2020
DOI: 10.1016/j.ajhg.2020.06.016
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De Novo and Bi-allelic Pathogenic Variants in NARS1 Cause Neurodevelopmental Delay Due to Toxic Gain-of-Function and Partial Loss-of-Function Effects

Abstract: Aminoacyl-tRNA synthetases (ARSs) are ubiquitous, ancient enzymes that charge amino acids to cognate tRNA molecules, the essential first step of protein translation. Here, we describe 32 individuals from 21 families, presenting with microcephaly, neurodevelopmental delay, seizures, peripheral neuropathy, and ataxia, with de novo heterozygous and bi-allelic mutations in asparaginyl-tRNA synthetase (NARS1). We demonstrate a reduction in NARS1 mRNA expression as well as in NARS1 enzyme levels and activity in both… Show more

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Cited by 35 publications
(20 citation statements)
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References 44 publications
(77 reference statements)
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“…Of note, an association between de novo loss-of-function variants in KIF17 and neurodevelopmental phenotypes, including abnormal behavior and schizophrenia, was previously proposed [ 18 ]. Different genes encoding kinesins and motor proteins have been previously implicated in brain development, and defining the full spectrum of disease-causing molecular pathways will help to diagnose, monitor, and accelerate treatment development in genetic neurodevelopmental conditions with associated cytoskeleton alterations or modulating ionotropic glutamate receptor subunits [ 19 , 20 , 21 , 22 , 23 , 24 ].…”
Section: Discussionmentioning
confidence: 99%
“…Of note, an association between de novo loss-of-function variants in KIF17 and neurodevelopmental phenotypes, including abnormal behavior and schizophrenia, was previously proposed [ 18 ]. Different genes encoding kinesins and motor proteins have been previously implicated in brain development, and defining the full spectrum of disease-causing molecular pathways will help to diagnose, monitor, and accelerate treatment development in genetic neurodevelopmental conditions with associated cytoskeleton alterations or modulating ionotropic glutamate receptor subunits [ 19 , 20 , 21 , 22 , 23 , 24 ].…”
Section: Discussionmentioning
confidence: 99%
“…For example, biallelic NARS variants were identified in 7 affected patients with recessive microcephaly from three unrelated families (Wang et al., 2020). Another study described de novo dominant heterozygous and biallelic recessive variants in the NARS in 32 individuals from 21 families, presenting with multiple neurodevelopmental defects (Manole et al., 2020). Interestingly, functional data indicated that genotypes with dominant heterozygous NARS variants produce a toxic gain‐of‐function, whereas the homozygous recessive variants probably induce a partial loss of function (Manole et al., 2020; Wang et al., 2020).…”
Section: Other Putative Neuropathy‐associated Variantsmentioning
confidence: 99%
“…Another study described de novo dominant heterozygous and biallelic recessive variants in the NARS in 32 individuals from 21 families, presenting with multiple neurodevelopmental defects (Manole et al., 2020). Interestingly, functional data indicated that genotypes with dominant heterozygous NARS variants produce a toxic gain‐of‐function, whereas the homozygous recessive variants probably induce a partial loss of function (Manole et al., 2020; Wang et al., 2020). Although neuropathies other than CMT are outside the scope of this review, these studies do shed light on the complex pathogenic mechanisms of aaRSs in neuropathies.…”
Section: Other Putative Neuropathy‐associated Variantsmentioning
confidence: 99%
“…Despite being in the era of next-generation sequencing (NGS), the etiology and disease mechanisms underlying regressive neurodevelopmental impairment remain undetermined in a certain proportion of cases [ 4 , 5 ]. Defining the full spectrum of disease-causing molecular pathways underlying neurodevelopmental disorders will help to diagnose and monitor developmental trajectories in children affected with these conditions [ 6 , 7 , 8 , 9 , 10 , 11 ]…”
Section: Introductionmentioning
confidence: 99%