Intellectual disability - microarray and sequencing
Gene: GRIA2Comment on phenotypes: Added disease association which has been added to OMIM.Created: 15 Jul 2020, 2:15 p.m. | Last Modified: 15 Jul 2020, 2:15 p.m.
Panel Version: 3.173
The Green review by Konstantinos Varvagiannis on August 7th 2019 supports the current Green rating of GRIA2 on the ID panel.Created: 15 Aug 2019, 1:08 p.m. | Last Modified: 15 Aug 2019, 1:08 p.m.
Panel Version: 2.1006
A recent publication by Salpietro et al. (2019 - PMID: 31300657) reporting on 28 unrelated individuals. The phenotype overall corresponds to a NDD disorder with DD, ID (universal feature in those with appropriate age for evaluation, relevant severity), ASD, Rett-like features and seizures (12/28). All types of variants were reported (15 missense, 2 splice-site, 1 in-frame del, 1 stopgain, 2 frameshift ones, 3 CNVs spanning GRIA2 and other genes, the latter more tolerant to LoF). The role of this gene (encoding AMPA receptor GluA2 subunit), functional studies (loss of function demonstrated for the majority of mutations, though by multiple molecular mechanisms), overlapping phenotype with disorders due to other ionotropic glutamate receptor subunit genes (eg. GRIA3/4 - ID with or without seizures), animal models (PMID cited: 8938126) are among the arguments provided.Created: 7 Aug 2019, 5:44 p.m. | Last Modified: 7 Aug 2019, 5:44 p.m.
Panel Version: 2.996
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications
GRIA2 has been associated with ID in PMID: 31300657. The authors identified 28 unrelated individuals who had heterozygous de novo GRIA2 mutations. All individuals had experienced DD and moderate to severe ID, except 2 who had died at a young age. Epilepsy was identified in at least 10 individuals.
Multiple de-novo intragenic variants including missense (n = 15), splice-site (n = 2), in-frame deletion (n = 1), stop-gain (n = 1) and frameshift (n = 2) variants were reported. In all patients with intragenic variants they were first identified by WES, WGS or massively parallel targeted sequencing and confirmed as de-novo by trio Sanger sequencing. Also a further three patients were identified with a microdeletion involving GRIA2 using micro array analysis.
GRIA2 is currently not associated with a disease in OMIM or Gene2Phenotype and this is the first time that GRIA2 has been reported to be associated with ID but other AMPA receptors, GRIA3, and GRIA4 are Green on the ID panel.
Therefore there is now sufficient number of unrelated individuals and evidence to make GRIA2 Green.Created: 23 Jul 2019, 1:52 p.m. | Last Modified: 23 Jul 2019, 1:54 p.m.
Panel Version: 2.969
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
As a result of watchlist tag audit the watchlist tag was removed from GRIA2- this is now a green gene with sufficient evidence/reviewCreated: 13 Jan 2020, 3:39 p.m. | Last Modified: 13 Jan 2020, 3:39 p.m.
Panel Version: 3.0
Comment on list classification: changed to Amber until publicationCreated: 30 Jul 2018, 1:52 p.m.
Comment on list classification: upgraded gene from Red to Green. In addition to the external reviewer comment this gene has been reported on for ID, even though it was only a Tier 3 variant in the ID panel.Created: 13 Jul 2018, 9:51 a.m.
Comment on mode of inheritance: Added MOI suggested by reviewerCreated: 13 Jul 2018, 9:37 a.m.
Comment on phenotypes: Added phenotypes suggested from external expert review.Created: 13 Jul 2018, 9:28 a.m.
Not associated with phenotype in OMIM or G2P. Reported as a candidate ID gene (Grozeva 2015 PMID 26350204, Gilessen 2014 PMID 24896178). GRIA2 knockout mice displayed strong spatial working memory impairment (PMID 28725178)Created: 6 Mar 2018, 6:46 p.m.
A LOF variant was identified in this gene in one of my patients (not listed as Tier 1 or 2 as it is still flagged up as red) and through further research I have been able to find more than 10 other individuals worldwide, some with identical phenotypes. There has been no functional work so nothing published as yet but I think it would be helpful for this gene to go on the green panel so that further patients are more likely to be identified.Created: 19 Jun 2017, 11:56 a.m.
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes
epileptic encephalopathy intellectual disability stereotypic hand movements
Publications for gene: GRIA2 were set to 28725178; 26350204; 24896178; 22669415; 28630856; 31300657
Phenotypes for gene: GRIA2 were changed from Epileptic encephalopathy intellectual disability stereotypic hand movements; Neurodevelopmental disorder with language impairment and behavioral abnormalities MIM#618917 to Neurodevelopmental disorder with language impairment and behavioral abnormalities, OMIM:618917; neurodevelopmental disorder with language impairment and behavioral abnormalities, MONDO:0030060
Phenotypes for gene: GRIA2 were changed from Epileptic encephalopathy intellectual disability stereotypic hand movements to Epileptic encephalopathy intellectual disability stereotypic hand movements; Neurodevelopmental disorder with language impairment and behavioral abnormalities MIM#618917
Tag watchlist was removed from gene: GRIA2.
Gene: gria2 has been classified as Green List (High Evidence).
Publications for gene: GRIA2 were set to 28725178; 26350204; 24896178; 22669415; 28630856
Gene: gria2 has been classified as Amber List (Moderate Evidence).
Gene: gria2 has been classified as Green List (High Evidence).
Mode of inheritance for gene: GRIA2 was changed from to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes for gene: GRIA2 were set to Epileptic encephalopathy intellectual disability stereotypic hand movements
Publications for gene: GRIA2 were set to 28725178; 26350204; 24896178; 22669415; 28630856
Mode of inheritance for gene: GRIA2 was changed from to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
12.03.2018: Due to major updates completed (Phase 1, 2 and 3), this panel was promoted to Version 2 in order to reflect the major updates since November 2017 which have resulted in reviews for 836 genes added by Genomics England Curators and the Clinical Team, 130 new Green genes added to the interpretation pipeline (from 751 to 881 Green genes), and the gene total has increased from 1879 to 1927.
Publications for gene GRIA2 was set to ['28725178', '26350204', '24896178']
The Gel status was updated for this whole panel
The Gel status was updated for this whole panel
GRIA2 was added to Intellectual disabilitypanel. Sources: Expert Review Red
GRIA2 was created by ellenmcdonagh