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Pathogenic DDX3X Mutations Impair RNA Metabolism and Neurogenesis during Fetal Cortical Development.


ABSTRACT: De novo germline mutations in the RNA helicase DDX3X account for 1%-3% of unexplained intellectual disability (ID) cases in females and are associated with autism, brain malformations, and epilepsy. Yet, the developmental and molecular mechanisms by which DDX3X mutations impair brain function are unknown. Here, we use human and mouse genetics and cell biological and biochemical approaches to elucidate mechanisms by which pathogenic DDX3X variants disrupt brain development. We report the largest clinical cohort to date with DDX3X mutations (n = 107), demonstrating a striking correlation between recurrent dominant missense mutations, polymicrogyria, and the most severe clinical outcomes. We show that Ddx3x controls cortical development by regulating neuron generation. Severe DDX3X missense mutations profoundly disrupt RNA helicase activity, induce ectopic RNA-protein granules in neural progenitors and neurons, and impair translation. Together, these results uncover key mechanisms underlying DDX3X syndrome and highlight aberrant RNA metabolism in the pathogenesis of neurodevelopmental disease.

SUBMITTER: Lennox AL 

PROVIDER: S-EPMC7331285 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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Pathogenic DDX3X Mutations Impair RNA Metabolism and Neurogenesis during Fetal Cortical Development.

Lennox Ashley L AL   Hoye Mariah L ML   Jiang Ruiji R   Johnson-Kerner Bethany L BL   Suit Lindsey A LA   Venkataramanan Srivats S   Sheehan Charles J CJ   Alsina Fernando C FC   Fregeau Brieana B   Aldinger Kimberly A KA   Moey Ching C   Lobach Iryna I   Afenjar Alexandra A   Babovic-Vuksanovic Dusica D   Bézieau Stéphane S   Blackburn Patrick R PR   Bunt Jens J   Burglen Lydie L   Campeau Philippe M PM   Charles Perrine P   Chung Brian H Y BHY   Cogné Benjamin B   Curry Cynthia C   D'Agostino Maria Daniela MD   Di Donato Nataliya N   Faivre Laurence L   Héron Delphine D   Innes A Micheil AM   Isidor Bertrand B   Keren Boris B   Kimball Amy A   Klee Eric W EW   Kuentz Paul P   Küry Sébastien S   Martin-Coignard Dominique D   Mirzaa Ghayda G   Mignot Cyril C   Miyake Noriko N   Matsumoto Naomichi N   Fujita Atsushi A   Nava Caroline C   Nizon Mathilde M   Rodriguez Diana D   Blok Lot Snijders LS   Thauvin-Robinet Christel C   Thevenon Julien J   Vincent Marie M   Ziegler Alban A   Dobyns William W   Richards Linda J LJ   Barkovich A James AJ   Floor Stephen N SN   Silver Debra L DL   Sherr Elliott H EH  

Neuron 20200304 3


De novo germline mutations in the RNA helicase DDX3X account for 1%-3% of unexplained intellectual disability (ID) cases in females and are associated with autism, brain malformations, and epilepsy. Yet, the developmental and molecular mechanisms by which DDX3X mutations impair brain function are unknown. Here, we use human and mouse genetics and cell biological and biochemical approaches to elucidate mechanisms by which pathogenic DDX3X variants disrupt brain development. We report the largest  ...[more]

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