Marcel M   Konopatzki Raphael R   Walsh Laurence L   Walsh Laurence L   Payne Katelyn K   Pierpont Mary Ella ME   Vergano Samantha Schrier SS   Langley Katherine G KG   Larsen Douglas D   Farwell Kelly D KD   Tang Sha S   Mroske Cameron C   Gallotta Ivan I   Di Schiavi Elia E   Della Monica Matteo M   Lugli Licia L   Rossi Cesare C   Seri Marco M   Cocchi Guido G   Henderson Lindsay L   Baskin Berivan B   Alders Mariëlle M   Mendoza-Londono Roberto R   Dupuis Lucie L   Nickerson Deborah A DA   Chong Jessica X JX   Meeks Naomi N   Brown Kathleen K   Causey Tahnee T   Cho Megan T MT   Demuth Stephanie S   Digilio Maria Cristina MC   Gelb Bruce D BD   Bamshad Michael J MJ   Zenker Martin M   Ahmadian Mohammad Reza MR   Hennekam Raoul C RC   Tartaglia Marco M   Mirzaa Ghayda M GM  

American journal of human genetics 20180125 2


Exome sequencing has markedly enhanced the discovery of genes implicated in Mendelian disorders, particularly for individuals in whom a known clinical entity could not be assigned. This has led to the recognition that phenotypic heterogeneity resulting from allelic mutations occurs more commonly than previously appreciated. Here, we report that missense variants in CDC42, a gene encoding a small GTPase functioning as an intracellular signaling node, underlie a clinically heterogeneous group of p  ...[more]

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