PMID- 36710240 OWN - NLM STAT- MEDLINE DCOM- 20240409 LR - 20240409 IS - 1532-2688 (Electronic) IS - 1059-1311 (Linking) VI - 116 DP - 2024 Mar TI - A case of a childhood onset developmental encephalopathy with a novel de novo truncating variant in the Membrane Protein Palmitoylated 5 (MPP5) gene. PG - 151-155 LID - S1059-1311(23)00021-3 [pii] LID - 10.1016/j.seizure.2023.01.015 [doi] AB - BACKGROUND: Membrane Protein Palmitoylated 5 (MPP5) is a highly conserved apical complex protein, essential for cell polarity. Defects in neuronal cell polarity are associated with neurologic disorders. Only three patients with heterozygous MPP5 de novo variants have been reported so far, with global developmental delay, behavioral changes and in only one case epileptic seizures. OBJECTIVE: To describe a new patient with a novel truncating de novo mutation in MPP5 and to characterize in detail the epileptic phenotype and electroencephalographic features of the encephalopathy. METHODS: We identified a novel truncating de novo mutation in MPP5 in a 44 year old patient by exome sequencing (p.Ser498Phefs*15). We retrospectively analyzed his clinical and instrumental data along a thirty-year follow up. RESULT: Our patient presents with generalized tonic-clonic seizures, myoclonic and clonic seizures, non-epileptic myoclonus, tremor, severe intellectual disability, mild face dysmorphic traits, and psychosis. DISCUSSION AND CONCLUSION: We present a case of a childhood onset developmental encephalopathy with a likely-pathogenic variant in the MPP5 gene.. This represents the first complete description of the epileptic syndrome associated with the MPP5 gene. CI - Copyright (c) 2023. Published by Elsevier Ltd. FAU - Zanotta, Nicoletta AU - Zanotta N AD - Clinical Neurophysiology Unit, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. Electronic address: nicoletta.zanotta@lanostrafamiglia.it. FAU - Panzeri, Elena AU - Panzeri E AD - Molecular Biology Laboratory, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Minghetti, Sara AU - Minghetti S AD - Clinical Neurophysiology Unit, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Citterio, Andrea AU - Citterio A AD - Molecular Biology Laboratory, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Giorda, Roberto AU - Giorda R AD - Molecular Biology Laboratory, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Marelli, Susan AU - Marelli S AD - Medical Genetic Service, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Bassi, Maria Teresa AU - Bassi MT AD - Molecular Biology Laboratory, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. FAU - Zucca, Claudio AU - Zucca C AD - Clinical Neurophysiology Unit, Scientific Institute, IRCCS E. Medea Via don Luigi Monza, 20, Bosisio Parini, Lecco 23842, Italy. LA - eng PT - Case Reports PT - Journal Article DEP - 20230123 PL - England TA - Seizure JT - Seizure JID - 9306979 RN - EC 2.7.4.8 (MPP5 protein, human) RN - 0 (Membrane Proteins) RN - EC 2.7.4.4 (Nucleoside-Phosphate Kinase) SB - IM MH - Humans MH - Child MH - Adult MH - Retrospective Studies MH - *Epilepsy/genetics MH - Seizures/genetics MH - *Intellectual Disability/genetics MH - Phenotype MH - *Brain Diseases/genetics MH - Membrane Proteins/genetics MH - Nucleoside-Phosphate Kinase/genetics OTO - NOTNLM OT - Clinical phenotype OT - Developmental encephalopathy OT - MPP5 gene COIS- Declaration of Competing Interest None of the authors has any conflict of interest to disclose. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. EDAT- 2023/01/30 06:00 MHDA- 2024/04/09 06:45 CRDT- 2023/01/29 22:06 PHST- 2022/05/20 00:00 [received] PHST- 2023/01/20 00:00 [revised] PHST- 2023/01/21 00:00 [accepted] PHST- 2024/04/09 06:45 [medline] PHST- 2023/01/30 06:00 [pubmed] PHST- 2023/01/29 22:06 [entrez] AID - S1059-1311(23)00021-3 [pii] AID - 10.1016/j.seizure.2023.01.015 [doi] PST - ppublish SO - Seizure. 2024 Mar;116:151-155. doi: 10.1016/j.seizure.2023.01.015. Epub 2023 Jan 23.