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Pathogenic variants of novel gene causative of developmental delay

Variants in different genes may cause developmental delay and various syndromes. Researchers from USA, Saudi Arabia and Norway recently uncovered pathogenic gene variants causing developmental delay and intellectual disabilities in a gene not previously linked to genetic disease.

Feil ved NAA20 genet f酶rer til at NatB komplekset av proteinene NAA20 og NAA25 ikke dannes optimalt. Derved blir NatB sin evne til 氓 utf酶re acetylering av cellul忙re proteiner redusert og dette f酶rer til sykdom.
Photo:
Morrison et al., Genetics in Medicine

Main content

N-terminal acetylation is the most common type of protein聽modification in human cells. The聽NatB enzyme complex is responsible for acetylating about聽20% of all human聽proteins. NatB is composed of two proteins, both essential for NatB activity:聽NAA20 and NAA25.听听

Collaborating with clinicians and geneticists from the USA and聽Saudi Arabia,聽Kirsten Br酶nstad, Henriette Aksnes and聽Nina Glomnes from the聽Arnesen lab聽at the Dept. of Biomedicine, UiB, identified聽the first patients with pathogenic NAA20 variants. The affected children displayed partially overlapping phenotypes including developmental delay, intellectual disability, microcephaly and in some cases cardiac anomalies. Two different pathogenic gene variants were identified in five individuals in two different families.聽In Bergen, the variants were studied biochemically at the protein level, and experiments uncovered that both variants had a reduced capacity to form NatB complexes and to acetylate NatB substrates.聽 聽

The study provides the affected families with an explanation to disease mechanisms and causality, and makes it possible to carry out genetic screening in the future. Further, it was established that protein N-terminal acetylation is essential for human physiology, and points to underlying mechanisms causing disease.

The project was supported by The Research Council of Norway, Helse Vest, and the Norwegian Cancer Society.听听听听聽