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Advanced Neurology                                                        ADGRV1 and MED13L mutation



            or signaling context through transcription factors, signaling      doi: 10.1242/dev.098392
            pathways and so on. So far, no such crosstalk between the   2.   Tørring PM, Larsen MJ, Brasch-Andersen C,  et al. Is
            aforementioned genes has been reported in literature.  MED13L-related intellectual disability a recognizable
                                                                  syndrome? Eur J Med Genet. 2019;62(2):129-136.
            4. Conclusion
                                                                  doi: 10.1016/j.ejmg.2018.06.014
            Our patient harbored two mutations, and on verification of   3.   Smol T, Petit F, Piton A, et al. MED13L-related intellectual
            the literature, this rare genetic combination was found to be   disability: Involvement of missense variants and delineation
            undocumented. Even though the child harbored a mutation   of the phenotype. Neurogenetics. 2018;19(2):93-103.
            in ADGRV1, which was inherited from her mother, both of
            them had not manifested the corresponding phenotype,      doi: 10.1007/s10048-018-0541-0
            whereas the frameshift mutation in  MED13L  presented   4.   Zhou P, Meng H, Liang X, et al. ADGRV1 variants in febrile
            itself in a manner not hitherto described.            seizures/epilepsy with antecedent febrile seizures and their
                                                                  associations  with  audio-visual  abnormalities.  Front  Mol
            Acknowledgments                                       Neurosci. 2022;15:864074.

            None.                                                 doi: 10.3389/fnmol.2022.864074
                                                               5.   Myers KA, Nasioulas S, Boys A, et al. ADGRV1 is implicated
            Funding                                               in myoclonic epilepsy. Epilepsia. 2018;59(2):381-388.

            None.                                                 doi: 10.1111/epi.13980
            Conflict of interest                               6.   Liu Z, Ye X, Zhang J, Wu B, Dong S, Gao P. Biallelic ADGRV1
                                                                  variants are associated with Rolandic epilepsy. Neurol Sci.
            The authors declare that they have no competing interests.  2022;43(2):1365-1374.
                                                                  doi: 10.1007/s10072-021-05403-y
            Author contributions
                                                               7.   Dahawi M, Elmagzoub MS, Ahmed A, et al. Involvement
            Conceptualization: Ashalatha Radhakrishnan            of ADGRV1 gene in familial forms of genetic generalized
            Investigation: Prasannakumar Surabhi , Lakshmi J Nair  epilepsy. Front Neurol. 2021;12:738272.
            Methodology:  Ramshekhar N Menon, Jayakumari          doi: 10.3389/fneur.2021.738272
               Nandana, Karamala Yalapalli Manisha
            Writing–original draft: Prasannakumar Surabhi      8.   Musante L, Bartsch O, Ropers HH, Kalscheuer VM. cDNA
                                                                  cloning and characterization of the human THRAP2 gene
            Writing–review & editing: All authors
                                                                  which maps to chromosome 12q24, and its mouse ortholog
            Ethics approval and consent to participate            Thrap2. Gene. 2004;332:119-127.
                                                                  doi: 10.1016/j.gene.2004.02.044
            The parents of the patient gave written consent to
            participation in this study.                       9.   Muncke N, Jung C, Rüdiger H, et al. Missense mutations and
                                                                  gene interruption in PROSIT240, a Novel TRAP240-like
            Consent for publication                               gene, in patients with congenital heart defect (transposition
                                                                  of the great arteries). Circulation. 2003;108(23):2843-2850.
            The  author  has obtained the  written consent  from  the      doi: 10.1161 / 01.CIR.0000103684.77636.CD
            parents to publish the case details. The identity of the child
            is not revealed in the manuscript.                 10.  Raj A, Rifkin SA, Andersen E, Van Oudenaarden A.
                                                                  Variability  in  gene  expression  underlies  incomplete
            Availability of data                                  penetrance. Nature. 2010;463(7283):913-918.

            Not applicable.                                       doi: 10.1038/nature08781
                                                               11.  Canitano A, Papa M, Boscia F, et al. Brain distribution of
            References                                            the Na+/Ca2+ exchanger-encoding genes NCX1, NCX2,

            1.   Yin JW, Wang G. The Mediator complex: A  master   and NCX3 and their related proteins in the central nervous
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