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CCDC174 mutation underlies a syndrome of
hypotonia and psychomotor developmental
delay with abducens nerve palsy
Presented by: Michael Volodarsky
Supervisor: Prof. Ohad S. Birk
The Morris Kahn Laboratory of Human Genetics at the NIBN.
The Shraga Segal Department of Microbiology, Immunology and Genetics,
Faculty of Health Sciences, Ben-Gurion University of the Negev, Israel.
• Small VSD (Ventricular Septal Defect)
• Psycho-motor delay
• Thin corpus callosum
• Pectus excavatum (sunken chest)
• Myopathic changes represented by
replacement of muscle fibers by fibrous tissue
and marked variation in fiber size
Family 1
Ethiopian Jews
Homozygosity mapping (250k)-family 1
3.5 Mb, 24 genes
Whole-exome sequencing
Chr3:11646954-15055905 (3.5Mb)
3 novel mutations
GRIP2
c.916G>A,
p.Gly306Arg
NUP210
c.3068C>T,
p.Ala1023Val
CCDC174
c.1404A>G,
p.*468Trpext*6
Family 2
Muslim Arabs
Hypotonia phenotype similar to family 1
18Mb, 147 genes
Homozygosity mapping (6k)-family 2
Whole-exome sequencing
Chr3:8749171-27253971 (18Mb)
2 novel mutations
GRIP2
c.916G>A,
p.Gly306Arg
CCDC174
c.1404A>G,
p.*468Trpext*6
Homozygosity Mapping (250k)-Family 1+2 combined
0.57Mb, 4 genes
CCDC174
c.1404A>G,
p.*468Trpext*6
Single mutation,
unique to all hypotonia patients
EntrezGeneIDA GeneSymbolA EntrezGeneIDB GeneSymbolB Y2H
9775 EIF4A3 51244 CCDC174 +
Found ~2800 interactions (300 new) and…
The EJC is involved in mRNA
maturation and composed of
four core proteins, MAGO,
Y14, EIF4A3 and BTZ.
ControlAffected
Anti-RYR1 immunohistochemistry
Early neural differentiation markers
ccdc174 knockdown in Xenopus
CCDC174
CCDC174 and EIF4a3 are nuclear and co-localized in neuroblastoma cells
EIF4A3 CCDC174 CCDC174EIF4A3 Merge
Summary
• CCDC174 is a ubiquitously expressed nuclear protein
• CCDC174 interacts with EIF4A3 and is part of the exon junction complex
• CCDC174 is crucial for early neuronal development in Xenopus
• Interracial p.*468Trpext*6 in CCDC174 leads to depletion of RYR1 protein in
muscle and massive cell death in neuroblastoma cell line
Thanks to all lab members:
• Rotem Kadir
• Yonatan Perez
• Miora Feinstein
• Regina Ohayon
• Sara Sivan
• Head of laboratory: Prof. Ohad Birk
• Hava Lichtig
• Dale Frank

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