Behavioral genetics discussion
Genetic basis for cognitive disabilities
Dr. Katie Dabrowski, PT, DPT
The extent to which genes are involved
The causes of cognitive disability vary with the severity of the condition
Moderate-to-severe intellectual disability (defined as IQ < 50) is much more likely to be due to a single pathological cause when compared to mild cases (IQ 50-70), which is usually thought to be multifactorial
Chromosomal and genetic disorders account for 30-40% of moderate-to-severe disabilities
There are a lot of ways to classify intellectual disability.
I. Mendelian disorders
Mendelian disorders = rare and usually inherited, typically caused by mutation in a single gene
Almost all Mendelian intellectual disabilities are x-linked
Fragile X syndrome is the most common x-linked cognitive disability (1 in 5000 males, 1 in 8000 females)
Fragile X Syndrome
Results in:
Intellectual disability
Most well-known cause of autism
67% of boys with FXS have AD/ASD
Behavioral abnormalities
Anxiety, ADHD, atypical sociality
Fragile X Syndrome
Associated with an expansion of a trinucleotide repeat (CGG) in the 5’- noncoding region of a gene that encodes an RNA binding protein called FMR1 – it is repeated >200 times in cases of FXS, and typical is just 1—40!
In the normal brain, FMR1 protein is found in nearly all neurons and is likely important for translation and mRNA export
It plays a role in the maturation and pruning of dendritic spines during brain development – so in the case of FXS, TOO MANY synapses occur and that’s not a good thing
We need to have normal pruning of synapses to fine-tune our connections
Rett’s Syndrome
Progressive neurological disorder that affects females almost exclusively
Mutations found in methyl-CpG-binding protein 2 (MeCP2) gene, which is located on the X chromosome
The development and severity of Rett’s syndrome depends on the location and type of mutation on the MeCP2 gene
Rett’s Syndrome
MeCP2 gene makes the MeCP2 protein that is necessary for the development of the brain and normal nervous system function
Rett’s syndrome results in not enough MeCP2 being produced, which disrupts the normal function of neurons and other cells in the brain
Less than 1% of cases are inherited
Rett’s Syndrome
Symptoms:
Abnormal respiratory patterns
Absent speech development
Loss of developmental milestones
Global developmental delay
High-pitched cry
Bradykinesia
Difficulty walking, dystonia, seizure, apraxia
Skeletal muscle atrophy
Alpha-thalassemia X-linked mental retardation syndrome (ATRX)
Mutations in ATRX result in severe MR, facial dysmorphism, urogenital abnormalities, and alpha-thalassemia (a blood disorder that reduces the production of hemoglobin), speech delay, hypotonia
Occurs almost exclusively in males
ATRX gene codes for a protein that plays an essential role in development and is suggested to regulate the expression of HBA1 and HBA2 genes, which are necessary for normal hemoglobin production
Reduced HBA1 and HBA2 genes cause alpha thalassemia
II. Chromosomal aberrations
Down’s syndrome (trisomy 21)
Edward’s syndrome (trisomy 18)
Down’s syndrome (Trisomy 21)
An extra copy of chromosome 21 results in an error of cell division, causing Down’s syndrome, the most frequent form of intellectual disability
Clinical features: dysmorphic features, seizures, psychomotor slowing, and congenital malformations
There are at least 16 genes on chromosome 21 that are linked to mitochondrial energy generation and reactive oxygen metabolism
Several studies have linked mitochondrial dysfunction with Down’s syndrome and Alzheimer’s disease
Edward’s syndrome (Trisomy 18)
Very high mortality rate
Slow growth before birth and low birth weight, heart defects, organ abnormalities
Small, abnormally shaped head, small jaw and mouth, clenched fist with overlapping fingers
III. Segmental aneusomy syndromes
ID genetic conditions due to small chromosomal deletions or duplications
William’s Beuren syndrome
Prader-Willi Syndrome
Angelman Syndrome
Williams-Beuren Syndrome
Neurodevelopmental disorder characterized by congenital heart disease, infantile hypercalcemia, dysmorphic facial features, and cognitive disability
Due to haploinsufficiency of genes in region 7q11, which encompasses the elastin gene, resulting in cardiovascular disease (elastin arteriopathy)
Prader-Willi Syndrome
Abnormalities of a small region in 15ql l-q13
If both copies of the abnormality of chromosome 15 derive from the mother, then the result is PWS
MR may be mild with a characteristic facial appearance and hyperphagia and resulting obesity, hypotonia, delayed development
Temper outbursts, stubbornness, compulsive behaviors, sleep abnormalities
Underdeveloped genitals, delayed or incomplete puberty, infertility
Prader-Willi Syndrome
When a segment of the paternal chromosome 15 is deleted, this results in the loss of function of several genes on chromosome 15
These genes are important for the production of snoRNAs, which help regulate other types of RNA molecules
In some people with PWS, the loss of gene OCA2 is associated with unusually fair skin and light-colored hair.
Angelman Syndrome
Also arises from a small abnormality on chromosome 15, like PWS
If both copies of the abnormality of chromosome 15 derive from the father, then the result is AS
Severe retardation (very few affected individuals can talk), ataxia, seizures, abnormal EEG, microcephaly, facial dysmorphism, hyperactivity, paroxysmal laughter