RT Journal Article T1 SEMA6B variants cause intellectual disability and alter dendritic spine density and axon guidance. A1 Cordovado, Amelie A1 Schaettin, Martina A1 Jeanne, Mederic A1 Panasenkava, Veranika A1 Denomme-Pichon, Anne-Sophie A1 Keren, Boris A1 Mignot, Cyril A1 Doco-Fenzy, Martine A1 Rodan, Lance A1 Ramsey, Keri A1 Narayanan, Vinodh A1 Jones, Julie R A1 Prijoles, Eloise J A1 Mitchell, Wendy G A1 Ozmore, Jillian R A1 Juliette, Kali A1 Torti, Erin A1 Normand, Elizabeth A A1 Granger, Leslie A1 Petersen, Andrea K A1 Au, Margaret G A1 Matheny, Juliann P A1 Phornphutkul, Chanika A1 Chambers, Mary-Kathryn A1 Fernandez-Ramos, Joaquin-Alejandro A1 Lopez-Laso, Eduardo A1 Kruer, Michael C A1 Bakhtiari, Somayeh A1 Zollino, Marcella A1 Morleo, Manuela A1 Marangi, Giuseppe A1 Mei, Davide A1 Pisano, Tiziana A1 Guerrini, Renzo A1 Louie, Raymond J A1 Childers, Anna A1 Everman, David B A1 Isidor, Betrand A1 Audebert-Bellanger, Severine A1 Odent, Sylvie A1 Bonneau, Dominique A1 Gilbert-Dussardier, Brigitte A1 Redon, Richard A1 Bezieau, Stephane A1 Laumonnier, Frederic A1 Stoeckli, Esther T A1 Toutain, Annick A1 Vuillaume, Marie-Laure K1 Animals K1 Axon guidance K1 Chick embryo K1 Dendritic spines AB Intellectual disability (ID) is a neurodevelopmental disorder frequently caused by monogenic defects. In this study, we collected 14 SEMA6B heterozygous variants in 16 unrelated patients referred for ID to different centers. Whereas, until now, SEMA6B variants have mainly been reported in patients with progressive myoclonic epilepsy, our study indicates that the clinical spectrum is wider and also includes non-syndromic ID without epilepsy or myoclonus. To assess the pathogenicity of these variants, selected mutated forms of Sema6b were overexpressed in Human Embryonic Kidney 293T (HEK293T) cells and in primary neuronal cultures. shRNAs targeting Sema6b were also used in neuronal cultures to measure the impact of the decreased Sema6b expression on morphogenesis and synaptogenesis. The overexpression of some variants leads to a subcellular mislocalization of SEMA6B protein in HEK293T cells and to a reduced spine density owing to loss of mature spines in neuronal cultures. Sema6b knockdown also impairs spine density and spine maturation. In addition, we conducted in vivo rescue experiments in chicken embryos with the selected mutated forms of Sema6b expressed in commissural neurons after knockdown of endogenous SEMA6B. We observed that expression of these variants in commissural neurons fails to rescue the normal axon pathway. In conclusion, identification of SEMA6B variants in patients presenting with an overlapping phenotype with ID and functional studies highlight the important role of SEMA6B in neuronal development, notably in spine formation and maturation and in axon guidance. This study adds SEMA6B to the list of ID-related genes. PB Oxford University Press YR 2022 FD 2022-05-12 LK http://hdl.handle.net/10668/19787 UL http://hdl.handle.net/10668/19787 LA en NO Cordovado A, Schaettin M, Jeanne M, Panasenkava V, Denommé-Pichon AS, Keren B, et al. SEMA6B variants cause intellectual disability and alter dendritic spine density and axon guidance. Hum Mol Genet. 2022 Sep 29;31(19):3325-3340 NO Funding for HUGODIMS (Western France exomebased trio approach project to identify genes involved in ID) was supported by a grant from the French Ministry of Health and from the Health Regional Agency from Poitou-Charentes (HUGODIMS, 2013, RC14_0107). A.C. is a research student recipient of a grant from the University of Tours DS RISalud RD Apr 7, 2025