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Khosrowabadi E, Mignon-Ravix C, Riccardi F, Cacciagli P, Desnous B, Sigaudy S, Milh M, Villard L, Kjellén L, Molinari F. Loss of NDST1 N-sulfotransferase activity is associated with autosomal recessive intellectual disability. Hum Mol Genet 2024; 33:520-529. [PMID: 38129107 DOI: 10.1093/hmg/ddad203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 10/11/2023] [Accepted: 11/22/2023] [Indexed: 12/23/2023] Open
Abstract
Intellectual Disability (ID) is the major cause of handicap, affecting nearly 3% of the general population, and is highly genetically heterogenous with more than a thousand genes involved. Exome sequencing performed in two independent families identified the same missense variant, p.(Gly611Ser), in the NDST1 (N-deacetylase/N-sulfotransferase member 1) gene. This variant had been previously found in ID patients of two other families but has never been functionally characterized. The NDST1 gene encodes a bifunctional enzyme that catalyzes both N-deacetylation and N-sulfation of N-acetyl-glucosamine residues during heparan sulfate (HS) biosynthesis. This step is essential because it influences the downstream enzymatic modifications and thereby determines the overall structure and sulfation degree of the HS polysaccharide chain. To discriminate between a rare polymorphism and a pathogenic variant, we compared the enzymatic properties of wild-type and mutant NDST1 proteins. We found that the p.(Gly611Ser) variant results in a complete loss of N-sulfotransferase activity while the N-deacetylase activity is retained. NDST1 shows the highest and the most homogeneous expression in the human cerebral structures compared to the other members of the NDST gene family. These results indicate that a loss of NDST1 N-sulfation activity is associated with impaired cognitive functions.
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Affiliation(s)
- Elham Khosrowabadi
- Department of Medical Biochemistry and Microbiology, The Biomedical Center, Husargatan 3, 751 23 Uppsala, Sweden
| | - Cécile Mignon-Ravix
- Aix-Marseille Univ, INSERM, MMG, Centre de génétique médicale de Marseille, 27 Bd Jean Moulin, 13385 Marseille Cedex 05, France
| | - Florence Riccardi
- Aix-Marseille Univ, INSERM, MMG, Centre de génétique médicale de Marseille, 27 Bd Jean Moulin, 13385 Marseille Cedex 05, France
- Département de Génétique Médicale, Hôpital Ste Musse, 54 Rue Henri Sainte-Claire Deville, 83100 Toulon, France
| | - Pierre Cacciagli
- Biological Resource Center, Assistance Publique des Hôpitaux de Marseille, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille cedex 05, France
| | - Béatrice Desnous
- Service de Neuropédiatrie, AP-HM, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille cedex 05, France
| | - Sabine Sigaudy
- Service de Génétique Clinique, AP-HM, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille cedex 05, France
| | - Mathieu Milh
- Aix-Marseille Univ, INSERM, MMG, Centre de génétique médicale de Marseille, 27 Bd Jean Moulin, 13385 Marseille Cedex 05, France
- Service de Neuropédiatrie, AP-HM, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille cedex 05, France
| | - Laurent Villard
- Aix-Marseille Univ, INSERM, MMG, Centre de génétique médicale de Marseille, 27 Bd Jean Moulin, 13385 Marseille Cedex 05, France
- Département de Génétique Médicale, AP-HM, Hôpital Timone Enfants, 264 rue Saint Pierre, 13385 Marseille cedex 05, France
| | - Lena Kjellén
- Department of Medical Biochemistry and Microbiology, The Biomedical Center, Husargatan 3, 751 23 Uppsala, Sweden
| | - Florence Molinari
- Aix-Marseille Univ, INSERM, MMG, Centre de génétique médicale de Marseille, 27 Bd Jean Moulin, 13385 Marseille Cedex 05, France
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