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Advanced Neurology                                          Genetics of neurodevelopmental disorders in Mexico




            Table 2. Pathogenic mutations diagnosed according to clinical presentation, type of inheritance, and parental origin
            Clinical    Gene      Mutation          Zygosity   Classification  MIM/Genetic   Inheritance/Parental
            presentation                                                    syndrome/Affected   origin
            or main sign                                                    pathway
            Epilepsy    UBE3A/    Gain (entire coding   Copy   Duplication  MIM 105830 S,    Possible 15q duplication
                        GABR3/    sequence)         number=4                Angelman syndrome  pending
                        MAGEL2
                        SYNGAP1   c. 1267del        Heterozygous  Pathogenic  MIM 612621     AD de novo
                                  (p.Tyr423Metfs*17)                        Synaptopathy/
                                                                            Developmental
                                                                            encephalopathy
                        CDKL5 θ   c. 463G>A (p.Gly155Ser)   Heterozygous  Pathogenic  MIM 326463   XD de novo
                                                                            Developmental
                                                                            encephalopathy
                        AHDC1 θ   c. 1761_1763del   Heterozygous  Likely benign  MIM 615829 Xia–Gibbs   AD inherited from
                                  (p.Arg590del)                             syndrome         mother
                        HCN1 δ    c. 192_206dup (p.Gly70_  Heterozygous  Likely benign  MIM 615871   AD inherited from
                                  Gly74dup)                                 Developmental    father
                                                                            encephalopathy/
                                                                            channelopathy
                        CRLF1 δ   c. 151_153del (p.Leu51del)  Homozygous  Likely pathogenic MIM 272430 Crisponi   AR inherited both
                                                                            syndrome/cold-induced   parents (consanguinity)
                                                                            sweating (CISS)
            Motor disorder  TCF20/MLC1 Deletion (Entire coding   Heterozygous  Deletion  MIM 618430   Possible deletion
                                  sequence)                                 TCF20-related conditions 22q13.2 Pending
                        LAMP2     c. 877C>T (p.Arg293*)  Hetemizygous  Pathogenic  MIM 300257 Danon   XR pending
                                                                            disease
                        PNPT1     c. 407G>A (p.Arg136His)  Homozygous  Pathogenic  MIM 614932 Oxidative   AR inherited both
                                                                            phosphorylation   parents (Consanguinity)
                                                                            deficiency
                        DMD       c. 8859dup (p.Glu2954*)  Hemizygous  Pathogenic  MIM 10200 Duchenne   XR inherited from
                                                                            muscular dystrophy  mother
                        DMD       c. 699_703del     Hemizygous  Pathogenic  MIM 10200 Duchenne   XR inherited from
                                  (p.Ser234Leufs*11)                        muscular dystrophy  mother De novo in the
                                                                                             mother
                        DMD       c. 3742C>T (p.Gln1248*)  Hemizygous  Pathogenic  MIM 10200 Duchenne   XR pending
                                                                            muscular dystrophy
            ASD         PTEN      c. 1003C>T (p.Arg335*)  Heterozygous  Pathogenic  MIM 158350 Cowden   AD de novo
                                                                            syndrome
                        MECP2     c. 397C>T (p.Arg133Cys)  Heterozygous  Pathogenic  MIM 312750 Rett   XD de novo
                                                                            syndrome
            ADHD        NF1       c. 2041C>T (p.Arg681*)   Heterozygous  Pathogenic  MIM 162200   AD inherited from
                                                                            Neurofibromatosis  father
            Communication  PURA   c. 697_699del     Heterozygous  Pathogenic  MIM 616158 PURA   AD de novo
            disorder              (p.Phe233del)                             syndrome
                 θ
            Notes:   and  correspond to concomitant mutations in the same case.
                    δ
            Abbreviations: AD: Autosomal dominant; ADHD: Attention deficit hyperactivity disorder; AR: Autosomal recessive; ASD: Autism spectrum disorder;
            MIM: Mendelian inheritance in man; XD: X-linked dominant; XR: X-linked recessive.
            coenzyme Q10 deficiency (COQ8A), protein glycosylation   Variants of VUS were identified in eight cases. Notably,
            disorder type  IA (PMM2), Joubert syndrome (CC2D2A),   segregation studies successfully reassigned two variants
            developmental  encephalopathy  (UBA5),  acyl-CoA   in the DMXL2 gene to cis configurations in two patients
            dehydrogenase deficiency, and the most frequently observed   diagnosed with ASD, as noted in Table 4. This table also
            pseudodeficiency of galactocerebrosidase (GALC).   lists the VUSs with dominant inheritance patterns that,


            Volume 3 Issue 2 (2024)                         6                                doi: 10.36922/an.3359
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