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Clinical and genetic spectrum of CASK-related disorders in Chinese patients - PubMed

3 days ago
  • #CASK disorders
  • #Chinese patients
  • #Genetic spectrum
  • CASK-related disorders are rare X-linked neurological conditions associated with developmental delay and intellectual disability.
  • The study analyzed 21 Chinese patients (18 females, 3 males) with CASK variants using whole-exome sequencing and copy number variant sequencing.
  • Twenty CASK alterations were identified, including 12 novel variants and five copy number alterations.
  • Clinical phenotypes included severe developmental delay, intellectual disability, microcephaly, muscle tone abnormalities, feeding difficulties, low weight gain, and seizures.
  • Female patients had more CASK-related neurodevelopmental disorders and milder clinical manifestations compared to male patients.
  • In Chinese patients, seizure onset was earlier and severe ophthalmologic problems were less common compared to previous reports from other countries.
  • The study highlights CASK as a disease-causing gene for unexplained intellectual disability, with unique features in the Chinese population.