GGC Researchers Identify New Cause of Microcephaly

09.17.20
GGC Researchers Identify New Cause of Microcephaly

LMNB1 gene variants cause microcephaly by disrupting the nuclear envelope


Greenwood Genetic Center (GGC) researchers, in collaboration with scientists from Belgium, Spain, and Italy, have confirmed that variants in LMNB1 cause syndromic microcephaly (small head size) with variable short stature, intellectual disability, and other neurological symptoms. The findings
are reported in the October issue of The American Journal of Human Genetics.
 
The paper describes seven patients from five families with novel de novo variants in LMNB1, all with pronounced primary microcephaly
as the core feature. Variants were identified through whole exome sequencing.
 
Functional analysis of each of the gene variants and resultant lamin B1 protein showed that these variants act in a dominant fashion to disrupt nuclear
envelope integrity which in turn causes the nucleus to become misshapen.
 
“We used a HeLa cell system to analyze the three missense mutations in this gene and demonstrated impaired function of the nuclear lamina,” said Tonya
Moss, GGC research technologist and the co-lead author along with Francesca Cristofoli, PhD, of University Hospitals Leuven in Belgium. “Two other
variants displayed misshapen nuclei and a decrease in nuclear localization of the lamin B1 protein, and another showed an increased frequency of condensed
nuclei.”
 
Duplications in LMNB1 are a known cause of autosomal dominant adult-onset leukodystrophy, but this paper is the first to show that variants in
this gene can cause congenital abnormalities through nuclear envelope disruption.
 
“Because this gene product has multiple domains, it is likely that different variants in LMNB1 will work by different mechanisms, necessitating
a case-by-case analysis of pathogenicity, which is important for future treatment studies as well as reproductive planning for families,” said Richard Steet, PhD,
co-corresponding author and Director of Research at the JC Self Research Institute at GGC. “These findings add LMNB1 to the growing list of
genes implicated in severe autosomal dominant microcephaly and broadens the phenotypic spectrum of the laminopathies.”

 

 

Lucy's Story

When our daughter Lucy had a metabolic crisis at 7 days old, we were shocked and devastated to find out that she was born with a rare genetic disorder (MSUD). Her newborn screening results did not make it back in time to prevent the crisis, and no one at our local hospital was familiar with the disease. They did not know how to treat her. Calls were made to Greenwood Genetic Center to confirm her diagnosis and guide her care. Dr. Champaigne and Ami...

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