RT Journal Article T1 Biallelic Variants in UBA5 Reveal that Disruption of the UFM1 Cascade Can Result in Early-Onset Encephalopathy. A1 Colin, Estelle A1 Daniel, Jens A1 Ziegler, Alban A1 Wakim, Jamal A1 Scrivo, Aurora A1 Haack, Tobias B A1 Khiati, Salim A1 Denomme, Anne-Sophie A1 Amati-Bonneau, Patrizia A1 Charif, Majida A1 Procaccio, Vincent A1 Reynier, Pascal A1 Aleck, Kyrieckos A A1 Botto, Lorenzo D A1 Herper, Claudia Lena A1 Kaiser, Charlotte Sophia A1 Nabbout, Rima A1 N'Guyen, Sylvie A1 Mora-Lorca, Jose Antonio A1 Assmann, Birgit A1 Christ, Stine A1 Meitinger, Thomas A1 Strom, Tim M A1 Prokisch, Holger A1 Miranda-Vizuete, Antonio A1 Hoffmann, Georg F A1 Lenaers, Guy A1 Bomont, Pascale A1 Liebau, Eva A1 Bonneau, Dominique K1 Animals K1 Caenorhabditis elegans K1 Cholinergic Neurons K1 Fibroblasts K1 Intellectual Disability K1 Microcephaly K1 Mutation K1 Proteins K1 Ubiquitin-Activating Enzymes K1 Zebrafish Proteins AB Via whole-exome sequencing, we identified rare autosomal-recessive variants in UBA5 in five children from four unrelated families affected with a similar pattern of severe intellectual deficiency, microcephaly, movement disorders, and/or early-onset intractable epilepsy. UBA5 encodes the E1-activating enzyme of ubiquitin-fold modifier 1 (UFM1), a recently identified ubiquitin-like protein. Biochemical studies of mutant UBA5 proteins and studies in fibroblasts from affected individuals revealed that UBA5 mutations impair the process of ufmylation, resulting in an abnormal endoplasmic reticulum structure. In Caenorhabditis elegans, knockout of uba-5 and of human orthologous genes in the UFM1 cascade alter cholinergic, but not glutamatergic, neurotransmission. In addition, uba5 silencing in zebrafish decreased motility while inducing abnormal movements suggestive of seizures. These clinical, biochemical, and experimental findings support our finding of UBA5 mutations as a pathophysiological cause for early-onset encephalopathies due to abnormal protein ufmylation. PB Cell Press YR 2016 FD 2016-08-18 LK http://hdl.handle.net/10668/10376 UL http://hdl.handle.net/10668/10376 LA en NO Colin E, Daniel J, Ziegler A, Wakim J, Scrivo A, Haack TB, et al. Biallelic Variants in UBA5 Reveal that Disruption of the UFM1 Cascade Can Result in Early-Onset Encephalopathy. Am J Hum Genet. 2016 Sep 1;99(3):695-703. DS RISalud RD Apr 7, 2025