Dual-specificity tyrosine phosphorylation-regulated kinase 1 A (DYRK1A) is essential for human development, and DYRK1A haploinsufficiency is associated with a recognizable developmental syndrome and variable clinical features. Here, we present a patient with DYRK1A haploinsufficiency syndrome, including facial dysmorphism, delayed motor development, cardiovascular system defects, and brain atrophy. Exome sequencing identified a novel de novo heterozygous mutation of the human DYRK1A gene (c.1185dup), which generated a translational termination codon and resulted in a C-terminally truncated protein (DYRK1A-E396ter). To study the molecular effect of this truncation, we generated mammalian cell and Drosophila models that recapitulated the DYRK1A protein truncation. Analysis of the structure and deformation energy of the mutant protein predicted a reduction in protein stability. Experimentally, the mutant protein was efficiently degraded by the ubiquitin-dependent proteasome pathway and was barely detectable in mammalian cells. More importantly, the mutant kinase was intrinsically inactive and had little negative impact on the wild-type protein. Similarly, the mutant protein had a minimal effect on Drosophila phenotypes, confirming its loss-of-function in vivo. Together, our results suggest that the novel heterozygous mutation of DYRK1A resulted in loss-offunction of the kinase activity of DYRK1A and may contribute to the developmental delay observed in the patient. Dual-specificity tyrosine phosphorylation-regulated kinase 1A (DYRK1A) is a member of the highly conserved DYRK kinase family that belongs to the CMGC kinase superfamily. DYRK1A phosphorylates serine and threonine residues on its target substrates and autophosphorylates its own tyrosine residues 1,2. Due to the variety of proteins that DYRK1A phosphorylates, it plays essential roles in a wide range of cellular signalling pathways and processes, including neurogenesis, neuronal differentiation and proliferation 3 , synaptic transmission 4 , cell cycle 5 , apoptosis 6 , splicing 7 , and RNA transcription 8. Many of these pathways and processes regulate neurological