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Relevance to Autism

A de novo missense variant in the CAMK2A gene (c.548A>T;p.Glu183Val) was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; additional functional characterizaton in Stephenson et al., 2017 demonstrated the p.Glu183Val missense variant disrupted multiple CaMKII functions, induced synaptic deficits and caused ASD-related behavioral alterations in mice. A de novo intronic variant adjacent to the splice donor site of the CAMK2A gene was identified in another ASD proband from the Simons Simplex Collection in Iossifov et al., 2014; in silico analysis performed in Kury et al., 2017 predicted that this variant resulted in skipping of in-frame CAMK2A exon 8 and a partial loss of the CAMK2A kinase domain. Kury et al., 2017 reported an additional 12 individuals with intellectual disability and CAMK2A variants, several of which were experimentally shown to be either loss-of-function or gain-of-function variants; three of these individuals also presented with autistic features.

Molecular Function

The product of this gene belongs to the serine/threonine protein kinases family, and to the Ca(2+)/calmodulin-dependent protein kinases subfamily. The alpha chain encoded by this gene is required for hippocampal long-term potentiation (LTP) and spatial learning. In addition to its calcium-calmodulin (CaM)-dependent activity, this protein can undergo autophosphorylation, resulting in CaM-independent activity.

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
The contribution of de novo coding mutations to autism spectrum disorder
ASD
Positive Association
Common functional variants of the glutamatergic system in Autism spectrum disorder with high and low intellectual abilities.
ASD
Non-verbal communication (ADI-R Domains B1 + B4)
Support
A homozygous loss-of-function CAMK2A mutation causes growth delay, frequent seizures and severe intellectual disability.
DD, ID, epilepsy/seizures
Support
De novo variants in CAMK2A and CAMK2B cause neurodevelopmental disorders.
ID, epilepsy/seizures
Autistic behavior, stereotypies
Support
ASD
DD, ID
Support
Integrating de novo and inherited variants in 42
ASD
Support
Trio-based exome sequencing reveals a high rate of the de novo variants in intellectual disability
ADHD, ID
Support
Regulation of NMDA receptor trafficking and gating by activity-dependent CaMKIIα phosphorylation of the GluN2A subunit
Support
Increased diagnostic and new genes identification outcome using research reanalysis of singleton exome sequencing.
ID, epilepsy/seizures
Recent Recommendation
A Novel Human CAMK2A Mutation Disrupts Dendritic Morphology and Synaptic Transmission, and Causes ASD-Related Behaviors.
Recent Recommendation
The CaMKII/NMDA receptor complex controls hippocampal synaptic transmission by kinase-dependent and independent mechanisms.
Recent Recommendation
De Novo Mutations in Protein Kinase Genes CAMK2A and CAMK2B Cause Intellectual Disability.
ID
Autistic features

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN864R001 
 missense_variant 
 c.548A>T 
 p.Glu183Val 
 De novo 
  
 Simplex 
 GEN864R002 
 splice_site_variant 
 c.598+2dup 
  
 De novo 
  
 Simplex 
 GEN864R003 
 frameshift_variant 
 c.65del 
 p.Gly22GlufsTer10 
 Unknown 
  
  
 GEN864R004 
 missense_variant 
 c.293T>C 
 p.Phe98Ser 
 De novo 
  
  
 GEN864R005 
 missense_variant 
 c.327G>C 
 p.Glu109Asp 
 De novo 
  
  
 GEN864R006 
 missense_variant 
 c.335C>T 
 p.Ala112Val 
 De novo 
  
  
 GEN864R007 
 missense_variant 
 c.635C>T 
 p.Pro212Leu 
 De novo 
  
  
 GEN864R008 
 missense_variant 
 c.635C>T 
 p.Pro212Leu 
 De novo 
  
  
 GEN864R009 
 missense_variant 
 c.635C>T 
 p.Pro212Leu 
 De novo 
  
  
 GEN864R010 
 missense_variant 
 c.704C>T 
 p.Pro235Leu 
 De novo 
  
  
 GEN864R011 
 splice_site_variant 
 c.817-1G>A 
  
 De novo 
  
  
 GEN864R012 
 missense_variant 
 c.845A>G 
 p.His282Arg 
 De novo 
  
  
 GEN864R013 
 missense_variant 
 c.856A>C 
 p.Thr286Pro 
 De novo 
  
  
 GEN864R014 
 splice_site_variant 
 c.1205G>A 
 p.Gly402Asp 
 De novo 
  
  
 GEN864R015 
 missense_variant 
 c.635C>A 
 p.Pro212Gln 
 De novo 
  
 Simplex 
 GEN864R016 
 missense_variant 
 c.704C>T 
 p.Pro235Leu 
 De novo 
  
  
 GEN864R017 
 splice_site_variant 
 c.817-1G>A 
  
 De novo 
  
 Simplex 
 GEN864R018a 
 missense_variant 
 c.1429C>T 
 p.His477Tyr 
 Familial 
 Both parents 
 Multiplex 
 GEN864R019 
 missense_variant 
 c.415G>A 
 p.Glu139Lys 
 De novo 
  
  
 GEN864R020 
 splice_site_variant 
 c.412-1G>T 
  
 De novo 
  
  
 GEN864R021 
 missense_variant 
 c.635C>T 
 p.Pro212Leu 
 De novo 
  
  
 GEN864R022 
 missense_variant 
 c.635C>T 
 p.Pro212Leu 
 De novo 
  
 Simplex 
 GEN864R023 
 missense_variant 
 c.884C>A 
 p.Ala295Asp 
 De novo 
  
 Simplex 

Common

Variant ID
Polymorphism
SNP ID
Allele Change
Residue Change
Population Origin
Population Stage
Author, Year
 GEN864C001 
 synonymous_variant 
 rs2241694 
 c.1410T>C;c.1377G>A 
 p.(=) 
 German ASD cohort including individuals from 705 families (625 parent-child trios, 53 parent-child duos, 27 singletons) 
 Discovery 
 GEN864C002 
 synonymous_variant 
 rs2241694 
 c.1410T>C;c.1377G>A 
 p.(=) 
 Autism Genome Project (AGP) cohort consisting of 2730 trio families and 5 parent-child duos collected at 15 clinical sites across US, Canada, and Europe (overlapping German samples in the discovery cohort were excluded from the AGP cohort) 
 Replication 
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
5
Duplication
 1
 
5
Deletion
 1
 
5
Duplication
 1
 
5
Duplication
 1
 

Model Summary

Mice with Camk2a-E183V mutation have reduced forebrain Camk2a levels, with lower abundance in the synaptic subcellular fractions. The Camk2a-E183V mice also exhibit hyperactivity, social interaction deficits, and increased repetitive behaviors.

References

Type
Title
Author, Year
Primary
A Novel Human CAMK2A Mutation Disrupts Dendritic Morphology and Synaptic Transmission, and Causes ASD-Related Behaviors.

M_CAMK2A_1_KI_HM

Model Type: Genetic
Model Genotype: Homozygous
Mutation: CRISPR/Cas9 mediated nucleotide replacement is conducted by using the gRNA complement to the DNA sequence of Camk2a exon 8 along with the donor sequence containing the subsituted last two bases of the E183 codon with TG, resulting in the Camk2a-E183V mutation.
Allele Type: Targeted (knockin)
Strain of Origin: Not specified
Genetic Background: C57BL6J/DBA2J
ES Cell Line:
Mutant ES Cell Line: Not specified
Model Source: Not specified

M_CAMK2A_2_KI_HT

Model Type: Genetic
Model Genotype: Heterozygous
Mutation: CRISPR/Cas9 mediated nucleotide replacement is conducted by using the gRNA complement to the DNA sequence of Camk2a exon 8 along with the donor sequence containing the subsituted last two bases of the E183 codon with TG, resulting in the Camk2a-E183V mutation.
Allele Type: Targeted (knockin)
Strain of Origin: Not specified
Genetic Background: C57BL6J/DBA2J
ES Cell Line:
Mutant ES Cell Line: Not specified
Model Source: Not specified

M_CAMK2A_1_KI_HM

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
General locomotor activity1
Increased
Description: Camk2a mutant mice exhibit hyperactivity relative to wildtype controls
Exp Paradigm: Open field test
 Open field test
 7-13 weeks
Stereotypy1
Increased
Description: Increased stereotypy in camk2a mutant relative to wildtype controls
Exp Paradigm: Marble-burying test
 Marble-burying test
 7-13 weeks
Circling1
Increased
Description: Increased circling in camk2a mutant mice relative to wildtype controls
Exp Paradigm: Three-chamber social approach test: repetitive behavior observation
 Three-chamber social approach test
 7-13 weeks
Vertical jumping or back flipping1
Increased
Description: Increased jumping behavior in camk2a mutant mice relative to wildtype controls
Exp Paradigm: Open field test
 Open field test
 7-13 weeks
Social approach1
Decreased
Description: Camk2a mutant mice exhibit no preference for the novel mouse over the empty cup unlike wildtype controls
Exp Paradigm: Three-chamber social approach test: social approach
 Three-chamber social approach test
 7-13 weeks
Rearing behavior1
Increased
Description: Increased rearing behavior in camk2a mutant mice relative to wildtype controls
Exp Paradigm: Open field test
 Open field test
 7-13 weeks
Anxiety1
Increased
Description: Increased anxiety relative to wildtype controls
Exp Paradigm: Open field test
 Open field test
 7-13 weeks
Protein localization: synapse1
Decreased
Description: Decreased percentage of camk2a is in the synaptosomal fraction prepared from the mutant forebrains
Exp Paradigm: Fractionation; western blot: camk2a
 Western blot
 NA
Protein phosphorylation1
Increased
Description: Increased thr286 autophosphorylation of cytosolic camk2a relative to wildtype controls
Exp Paradigm: Fractionation; western blot: camk2a thr286
 Western blot
 NA
Protein localization: cytosol1
Increased
Description: Increasaed percentage of camk2a is in the cytosolic fraction prepared from the mutant forebrains
Exp Paradigm: Fractionation; western blot: camk2a
 Western blot
 NA
Protein phosphorylation1
Decreased
Description: Decreased thr287 phosphorylation of synaptic camk2b relative to wildtype controls
Exp Paradigm: Fractionation; western blot: camk2a thr286
 Western blot
 NA
Protein phosphorylation1
Decreased
Description: Decreased thr286 autophosphorylation of synaptic camk2a relative to wildtype controls
Exp Paradigm: Fractionation; western blot: camk2a thr286
 Western blot
 NA
Targeted expression1
Decreased
Description: Total camk2a levels are reduced to about 50% with unchanged total camk2b levels in the mutant forebrains
Exp Paradigm: Western blot: camk2a
 Western blot
 3 months
General characteristics1
 No change
 General observations
 NA
Social approach1
 No change
 Three-chamber social approach test
 7-13 weeks
 Not Reported: Circadian sleep/wake cycle, Communications, Immune response, Learning & memory, Maternal behavior, Neuroanatomy / ultrastructure / cytoarchitecture, Neurophysiology, Physiological parameters, Seizure, Sensory

M_CAMK2A_2_KI_HT

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Stereotypy1
Increased
Description: Increased stereotypy in camk2a knockin hets relative to wildtype controls
Exp Paradigm: Marble-burying test
 Marble-burying test
 7-13 weeks
Social approach1
Decreased
Description: Camk2a knockin hets exhibit no preference for the novel mouse over the familiar mouse unlike wildtype controls
Exp Paradigm: Three-chamber social approach test: social novelty
 Three-chamber social approach test
 7-13 weeks
Anxiety1
Increased
Description: Increased anxiety relative to wildtype controls
Exp Paradigm: Open field test
 Open field test
 7-13 weeks
Protein phosphorylation1
Decreased
Description: Decreased thr286 autophosphorylation of synaptic camk2a relative to wildtype controls
Exp Paradigm: Fractionation; western blot: camk2a thr286
 Western blot
 NA
Protein localization: cytosol1
 No change
 Western blot
 NA
Protein localization: synapse1
 No change
 Western blot
 NA
General locomotor activity1
 No change
 Open field test
 7-13 weeks
 Not Reported: Circadian sleep/wake cycle, Communications, Developmental profile, Immune response, Learning & memory, Maternal behavior, Neuroanatomy / ultrastructure / cytoarchitecture, Neurophysiology, Physiological parameters, Seizure, Sensory

 

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