Comprehensive analysis of CNOT3-related neurodevelopmental disorders: phenotypic and genotypic characterization

Engel C, Rendek M, Assoumani J, Argilli E, Ariani F, Avice-Denizet AL, Bijlsmaa EK, Blanc P, Bruno LP, Callewaert B, Capra V, Carullo M, Chesneau B, Coppens S, Curry C, Dale B, Dahlen E, Delahaye-Duriez A, Denommé-Pichon AS, Demeer B, Dvořáková L, Fischer J, Geneviève D, Giacomini T, Handrup MM, Heron D, Hüning I, Iacomino M, Isidor B, Keren B, Kmoch S, Koolen DA, Kübler A, Laštůvková J, Le C, Levy J, Rizzo CL, Maitz S, Marlin S, Mignot C, Mirzaa G, Nagel I, Neuens S, Nosková L, Pao E, Pecková A, Plaisancie J, Porrmann J, Privitera F, Reis A, Renieri A, Rio M, Rippert A, Ryba L, Scala M, Schieving JH, Sherr EH, Shuen A, Sidlow R, Smol T, Soblet J, Striano P, Suri M, Syryn H, Tran Mau-Them F, Travessa AM, Van Gils J, Vasileiou G, Verseput JJ, Vilain C, Vincent-Delorme C, Vyhnálková E, Wakeling EL, Zacher P, Zara F, Kuentz P, Piard J (2025)


Publication Type: Journal article

Publication year: 2025

Journal

DOI: 10.1038/s41431-025-01884-z

Abstract

The CCR4-NOT complex, crucial in gene expression regulation, includes CNOT3, a subunit linked to neurodevelopmental disorders when mutated. This study investigates 51 patients from 42 families with heterozygous CNOT3 variants, aiming to expand the understanding of CNOT3-related neurodevelopmental disorders and explore genotype-phenotype correlations. Patients originated from various countries, reflecting the disorder’s global significance. All patients exhibited developmental delays, particularly in the language area. Intellectual disability was found in 87% of patients and was typically mild to moderate. Behavioral issues, including autism spectrum disorders and attention deficits, were common, affecting over half of the patients. Dysmorphic features were highlighted and may help establishing the diagnosis. Epilepsy was uncommon (10%). Twenty-eight novel variants were identified, including missense, nonsense, frameshift, intronic variations and a deletion of 12 exons. Missense variants clustered at the N- and C-terminal regions of the protein, indicating critical functional roles. No clear genotype-phenotype correlation was observed, suggesting that all identified variants resulted in a loss-of-function effect. Finally, this work delineates the clinical and molecular spectrum of CNOT3-related disorders thanks to an in-depth characterization of a large cohort. Further research will be necessary to understand the functional consequences of the variants and enhance patient long-term outcomes.

Authors with CRIS profile

Involved external institutions

Università degli Studi di Siena (UNISI) / University of Siena University Hospital Ghent Istituto Giannina Gaslini Universitätsklinikum Schleswig-Holstein (UKSH) Nantes University Hospital / Centre hospitalier universitaire de Nantes (CHU) Univerzita Karlova v Praze / Charles University in Prague Center for Integrative Brain Research Nottingham University Hospitals Université Bourgogne Europe Centre Hospitalier Universitaire de Bordeaux / CHU Bordeaux Radboud University Nijmegen Medical Centre / Radboudumc of voluit Radboud Universitair Medisch Centrum (UMC) Queen Fabiola Childrens Hospital / L'Hôpital universitaire des enfants Reine Fabiola Centre Hospitalier Régional Universitaire de Lille (CHRU de Lille) Motol University Hospital / Fakultní nemocnice v Motole Great Ormond Street Hospital (GOSH) Kleinwachau - Sächsisches Epilepsiezentrum Radeberg gGmbH University of Genova / Università degli Studi di Genova Université Marie et Louis Pasteur (prev. Université de Franche-Comté) University of California San Francisco (UCSF) Leiden University Medical Center GCS SeqOIA Fondazione Policlinico Universitario Agostino Gemelli IRCCS Centre Hospitalier Universitaire (CHU) de Toulouse Hôpital Erasme Hamilton Health Sciences (HHS) Hôpital Jean-Verdier Centre Hospitalier Universitaire Amiens-Picardie (CHU Amiens-Picardie) Universitätsklinikum Carl Gustav Carus Dresden University of Montpellier / Université Montpellier Aarhus University Hospital / Aarhus Universitetshospital Assistance Publique-Hôpitaux de Paris (AP-HP) Hôpital Universitaire Robert-Debré Azienda ospedaliero-universitaria Senese Ente Ospedaliero Cantonale Hôpital Necker-Enfants malades University of Washington IRCCS Fondazione Stella Maris Université Sorbonne Paris Cité Children's Hospital of Philadelphia The Hospital for Sick Children (SickKids) Valley Children's Hospital (VCH) / Children's Hospital Central California

How to cite

APA:

Engel, C., Rendek, M., Assoumani, J., Argilli, E., Ariani, F., Avice-Denizet, A.L.,... Piard, J. (2025). Comprehensive analysis of CNOT3-related neurodevelopmental disorders: phenotypic and genotypic characterization. European Journal of Human Genetics. https://doi.org/10.1038/s41431-025-01884-z

MLA:

Engel, Camille, et al. "Comprehensive analysis of CNOT3-related neurodevelopmental disorders: phenotypic and genotypic characterization." European Journal of Human Genetics (2025).

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