Article
作者: Barth, Magalie ; Mayr, Johannes ; Metcalfe, Kay A ; Isidor, Bertrand ; Bézieau, Stéphane ; van Bever, Yolande ; Camby, Caroline ; Goodenberger, McKinsey L ; Besnard, Thomas ; Bourgeois, Dominique ; Scurr, Ingrid ; Strong, Alanna ; Thauvin-Robinet, Christel ; Deb, Wallid ; Bupp, Caleb ; Vignard, Virginie ; Mendelssohn, Bryce A ; Piton, Amélie ; Briceño, Ignacio ; Gerard, Amanda ; Warren, Kathryn ; Kearney, Hutton M ; Baujat, Geneviève ; Brehm, Anja ; Küry, Sébastien ; Cogne, Benjamin ; Rosenfeld, Jill A ; Bader, Ingrid ; Kennedy, Joanna ; Bonneau, Dominique ; Colin, Estelle ; Diderich, Karin E M ; Gómez, Alberto ; Hurst, Anna ; Vincent, Marie ; Szczaluba, Krzysztof ; Cope, Heidi ; Ebstein, Frédéric ; Bruel, Ange-Line ; Stankiewicz, PaweƗ ; Rudy, Natasha L ; Ranells, Judith D ; Bacino, Carlos A ; Jiang, Yong-Hui ; Dahan, Karin ; Blackburn, Patrick R ; Conrad, Solène ; Ploski, Rafal ; Alembik, Yves ; de Saint Martin, Anne ; Krüger, Elke
PURPOSE:Haploinsufficiency of PSMD12 has been reported in individuals with neurodevelopmental phenotypes, including developmental delay/intellectual disability (DD/ID), facial dysmorphism, and congenital malformations, defined as Stankiewicz-Isidor syndrome (STISS). Investigations showed that pathogenic variants in PSMD12 perturb intracellular protein homeostasis. Our objective was to further explore the clinical and molecular phenotypic spectrum of STISS.
METHODS:We report 24 additional unrelated patients with STISS with various truncating single nucleotide variants or copy-number variant deletions involving PSMD12. We explore disease etiology by assessing patient cells and CRISPR/Cas9-engineered cell clones for various cellular pathways and inflammatory status.
RESULTS:The expressivity of most clinical features in STISS is highly variable. In addition to previously reported DD/ID, speech delay, cardiac and renal anomalies, we also confirmed preaxial hand abnormalities as a feature of this syndrome. Of note, 2 patients also showed chilblains resembling signs observed in interferonopathy. Remarkably, our data show that STISS patient cells exhibit a profound remodeling of the mTORC1 and mitophagy pathways with an induction of type I interferon-stimulated genes.
CONCLUSION:We refine the phenotype of STISS and show that it can be clinically recognizable and biochemically diagnosed by a type I interferon gene signature.