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Type: Journal article
Title: Gonadal mosaicism of a novel IQSEC2 variant causing female limited intellectual disability and epilepsy
Author: Ewans, L.
Field, M.
Zhu, Y.
Turner, G.
Leffler, M.
Dinger, M.
Cowley, M.
Buckley, M.
Scheffer, I.
Jackson, M.
Roscioli, T.
Shoubridge, C.
Citation: European Journal of Human Genetics, 2017; 25(6):763-767
Publisher: Natue Publishing Group
Issue Date: 2017
ISSN: 1018-4813
Statement of
Lisa J Ewans, Michael Field, Ying Zhu, Gillian Turner, Melanie Leffler, Marcel E Dinger, Mark J Cowley, Michael F Buckley, Ingrid E Scheffer, Matilda R Jackson, Tony Roscioli and Cheryl Shoubridge
Abstract: We report a family with four girls with moderate to severe intellectual disability and epilepsy. Two girls showed regression in adolescence and died of presumed sudden unexpected death in epilepsy at 16 and 22 years. Whole exome sequencing identified a truncating pathogenic variant in IQSEC2 at NM_001111125.2: c.2679_2680insA, p.(D894fs*10), a recently identified cause of epileptic encephalopathy in females (MIM 300522). The IQSEC2 variant was identified in both surviving affected sisters but in neither parent. We describe the phenotypic spectrum associated with IQSEC2 variants, highlighting how IQSEC2 is adding to a growing list of X-linked genes that have a female-specific phenotype typically associated with de novo mutations. This report illustrates the need for careful review of all whole exome data, incorporating all possible modes of inheritance including that suggested by the family history.
Keywords: Humans
Guanine Nucleotide Exchange Factors
Germ-Line Mutation
Child, Preschool
Intellectual Disability
Rights: © 2017 Macmillan Publishers Limited, part of Springer Nature. All rights reserved
DOI: 10.1038/ejhg.2017.29
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Genetics publications

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