A novel pathological variant of the acetyltransferase NAA10 causes disabilities
N-terminal acetylation is a very common protein modification and NAA10 is the major responsible enzyme in human cells. Here we found a novel pathological NAA10 variant, NAA10 p. (R83H), in two boys with developmental delay and intellectual disabilities.

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In collaboration with clinicians at the Odense University Hospital in Denmark andÌýTemple Street Children’s Hospital, Dublin, Ireland,Ìýmaster student Anni Sofie Geithus and researcherÌýRasmus Ree from theÌýArnesen lab found a novelÌýpathological variantÌýof NAA10. Two boys with overlapping phenotypes were independently examined in Denmark and Ireland, and by exome sequencing it was found that they both harbor a novel variant of the NAA10 gene. The NAA10 protein forms theÌýNatA complex togetherÌýwith NAA15, and is responsible for acetylating thousands of proteins in human cells.ÌýThe NAT-group atÌýUiB was then contacted, andÌýGeithus andÌýRee found that this special variant of NAA10 exhibited a very reduced catalytic activity. This is most likely caused by the fact that Arg83 is in direct contact with the first substrate of the reaction, Acetyl Coenzyme A, and a change toÌýHis83Ìýmay disrupt this interaction.
This study sheds light on the physiological impact ofÌýprotein N-terminal acetylation in humans, since these two boys were found to have a number of fenotypes including developmental delay, intellectual disabilities, ADHD like behavior, epilepsy, and cardiac anomalies.
The study was recently published and can be read .ÌýÌý
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