PUBLICATION

Biallelic TEDC1 variants cause a new syndrome with severe growth impairment and endocrine complications

Authors
Miyake, N., Shiga, K., Hasegawa, Y., Iwabuchi, C., Shiroshita, K., Kobayashi, H., Takubo, K., Velilla, F., Maeno, A., Kawasaki, T., Imai, Y., Sakai, N., Hirose, T., Fujita, A., Takahashi, H., Okamoto, N., Enokizono, M., Iwasaki, S., Ito, S., Matsumoto, N.
ID
ZDB-PUB-250221-15
Date
2025
Source
European journal of human genetics : EJHG : (Journal)
Registered Authors
Sakai, Noriyoshi
Keywords
none
MeSH Terms
  • Adrenal Insufficiency*/genetics
  • Adrenal Insufficiency*/pathology
  • Animals
  • Female
  • Humans
  • Zebrafish/genetics
  • Microcephaly*/genetics
  • Microcephaly*/pathology
  • Syndrome
  • Developmental Disabilities*/genetics
  • Developmental Disabilities*/pathology
  • Growth Disorders*/genetics
  • Growth Disorders*/pathology
  • Male
PubMed
39979680 Full text @ Eur. J. Hum. Genet.
Abstract
We encountered two affected male patients born to non-consanguineous parents, who presented with prenatal-onset severe growth impairment, primary microcephaly, developmental delay, adrenal insufficiency, congenital glaucoma, delayed bone aging, craniosynostosis, congenital tracheal stenosis, and primary hypogonadism. By exome sequencing, we identified compound heterozygous TEDC1 variants (NM_001134877.1 c.[104-5C>G];[787delG] p.[?];[(Ala263LeufsTer29)] in both affected siblings. We confirmed that the splice site variant, c.104-5C>G, leads to no TEDC1 protein production via nonsense-mediated mRNA decay. The frameshift variant located in the last coding exon, c.787delG, produces a C-terminally truncated protein, which impairs the binding with TEDC2. Thus, both variants are thought to be loss-of-function. TEDC1 and TEDC2 are both required for centriole stability and cell proliferation. Our in vitro experiments using patient-derived cells revealed cell cycle abnormality. Our in vivo study using tedc1-/- zebrafish generated by CRISPR/Cas9 successfully recapitulated the growth impairment and cranial bone dysplasia as seen in our patients. The tedc1-/- mutant zebrafish were sterile and did not have developed gonads. Furthermore, we showed that biallelic TEDC1 deletion causes cilia abnormalities through defective acetylated tubulins.
Genes / Markers
Figures
Expression
Phenotype
Mutations / Transgenics
Human Disease / Model
Sequence Targeting Reagents
Fish
Antibodies
Orthology
Engineered Foreign Genes
Mapping