PMID- 34761259 OWN - NLM STAT- MEDLINE DCOM- 20220509 LR - 20220716 IS - 1460-2083 (Electronic) IS - 0964-6906 (Print) IS - 0964-6906 (Linking) VI - 31 IP - 9 DP - 2022 May 4 TI - Clinical characterization of a novel RAB39B nonstop mutation in a family with ASD and severe ID causing RAB39B downregulation and study of a Rab39b knock down mouse model. PG - 1389-1406 LID - 10.1093/hmg/ddab320 [doi] AB - Autism spectrum disorder (ASD) and intellectual disability (ID) often exist together in patients. The RAB39B gene has been reported to be mutated in ID patients with additional clinical features ranging from ASD, macrocephaly, seizures and/or early-onset parkinsonism. Here, we describe a novel RAB39B nonstop mutation [Xq28; c.640 T > C; p.(*214Glnext*21)] in a family with ASD, severe ID and poor motor coordination, and we assessed the pathogenicity of the mutation. A heterologous cell system and a Rab39b knockdown (KD) murine model, which mimic the nonstop mutation, were used to validate the deleterious effect of the RAB39B mutation. The mutation led to RAB39B protein instability, resulting in its increased degradation and consequent downregulation. Using a Rab39b KD mouse model, we demonstrated that the downregulation of RAB39B led to increased GluA2 lacking Ca2+-permeable AMPAR composition at the hippocampal neuronal surface and increased dendritic spine density that remained in an immature filopodia-like state. These phenotypes affected behavioural performance in a disease-specific manner. Rab39b KD mice revealed impaired social behaviour but intact social recognition. They also showed normal anxiety-like, exploratory and motivational behaviours but impaired working and associative memories. In conclusion, we found a novel RAB39B nonstop variant that segregated in a family with a clinical phenotype including ID, ASD and poor motor coordination. The pathogenicity of mutations causing the downregulation of RAB39B proteins, impacting AMPAR trafficking and dendritic spine morphogenesis, reinforced the idea that AMPAR modulation and dendritic spine assets could be considered hallmarks of neurodevelopmental disorders. CI - (c) The Author(s) 2021. Published by Oxford University Press. FAU - Mignogna, Maria Lidia AU - Mignogna ML AD - Molecular Genetics of Intellectual Disability, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy. FAU - Ficarella, Romina AU - Ficarella R AD - Medical Genetics Unit, Department of Reproductive Medicine, ASL Bari, 70132, Bari, Italy. FAU - Gelmini, Susanna AU - Gelmini S AD - Molecular Genetics of Intellectual Disability, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy. FAU - Marzulli, Lucia AU - Marzulli L AD - Child Neuropsychiatry Unit, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70126, Bari, Italy. FAU - Ponzi, Emanuela AU - Ponzi E AD - Medical Genetics Unit, Department of Reproductive Medicine, ASL Bari, 70132, Bari, Italy. FAU - Gabellone, Alessandra AU - Gabellone A AD - Child Neuropsychiatry Unit, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70126, Bari, Italy. FAU - Peschechera, Antonia AU - Peschechera A AD - Child Neuropsychiatry Unit, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70126, Bari, Italy. FAU - Alessio, Massino AU - Alessio M AD - Proteome Biochemistry, Center for Omics Sciences, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy. FAU - Margari, Lucia AU - Margari L AD - Child Neuropsychiatry Unit, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", 70126, Bari, Italy. FAU - Gentile, Mattia AU - Gentile M AD - Medical Genetics Unit, Department of Reproductive Medicine, ASL Bari, 70132, Bari, Italy. FAU - D'Adamo, Patrizia AU - D'Adamo P AUID- ORCID: 0000-0002-0312-5541 AD - Molecular Genetics of Intellectual Disability, Division of Neuroscience, IRCCS San Raffaele Scientific Institute, 20132, Milan, Italy. LA - eng PT - Journal Article PL - England TA - Hum Mol Genet JT - Human molecular genetics JID - 9208958 RN - EC 3.6.1.- (RAB39B protein, mouse) RN - EC 3.6.1.- (Rab39B protein, human) RN - EC 3.6.5.2 (rab GTP-Binding Proteins) SB - IM MH - Animals MH - *Autism Spectrum Disorder/genetics MH - Disease Models, Animal MH - Down-Regulation MH - Humans MH - *Intellectual Disability/genetics MH - Mice MH - Mutation MH - rab GTP-Binding Proteins/genetics/metabolism PMC - PMC9071400 EDAT- 2021/11/12 06:00 MHDA- 2022/05/10 06:00 PMCR- 2021/11/11 CRDT- 2021/11/11 07:06 PHST- 2021/09/16 00:00 [received] PHST- 2021/10/25 00:00 [revised] PHST- 2021/10/26 00:00 [accepted] PHST- 2021/11/12 06:00 [pubmed] PHST- 2022/05/10 06:00 [medline] PHST- 2021/11/11 07:06 [entrez] PHST- 2021/11/11 00:00 [pmc-release] AID - 6425258 [pii] AID - ddab320 [pii] AID - 10.1093/hmg/ddab320 [doi] PST - ppublish SO - Hum Mol Genet. 2022 May 4;31(9):1389-1406. doi: 10.1093/hmg/ddab320.