2017
DOI: 10.1002/humu.23170
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EIF2S3Mutations Associated with Severe X-Linked Intellectual Disability Syndrome MEHMO

Abstract: Impairment of translation initiation and its regulation within the integrated stress response (ISR) and related unfolded-protein response has been identified as a cause of several multi-systemic syndromes. Here we link MEHMO syndrome, whose genetic etiology was unknown, to this group of disorders. MEHMO is a rare X-linked syndrome characterized by profound intellectual disability, epilepsy, hypogonadism, and hypogenitalism, microcephaly, and obesity. We have identified a C-terminal frameshift mutation (Ile465S… Show more

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Cited by 65 publications
(76 citation statements)
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References 77 publications
(111 reference statements)
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“…Because both eIF2 and eIF2B function together in the same pathway and both MEHMO and CACH/VWM likely cause a constitutive reduction in active eIF2 levels, it is surprising that these diseases primarily impact different cell types and have distinct pathologies. However, they do share some overlapping symptoms, as reported in at least some patients (Skopkova et al, 2017). There are some parallels between the tissue-specific effects of both MEHMO and CACH/VWM and the ribosomeopathies, diseases such as Diamond-Blackfan anemia (DBA), where nine different ribosomal proteins are mutated (Boria et al, 2010).…”
Section: Why Do Eif2 and Eif2b Mutations Cause Distinct Pathologies?mentioning
confidence: 98%
“…Because both eIF2 and eIF2B function together in the same pathway and both MEHMO and CACH/VWM likely cause a constitutive reduction in active eIF2 levels, it is surprising that these diseases primarily impact different cell types and have distinct pathologies. However, they do share some overlapping symptoms, as reported in at least some patients (Skopkova et al, 2017). There are some parallels between the tissue-specific effects of both MEHMO and CACH/VWM and the ribosomeopathies, diseases such as Diamond-Blackfan anemia (DBA), where nine different ribosomal proteins are mutated (Boria et al, 2010).…”
Section: Why Do Eif2 and Eif2b Mutations Cause Distinct Pathologies?mentioning
confidence: 98%
“…In two additional families, neonatal or young-onset hypoglycemia was reported [50] . A recent study identified EIF2S3 mutations in patients with MEHMO syndrome (mental retardation, epilepsy, hypogonadism and -genitalism, microcephaly, and obesity) [51] . All three patients with this damaging EIF2S3 frameshift mutation who were alive by 1 year developed non-autoimmune insulin-dependent diabetes before that age; in one the presentation was by ketoacidosis.…”
Section: Endoplasmic Reticulum Stress In Monogenic Diabetesmentioning
confidence: 99%
“…In elegant functional studies, Skopkova et al. showed that the frameshift mutation impairs eIF2 function, reducing fidelity of translation start site selection and increasing ATF4 translation and CHOP expression in the ISR [51] ( Figure 3 ).…”
Section: Endoplasmic Reticulum Stress In Monogenic Diabetesmentioning
confidence: 99%
“…EIF2B facilitates ternary complex formation and translation initiation through its guanine exchange activity on the eIF2 complex. Dysregulation of eIF2B or other translation factors through mutations or post-translational modifications can contribute to developmental defects, intellectual disability 9 11 and neurodegenerative disease 12 14 . Moreover, aberrant accumulation of SGs is implicated in the pathogenesis of several neurodegenerative diseases 15 , 16 .…”
Section: Introductionmentioning
confidence: 99%