Journal
AMERICAN JOURNAL OF MEDICAL GENETICS PART A
Volume 167, Issue 6, Pages 1391-1395Publisher
WILEY-BLACKWELL
DOI: 10.1002/ajmg.a.36935
Keywords
intellectual disability; spastic diplegia; self-injury; Elongator complex; ELP2
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Elongator is a multi-subunit protein complex essential to transcription elongation, histone acetylation, and tRNA modification. The complex consists of six highly conserved protein subunits, called Elongator Proteins (ELP) 1-6. Apart from an association with intellectual disability (ID), there is limited clinical information about patients with ELP2 variants. Here we report on two brothers with severe ID, spastic diplegia, and self-injury whose presentation eluded a diagnosis for over 20 years. In both brothers, whole exome sequencing revealed a likely pathogenic, compound heterozygous missense variant in ELP2. We describe the phenotype and natural history of the ELP2-related disorder in these brothers. (c) 2015 Wiley Periodicals, Inc.
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