{"id":6151,"date":"2019-09-25T13:29:27","date_gmt":"2019-09-25T17:29:27","guid":{"rendered":"https:\/\/www.simonssearchlight.org\/?page_id=6151"},"modified":"2020-05-27T16:24:46","modified_gmt":"2020-05-27T20:24:46","slug":"6151-2","status":"publish","type":"page","link":"https:\/\/www.simonssearchlight.org\/research\/what-we-study\/grin2b-2\/6151-2\/","title":{"rendered":""},"content":{"rendered":"<h2><strong>Chromosome 12p deletion spanning the GRIN2B gene presenting with a neurodevelopmental phenotype: A case report and review of literature<\/strong><\/h2>\n<p>Original research article by N. Mishra <em>et al.<\/em> (2016)<\/p>\n<p>Read the abstract <a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2329048x16629980\">here<\/a>.<\/p>\n<p>The\u00a0GRIN2B\u00a0gene plays an important role in brain formation and development, so changes in this gene can significantly impact a child\u2019s development and brain activity. The authors studied one child with a loss-of-function\u00a0GRIN2B<em>\u00a0<\/em>change (the gene\u00a0lost\u00a0the ability\u00a0to perform a normal function), which was not found in either parent (de novo), and they compared this child\u2019s clinical features and genetic change with cases studied by other researchers. This child was a 3-year-old boy with global developmental delay that impacted his motor and language skills. He also had minor differences in facial features, moderate intellectual disability, and muscle weakness. He did not have a history of seizures.<\/p>\n<p>Combining information from other case studies with their own, the researchers summarized effects of the\u00a0GRIN2B<em>\u00a0<\/em>changes in 13 people. These people ranged from ages 2 to 24, and nine of them had de novo\u00a0loss-of-function changes. These nine people had clinical features similar to those of the child who was the focus of this study. Of the remaining four people, three had\u00a0de novo<em>\u00a0<\/em>gain-of-function\u00a0GRIN2B<em>\u00a0<\/em>changes (the gene\u00a0gained\u00a0an abnormal function) and one had a\u00a0GRIN2B<em>\u00a0<\/em>change inherited from his father. These four people had varying degrees of intellectual disability, abnormal brain activity (identified on EEG), muscle spasms, and seizures. The researchers observed that\u00a0GRIN2B\u00a0loss-of-function changes were associated with\u00a0developmental delay, and gain-of-function<em>\u00a0<\/em>changes were associated with\u00a0epilepsy. Both types of changes are also associated with autism spectrum disorder and schizophrenia.<\/p>\n<table style=\"width: 100%; border: 1px solid black;\">\n<tbody>\n<tr>\n<td style=\"color: white; background-color: #f36046; text-align: center; padding: 5px; border: 1px solid #d9d9d9;\"><\/td>\n<td style=\"color: white; background-color: #f36046; text-align: center; padding: 5px; border: 1px solid #d9d9d9;\"><strong>Features Observed<\/strong><\/td>\n<td style=\"color: white; background-color: #f36046; text-align: center; padding: 5px; border: 1px solid #d9d9d9;\"><strong>Number of Individuals Affected<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"color: white; background-color: #f36046; text-align: center; padding: 5px; border: 1px solid #d9d9d9;\" rowspan=\"5\"><strong>Individuals with Loss-of-Function GRIN2B Mutations<\/strong><\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Developmental delay (motor and speech skills)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">7\/9<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Differences in facial features<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">3\/9<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Behavioral problems<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">6\/9<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Muscle weakness (hypotonia)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">2\/9<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Intellectual Disability (ID)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">9\/9<\/p>\n<p>(3 Mild ID, 5 Moderate ID, 1 Severe ID)<\/td>\n<\/tr>\n<tr>\n<td style=\"color: white; background-color: #f36046; text-align: center; padding: 5px; border: 1px solid #d9d9d9;\" rowspan=\"3\"><strong>Individuals with Gain-of-Function GRIN2B Mutations<\/strong> and <strong>Individual with &#8220;Other&#8221; GRIN2B Mutation<\/strong><\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Diagnosed seizure disorder (West syndrome)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">3\/4<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Abnormal brain activity (via EEG)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">4\/4<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">Intellectual Disability (ID)<\/td>\n<td style=\"padding: 5px; border: 1px solid #d9d9d9;\">4\/4<\/p>\n<p>(1 Mild ID, 3 Severe ID)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Chromosome 12p deletion spanning the GRIN2B gene presenting with a neurodevelopmental phenotype: A case report and review of literature Original research article by N. Mishra et al. (2016) Read the abstract here. The\u00a0GRIN2B\u00a0gene plays an important role in brain formation and development, so changes in this gene can significantly impact a child\u2019s development and brain [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":502,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"acf":[],"_links":{"self":[{"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/pages\/6151"}],"collection":[{"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/comments?post=6151"}],"version-history":[{"count":3,"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/pages\/6151\/revisions"}],"predecessor-version":[{"id":7955,"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/pages\/6151\/revisions\/7955"}],"up":[{"embeddable":true,"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/pages\/502"}],"wp:attachment":[{"href":"https:\/\/www.simonssearchlight.org\/wp-json\/wp\/v2\/media?parent=6151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}