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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Genet. | doi: 10.3389/fgene.2019.01060

Novel Compound Heterozygous Mutations in TTI2 Cause Syndromic Intellectual Disability in a Chinese Family

 Rongrong Wang1,  Shirui Han1, 2,  Hongyan Liu3,  Amjad Khan1, 2, Xiaerbati Habulieti1,  Xue Yu1, 4,  Huang Jia1, 2 and  Xue Zhang1*
  • 1Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Peking Union Medical College, China
  • 2Key Laboratory of Cell Biology, Basic Medical College, China Medical University, China
  • 3Henan Provincial People's Hospital, China
  • 4First Affiliated Hospital of Guangxi Medical University, China

Telomere maintenance 2 (TELO2)-interacting protein 2 (TTI2) interacts with TTI1 and TELO2 to form the Triple T complex, which is required for various cellular processes, including the double-strand DNA break response, nonsense-mediated mRNA decay, and telomerase assembly. Herein, we identified compound heterozygous mutations in TTI2 using whole-exome sequencing in a Chinese family with a recessive inheritance pattern of syndromic intellectual disability. The patients displayed intellectual disability, aggressive and self-injurious behaviors, facial dysmorphic features, microcephaly, and skeletal anomalies. In addition, one patient showed cerebral white matter abnormality. Maternal novel indel mutation resulted in a premature termination codon and nonsense-mediate mRNA decay. Paternal reported c.1100C>T mutation changed the highly conserved proline to leucine that located in the DUF2454 domain. Immunoblotting experiments showed significantly decreased TTI2, TTI1, and TELO2 in the patients’ lymphocytes. These results indicated that TTI2 loss-of-function mutations might cause an autosomal-recessive syndromic intellectual disability by affecting the Triple T complex. Our report expands the genetic causes of syndromic intellectual disability in the Chinese population.

Keywords: Intellectual disability (ID), the Triple T complex, Tti2, Pathogenic mutations, Whole-exome sequencing

Received: 29 Jan 2019; Accepted: 03 Oct 2019.

Copyright: © 2019 Wang, Han, Liu, Khan, Habulieti, Yu, Jia and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Prof. Xue Zhang, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China, xuezhang@pumc.edu.cn