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SLC9A6 mutations cause X-linked mental retardation, microcephaly, epilepsy, and ataxia, a phenotype mimicking Angelman syndrome
Authors:Gilfillan Gregor D  Selmer Kaja K  Roxrud Ingrid  Smith Raffaella  Kyllerman Mårten  Eiklid Kristin  Kroken Mette  Mattingsdal Morten  Egeland Thore  Stenmark Harald  Sjøholm Hans  Server Andres  Samuelsson Lena  Christianson Arnold  Tarpey Patrick  Whibley Annabel  Stratton Michael R  Futreal P Andrew  Teague Jon  Edkins Sarah  Gecz Jozef  Turner Gillian  Raymond F Lucy  Schwartz Charles  Stevenson Roger E  Undlien Dag E  Strømme Petter
Affiliation:1 Department of Medical Genetics, Ullevål University Hospital, NO-0407 Oslo, Norway
2 Faculty Division, Ullevål University Hospital, Faculty of Medicine, University of Oslo, NO-0316 Oslo, Norway
3 Department of Biochemistry, Institute for Cancer Research, Rikshospitalet-Radiumhospitalet Medical Center, NO-0310 Oslo, Norway
4 Cancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK
5 The Queen Silvia Children's Hospital, Gothenburg University, S-416 85 Gothenburg, Sweden
6 Section for Neurophysiology, Department of Neurology, Ullevål University Hospital, NO-0407 Oslo, Norway
7 Department of Neuroradiology, Ullevål University Hospital, NO-0407 Oslo, Norway
8 Department of Clinical Genetics, Sahlgrenska University Hospital, Gothenburg University, S-416 85 Gothenburg, Sweden
9 Division of Human Genetics, National Health Laboratory Service and University of Witwatersrand, Johannesburg 2000, South Africa
10 Cambridge Institute of Medical Research, Cambridge, CB2 0XY, UK
11 Neurogenetics Laboratory, Department of Genetic Medicine, Women's and Children's Hospital, North Adelaide, SA 5006, Australia
12 Hunter Genetics and University of Newcastle, Newcastle, NSW 2300, Australia
13 Greenwood Genetic Center, JC Self Research Institute of Human Genetics, Greenwood, SC 29646, USA
14 Department of Pediatrics, Ullevål University Hospital, NO-0407 Oslo, Norway
Abstract:Linkage analysis and DNA sequencing in a family exhibiting an X-linked mental retardation (XLMR) syndrome, characterized by microcephaly, epilepsy, ataxia, and absent speech and resembling Angelman syndrome, identified a deletion in the SLC9A6 gene encoding the Na(+)/H(+) exchanger NHE6. Subsequently, other mutations were found in a male with mental retardation (MR) who had been investigated for Angelman syndrome and in two XLMR families with epilepsy and ataxia, including the family designated as having Christianson syndrome. Therefore, mutations in SLC9A6 cause X-linked mental retardation. Additionally, males with findings suggestive of unexplained Angelman syndrome should be considered as potential candidates for SLC9A6 mutations.
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