Article
作者: Zamani, Mina ; Chatron, Nicolas ; Tümer, Zeynep ; Sabine, Sigaudy ; Bauer, Peter ; Fry, Andrew E ; Li, Chumei ; Rivier-Ringenbach, Clotilde ; Cabet, Sara ; Houlden, Henry ; Sidlow, Rich ; Lin, Renee ; Bereketoğlu, Muhammed Burak ; Abdullah, Uzma ; Varshney, Gaurav K ; Petree, Cassidy ; Sunnetci-Akkoyunlu, Deniz ; Bozdoğan, Sevcan Tuğ ; Maroofian, Reza ; Rønde, Gitte ; Bothe, Viktoria ; Gerkes, Erica H ; Jahnke, Friederike ; Julia, Sophie ; Mankad, Kshitij ; Rees, Mark I ; Nourbakhsh, Pardis ; Owrang, Daniel ; Kaiyrzhanov, Rauan ; Tran-Mau-Them, Frederic ; Zhang, Kejia ; Frykholm, Carina ; Rahner, Nils ; Sabri, Alihossein ; Banneau, Guillaume ; Chung, Wendy K ; Matsson, Hans ; Phornphutkul, Chanika ; Afzal, Erum ; Alvi, Javeria Raza ; Derrick, Anna V ; Yilmaz, Halil I ; Philippe, Christophe ; O'Connor, Mary ; Isidor, Bertrand ; Fu, Dragony ; Leo, Cailyn P ; Carere, Deanna Alexis ; Turchetti, Valentina ; Zaki, Maha S ; Sidpra, Jai ; Pehlivan, Davut ; Rad, Aboulfazl ; Hamid, Mohammad ; Hjortshøj, Tina D ; Yoon, Grace ; Wieczorek, Dagmar ; Gezdirici, Alper ; Kurul, Semra Hiz ; Soydemir, Didem ; Jacquemont, Marie-Line ; Suri, Mohnish ; Ashoori, Saeed ; Karagoz, Irem ; Koch-Hogrebe, Margarete ; Baig, Shahid Mahmood ; Azizimalamiri, Reza ; Sultan, Tipu ; Chung, Seo-Kyung ; Fleischer, Julie ; Bisgin, Atil ; Platzer, Konrad ; Thuresson, Ann-Charlotte ; Vona, Barbara ; Parvas, Sahere ; Galehdari, Hamid ; Kara, Bulent ; Glazunova, Olga O ; Reunert, Janine ; Tajudin, Tajul Arifin ; Scardamaglia, Annarita ; Deng, Chenghong ; Oprea, Gabriela ; Chamanrou, Niloofar ; Morrow, Michelle M ; Abumansour, Iman Sabri ; Shariati, Gholamreza ; Gleeson, Joseph G ; Marquardt, Thorsten ; Calame, Daniel G ; Zeighami, Jawaher ; Sedaghat, Alireza ; Benke, Paul J ; Lesca, Gaetan ; Zifarelli, Giovanni ; Cheema, Huma Arshad ; Efthymiou, Stephanie ; Huang, Kevin ; Valenzuela-Palafoll, Maria ; Lin, Sheng-Jia
The post-transcriptional modification of tRNAs plays a crucial role in tRNA structure and function. Pathogenic variants in tRNA-modification enzymes have been implicated in a wide range of human neurodevelopmental and neurological disorders. However, the molecular basis for many of these disorders remains unknown. Here, we describe a comprehensive cohort of 43 individuals from 31 unrelated families with bi-allelic variants in tRNA methyltransferase 1 (TRMT1). These individuals present with a neurodevelopmental disorder universally characterized by developmental delay and intellectual disability, accompanied by variable behavioral abnormalities, epilepsy, and facial dysmorphism. The identified variants include ultra-rare TRMT1 variants, comprising missense and predicted loss-of-function variants, which segregate with the observed clinical pathology. Our findings reveal that several variants lead to mis-splicing and a consequent loss of TRMT1 protein accumulation. Moreover, cells derived from individuals harboring TRMT1 variants exhibit a deficiency in tRNA modifications catalyzed by TRMT1. Molecular analysis reveals distinct regions of TRMT1 required for tRNA-modification activity and binding. Notably, depletion of Trmt1 protein in zebrafish is sufficient to induce developmental and behavioral phenotypes along with gene-expression changes associated with disrupted cell cycle, immune response, and neurodegenerative disorders. Altogether, these findings demonstrate that loss of TRMT1-catalyzed tRNA modifications leads to intellectual disability and provides insight into the molecular underpinnings of tRNA-modification deficiency caused by pathogenic TRMT1 variants.