“…Pathogenic variants are located within the IQ‐like domain (Shoubridge et al., ; Zerem et al., ; Zhang et al., ), Sec7 domain (de Kovel et al., ; Gandomi et al., ; Helbig, et al ., ; Helm et al., ; Kalscheuer et al., ; Mignot et al., ; Shoubridge et al., ), or PH domain (Helm et al., ; Mignot et al., ). The IQ‐like and Sec7 functional domains are both involved in catalytic activity of guanine nucleotide exchange and activation of the substrate ARF6, while the PH domain may be involved in IQSEC2‐accessory protein interactions, increasing the association of substrates (ARFGDP) with the catalytic Sec7 domain or recruiting IQSEC2 and associated signaling pathways to different subcellular compartments via interactions with phosphoinositides (Roy, Yohe, Randazzo, & Gruschus, ). Hence, the consequences of missense changes in these domains may cause a partial loss of IQSEC2 function either by impaired ARFGEF activity or mislocalization of IQSEC2 (Kalscheuer et al., ; Shoubridge et al., ).…”