Characterisation of CASPR2 deficiency disorder--a syndrome involving autism, epilepsy and language impairment

BMC Med Genet. 2016 Feb 3;17:8. doi: 10.1186/s12881-016-0272-8.

Abstract

Background: Heterozygous mutations in CNTNAP2 have been identified in patients with a range of complex phenotypes including intellectual disability, autism and schizophrenia. However heterozygous CNTNAP2 mutations are also found in the normal population. Conversely, homozygous mutations are rare in patient populations and have not been found in any unaffected individuals.

Case presentation: We describe a consanguineous family carrying a deletion in CNTNAP2 predicted to abolish function of its protein product, CASPR2. Homozygous family members display epilepsy, facial dysmorphisms, severe intellectual disability and impaired language. We compared these patients with previously reported individuals carrying homozygous mutations in CNTNAP2 and identified a highly recognisable phenotype.

Conclusions: We propose that CASPR2 loss produces a syndrome involving early-onset refractory epilepsy, intellectual disability, language impairment and autistic features that can be recognized as CASPR2 deficiency disorder. Further screening for homozygous patients meeting these criteria, together with detailed phenotypic and molecular investigations will be crucial for understanding the contribution of CNTNAP2 to normal and disrupted development.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autistic Disorder / genetics*
  • Child, Preschool
  • Epilepsy / genetics*
  • Female
  • Gene Deletion
  • Heterozygote
  • Humans
  • Infant
  • Intellectual Disability / genetics
  • Language Disorders / genetics
  • Membrane Proteins / deficiency*
  • Membrane Proteins / genetics*
  • Mutation
  • Nerve Tissue Proteins / deficiency*
  • Nerve Tissue Proteins / genetics*
  • Pedigree
  • Phenotype
  • Sequence Analysis, DNA
  • Syndrome

Substances

  • CNTNAP2 protein, human
  • Membrane Proteins
  • Nerve Tissue Proteins