“…Though all members of the Australian family with the V1553M mutation exhibited intellectual disability, five affected individuals in a four generation Russian family with the same mutation did not (Shadrina et al, 2016, Dudding et al, 2004, Huang et al, 2012). Additionally, whereas amelioration of symptoms was reported in the Australian family, at least one individual in the Russian family reported a mild increase in gait and speech difficulties over time (Shadrina et al, 2016, Dudding et al, 2004, Huang et al, 2012). Worsening of symptoms, despite remaining clinically non-progressive, was also observed in one individual who expressed the IP 3 R1 splice mutation in exon 14 and developed balance problems after 10 years of age (Wang et al, 2017).…”