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Early onset or syndromic epilepsy v3.16 DCX Arina Puzriakova Phenotypes for gene: DCX were changed from Lissencephaly, X-linked 300067; Subcortical laminal heterotopia, X-linked 300067 to Lissencephaly, X-linked, OMIM:300067; Subcortical laminal heterotopia, X-linked, OMIM:300067
Early onset or syndromic epilepsy v1.191 DCX Rebecca Foulger Source Wessex and West Midlands GLH was added to DCX.
Early onset or syndromic epilepsy v1.190 DCX Rebecca Foulger Source NHS GMS was added to DCX.
Early onset or syndromic epilepsy v1.189 DCX Rebecca Foulger reviewed gene: DCX: Rating: AMBER; Mode of pathogenicity: ; Publications: ; Phenotypes: ; Mode of inheritance:
Early onset or syndromic epilepsy v1.188 DCX Tracy Lester reviewed gene: DCX: Rating: GREEN; Mode of pathogenicity: ; Publications: 12034802, 19098909 ; Phenotypes: Lissencephaly, 300067, Subcortical laminal heterotopia, 300067; Mode of inheritance: X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Early onset or syndromic epilepsy v1.6 CTNNA2 Konstantinos Varvagiannis gene: CTNNA2 was added
gene: CTNNA2 was added to Genetic epilepsy syndromes. Sources: Literature
Mode of inheritance for gene: CTNNA2 was set to BIALLELIC, autosomal or pseudoautosomal
Publications for gene: CTNNA2 were set to 30013181
Phenotypes for gene: CTNNA2 were set to Cortical dysplasia, complex, with other brain malformations 4, 618174
Penetrance for gene: CTNNA2 were set to Complete
Review for gene: CTNNA2 was set to GREEN
Added comment: Biallelic loss-of-function mutations in CTNNA2 cause cortical dysplasia, complex, with other brain malformations 9 (MIM 618174).
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Schaffer et al. (PMID: 30013181) report on 7 individuals from 3 unrelated consanguineous families. All individuals presented with profoundly impaired motor and cognitive development (severe ID in 6/7 for whom this information was available, all 6 from 2 families - a further individual from the 3rd family was non-ambulatory with absent speech at the age of 28 months), with acquired microcephaly and intractable seizures (7/7 - onset: 6m-3y - atonic/myoclonic/infantile spasms). Pachygyria without posterior-anterior gradient or focal dysplasias was common to all.

CTNNA2 encodes αN-catenin. It is expressed in human fetal brain, mainly in regions expressing migration markers DCX and TUJ1. Reduced migration was shown for iPSC-derived neural progenitor cells from an affected individual, compared to controls. The protein contains a putative actin-binding domain (ABD) at its C terminus. Several lines of evidence are provided that this domain is critical for the process of neuronal migration.
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CTNNA2 is included in the DD panel of G2P associated with disordered cortical neuronal migration (Disease confidence: probable / ID and seizures among the phenotypes assigned to this entry).

This gene is not commonly included in gene panels for intellectual disability.
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As a result CTNNA2 could be considered for inclusion in this panel as green (or amber).
Sources: Literature
Early onset or syndromic epilepsy v0.556 DCX Sarah Leigh Classified gene: DCX as Green List (high evidence)
Early onset or syndromic epilepsy v0.556 DCX Sarah Leigh Gene: dcx has been classified as Green List (High Evidence).
Early onset or syndromic epilepsy v0.555 DCX Sarah Leigh Phenotypes for gene: DCX were changed from to Lissencephaly, X-linked 300067; Subcortical laminal heterotopia, X-linked 300067
Early onset or syndromic epilepsy v0.554 DCX Sarah Leigh Mode of inheritance for gene: DCX was changed from to X-LINKED: hemizygous mutation in males, monoallelic mutations in females may cause disease (may be less severe, later onset than males)
Early onset or syndromic epilepsy v0.505 DCX Sarah Leigh Marked gene: DCX as ready
Early onset or syndromic epilepsy v0.505 DCX Sarah Leigh Added comment: Comment when marking as ready: Associated with relevant phenotype in OMIM and as confirmed Gen2Phen gene. At least 14 variants reported.
Early onset or syndromic epilepsy v0.505 DCX Sarah Leigh Gene: dcx has been classified as Amber List (Moderate Evidence).
Early onset or syndromic epilepsy DCX Zornitza Stark reviewed gene: DCX
Early onset or syndromic epilepsy DCX Sarah Leigh Added gene to panel