A Recurrent Missense Variant in AP2M1 Impairs Clathrin-Mediated Endocytosis and Causes Developmental and Epileptic Encephalopathy - Sorbonne Université
Journal Articles American Journal of Human Genetics Year : 2019

A Recurrent Missense Variant in AP2M1 Impairs Clathrin-Mediated Endocytosis and Causes Developmental and Epileptic Encephalopathy

Ingo Helbig (1, 2, 3) , Tania Lopez-Hernandez (4) , Oded Shor (5) , Peter Galer (1) , Shiva Ganesan (1) , Manuela Pendziwiat (6, 2) , Annika Rademacher (2) , Colin Ellis (3) , Nadja Hümpfer (4) , Niklas Schwarz (7) , Simone Seiffert (7) , Joseph Peeden , Joseph Shen (8) , Katalin Štěrbová (9) , Trine Bjørg Hammer , Rikke Møller (10) , Deepali Shinde (11) , Sha Tang (11) , Lacey Smith (12) , Annapurna Poduri (13, 14) , Roland Krause (15) , Felix Benninger (5) , Katherine Helbig (1) , Volker Haucke (4) , Yvonne Weber (7, 16) , Rudi Balling , Nina Barisic , Stéphanie Baulac (17) , Hande Caglayan , Dana Craiu , Peter de Jonghe , Christel Depienne (17) , Renzo Guerrini , Helle Hjalgrim , Dorota Hoffman-Zacharska , Johanna Jähn , Karl Martin Klein , Bobby P.C. Koeleman , Vladimir Komarek , Eric Leguern (17) , Anna-Elina Lehesjoki , Johannes Lemke , Holger Lerche , Tarja Linnankivi , Carla Marini , Patrick May , Hiltrud Muhle , Deb Pal , Aarno Palotie , Felix Rosenow , Susanne Schubert-Bast , Kaja Selmer , Jose Serratosa , Sanjay Sisodiya , Ulrich Stephani , Pasquale Striano , Arvid Suls , Tiina Talvik , Sarah von Spiczak , Sarah Weckhuysen , Federico Zara , Paul Avillach , Anna Bartels , Sawona Biswas , Florence Bourgeois , Batsal Devkota , Tracy Glauser , Barbara Hallinan , Allison Heath , Joel Hirschhorn , Judson Kilbourn , Sek Won Kong , Ian Krantz , In-Hee Lee , Kenneth Mandl , Eric Marsh , Kristen Sund , Deanne Taylor , Peter White , Rudi Balling , Nina Barisic , Stéphanie Baulac , Hande Caglayan , Dana Craiu , Peter De Jonghe , Christel Depienne , Renzo Guerrini , Helle Hjalgrim , Dorota Hoffman-Zacharska , Johanna Jähn , Karl Martin Klein , Bobby P.C. Koeleman , Vladimir Komarek , Eric Leguern , Anna-Elina Lehesjoki , Johannes R. Lemke , Holger Lerche , Tarja Linnankivi , Carla Marini , Patrick May , Hiltrud Muhle , Deb K. Pal , Aarno Palotie , Felix Rosenow , Susanne Schubert-Bast , Kaja Selmer , Jose M. Serratosa , Sanjay Sisodiya , Ulrich Stephani , Pasquale Striano , Arvid Suls , Tiina Talvik , Sarah Von Spiczak , Sarah Weckhuysen , Federico Zara , Paul Avillach , Anna Bartels , Sawona Biswas , Florence Bourgeois , Batsal Devkota , Tracy Glauser , Barbara Hallinan , Allison Heath , Joel Hirschhorn , Judson Kilbourn , Sek Won Kong , Ian Krantz , In-Hee Lee , Kenneth D. Mandl , Eric Marsh , Kristen Sund , Deanne Taylor , Peter White
Joseph Peeden
  • Function : Author
Trine Bjørg Hammer
  • Function : Author
Rudi Balling
  • Function : Author
Nina Barisic
  • Function : Author
Hande Caglayan
  • Function : Author
Dana Craiu
  • Function : Author
Peter de Jonghe
  • Function : Author
Renzo Guerrini
  • Function : Author
Helle Hjalgrim
  • Function : Author
Dorota Hoffman-Zacharska
  • Function : Author
Johanna Jähn
  • Function : Author
Karl Martin Klein
  • Function : Author
Bobby P.C. Koeleman
  • Function : Author
Vladimir Komarek
  • Function : Author
Anna-Elina Lehesjoki
  • Function : Author
Johannes Lemke
  • Function : Author
Holger Lerche
  • Function : Author
Tarja Linnankivi
  • Function : Author
Carla Marini
  • Function : Author
Patrick May
  • Function : Author
Hiltrud Muhle
  • Function : Author
Deb Pal
  • Function : Author
Aarno Palotie
  • Function : Author
Felix Rosenow
  • Function : Author
Susanne Schubert-Bast
  • Function : Author
Kaja Selmer
  • Function : Author
Jose Serratosa
  • Function : Author
Sanjay Sisodiya
  • Function : Author
Ulrich Stephani
  • Function : Author
Pasquale Striano
  • Function : Author
Arvid Suls
  • Function : Author
Tiina Talvik
  • Function : Author
Sarah von Spiczak
  • Function : Author
Sarah Weckhuysen
  • Function : Author
Federico Zara
  • Function : Author
Paul Avillach
  • Function : Author
Anna Bartels
  • Function : Author
Sawona Biswas
  • Function : Author
Florence Bourgeois
  • Function : Author
Batsal Devkota
  • Function : Author
Tracy Glauser
  • Function : Author
Barbara Hallinan
  • Function : Author
Allison Heath
  • Function : Author
Joel Hirschhorn
  • Function : Author
Judson Kilbourn
  • Function : Author
Sek Won Kong
  • Function : Author
Ian Krantz
  • Function : Author
In-Hee Lee
  • Function : Author
Kenneth Mandl
  • Function : Author
Eric Marsh
  • Function : Author
Kristen Sund
  • Function : Author
Deanne Taylor
  • Function : Author
Peter White
  • Function : Author
Rudi Balling
  • Function : Author
Nina Barisic
  • Function : Author
Stéphanie Baulac
  • Function : Author
Hande Caglayan
  • Function : Author
Dana Craiu
  • Function : Author
Peter De Jonghe
  • Function : Author
Christel Depienne
  • Function : Author
Renzo Guerrini
  • Function : Author
Helle Hjalgrim
  • Function : Author
Dorota Hoffman-Zacharska
  • Function : Author
Johanna Jähn
  • Function : Author
Karl Martin Klein
  • Function : Author
Bobby P.C. Koeleman
  • Function : Author
Vladimir Komarek
  • Function : Author
Eric Leguern
  • Function : Author
Anna-Elina Lehesjoki
  • Function : Author
Johannes R. Lemke
  • Function : Author
Holger Lerche
  • Function : Author
Tarja Linnankivi
  • Function : Author
Carla Marini
  • Function : Author
Patrick May
  • Function : Author
Hiltrud Muhle
  • Function : Author
Deb K. Pal
  • Function : Author
Aarno Palotie
  • Function : Author
Felix Rosenow
  • Function : Author
Susanne Schubert-Bast
  • Function : Author
Kaja Selmer
  • Function : Author
Jose M. Serratosa
  • Function : Author
Sanjay Sisodiya
  • Function : Author
Ulrich Stephani
  • Function : Author
Pasquale Striano
  • Function : Author
Arvid Suls
  • Function : Author
Tiina Talvik
  • Function : Author
Sarah Von Spiczak
  • Function : Author
Sarah Weckhuysen
  • Function : Author
Federico Zara
  • Function : Author
Paul Avillach
  • Function : Author
Anna Bartels
  • Function : Author
Sawona Biswas
  • Function : Author
Florence Bourgeois
  • Function : Author
Batsal Devkota
  • Function : Author
Tracy Glauser
  • Function : Author
Barbara Hallinan
  • Function : Author
Allison Heath
  • Function : Author
Joel Hirschhorn
  • Function : Author
Judson Kilbourn
  • Function : Author
Sek Won Kong
  • Function : Author
Ian Krantz
  • Function : Author
In-Hee Lee
  • Function : Author
Kenneth D. Mandl
  • Function : Author
Eric Marsh
  • Function : Author
Kristen Sund
  • Function : Author
Deanne Taylor
  • Function : Author
Peter White
  • Function : Author

Abstract

The developmental and epileptic encephalopathies (DEEs) are heterogeneous disorders with a strong genetic contribution, but the underlying genetic etiology remains unknown in a significant proportion of individuals. To explore whether statistical support for genetic etiologies can be generated on the basis of phenotypic features, we analyzed whole-exome sequencing data and phenotypic similarities by using Human Phenotype Ontology (HPO) in 314 individuals with DEEs. We identified a de novo c.508C>T (p.Arg170Trp) variant in AP2M1 in two individuals with a phenotypic similarity that was higher than expected by chance (p = 0.003) and a phenotype related to epilepsy with myoclonic-atonic seizures. We subsequently found the same de novo variant in two individuals with neurodevelopmental disorders and generalized epilepsy in a cohort of 2,310 individuals who underwent diagnostic whole-exome sequencing. AP2M1 encodes the μ-subunit of the adaptor protein complex 2 (AP-2), which is involved in clathrin-mediated endocytosis (CME) and synaptic vesicle recycling. Modeling of protein dynamics indicated that the p.Arg170Trp variant impairs the conformational activation and thermodynamic entropy of the AP-2 complex. Functional complementation of both the μ-subunit carrying the p.Arg170Trp variant in human cells and astrocytes derived from AP-2μ conditional knockout mice revealed a significant impairment of CME of transferrin. In contrast, stability, expression levels, membrane recruitment, and localization were not impaired, suggesting a functional alteration of the AP-2 complex as the underlying disease mechanism. We establish a recurrent pathogenic variant in AP2M1 as a cause of DEEs with distinct phenotypic features, and we implicate dysfunction of the early steps of endocytosis as a disease mechanism in epilepsy.

Dates and versions

hal-04560692 , version 1 (26-04-2024)

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Cite

Ingo Helbig, Tania Lopez-Hernandez, Oded Shor, Peter Galer, Shiva Ganesan, et al.. A Recurrent Missense Variant in AP2M1 Impairs Clathrin-Mediated Endocytosis and Causes Developmental and Epileptic Encephalopathy. American Journal of Human Genetics, 2019, 104 (6), pp.1060-1072. ⟨10.1016/j.ajhg.2019.04.001⟩. ⟨hal-04560692⟩
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