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Relevance to Autism

A likely damaging missense variant in the CASK gene was identified in an ASD proband from the Simons Simplex Collection in Iossifov et al., 2014. A de novo possibly damaging missense variant in CASK was identified in a female proband from the Deciphering Developmental Disorders (DDD) study presenting with autism, ADHD, developmental delay, and hypotonia (PMID 25533962). Mutations in this gene are associated with FG syndrome 4 (OMIM 300422) and mental retardation and microcephaly with pontine and cerebellar hypoplasia (OMIM 300749). CASK interacts with the high confidence ASD gene TBR1 (Hsueh et al., 2000).

Molecular Function

This gene encodes a calcium/calmodulin-dependent serine protein kinase. The encoded protein is a MAGUK (membrane-associated guanylate kinase) protein family member. These proteins are scaffold proteins and the encoded protein is located at synapses in the brain. Mutations in this gene are associated with FG syndrome 4 (OMIM 300422) and mental retardation and microcephaly with pontine and cerebellar hypoplasia (OMIM 300749).

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
Support
Next-generation gene panel testing in adolescents and adults in a medical neuropsychiatric genetics clinic
ID
Support
CASK mutations are frequent in males and cause X-linked nystagmus and variable XLMR phenotypes.
ID
Nystagmus
Support
DD
Support
Two microcephaly-associated novel missense mutations in CASK specifically disrupt the CASK-neurexin interaction.
Mental retardation and microcephaly with pontine a
DD, microcephaly
Support
Presynaptic dysfunction in CASK-related neurodevelopmental disorders
Mental retardation and microcephaly with pontine a
ADHD, ID, epilepsy/seizures
Support
A missense mutation in CASK causes FG syndrome in an Italian family.
FG syndrome 4
Support
Exome Pool-Seq in neurodevelopmental disorders.
ID
Microcephaly
Support
Survival of a male patient harboring CASK Arg27Ter mutation to adolescence
Mental retardation and microcephaly with pontine a
DD, ID, epilepsy/seizures
Support
Mutations of CASK cause an X-linked brain malformation phenotype with microcephaly and hypoplasia of the brainstem and cerebellum.
Mental retardation and microcephaly with pontine a
Support
DD, epilepsy/seizures
Support
A novel CASK mutation identified in siblings exhibiting developmental disorders with/without microcephaly.
ASD, DD
Microcephaly
Support
Targeted Next-Generation Sequencing in Patients with Suggestive X-Linked Intellectual Disability.
ID
Support
Nuclear translocation and transcription regulation by the membrane-associated guanylate kinase CASK/LIN-2.
Support
CASK loss of function differentially regulates neuronal maturation and synaptic function in human induced cortical excitatory neurons
Support
Comprehensive investigation of CASK mutations and other genetic etiologies in 41 patients with intellectual disability and microcephaly with pontin...
Mental retardation and microcephaly with pontine a
Support
Characterization of intellectual disability and autism comorbidity through gene panel sequencing.
ID, ASD or autistic traits
Support
Integrating de novo and inherited variants in 42
ASD
Support
Calcium/calmodulin-dependent serine protein kinase (CASK), a protein implicated in mental retardation and autism-spectrum disorders, interacts with...
Support
ASD, DD
Support
The Clinical and Genetic Features of Co-occurring Epilepsy and Autism Spectrum Disorder in Chinese Children.
ASD, epilepsy/seizures
Support
A single center experience with publicly funded clinical exome sequencing for neurodevelopmental disorders or multiple congenital anomalies
DD, ID, epilepsy/seizures
Support
Large-scale discovery of novel genetic causes of developmental disorders.
DD, ID
ASD
Support
DD, ID, epilepsy/seizures
Support
Lessons Learned from Large-Scale, First-Tier Clinical Exome Sequencing in a Highly Consanguineous Population.
ID, motor delay, speech delay
Microcephaly
Recent Recommendation
Craniosynostosis
Recent Recommendation
Targeted sequencing identifies 91 neurodevelopmental-disorder risk genes with autism and developmental-disability biases.

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN876R001 
 missense_variant 
 c.589G>A 
 p.Gly197Arg 
 De novo 
  
 Simplex 
 GEN876R002 
 splice_site_variant 
 c.831+1G>A 
  
 De novo 
  
  
 GEN876R003 
 stop_gained 
 ENST00000378168:c.10C>T 
 p.Arg4Ter 
 De novo 
  
 Simplex 
 GEN876R004 
 missense_variant 
 ENST00000378168:c.239C>T 
 p.Pro80Leu 
 De novo 
  
 Simplex 
 GEN876R005 
 missense_variant 
 c.763C>T 
 p.Arg255Cys 
 De novo 
  
 Simplex 
 GEN876R006 
 stop_gained 
 c.1768C>T 
 p.Pro590Ser 
 Familial 
 Maternal 
 Simplex 
 GEN876R007 
 inversion 
  
  
 Unknown 
  
  
 GEN876R008 
 copy_number_loss 
  
  
 De novo 
  
  
 GEN876R009 
 copy_number_loss 
  
  
  
  
  
 GEN876R010 
 stop_gained 
 c.1915C>T 
 p.Arg639Ter 
 De novo 
  
  
 GEN876R011 
 splice_site_variant 
 c.915G>A 
 p.Lys305= 
 Unknown 
 Not maternal 
  
 GEN876R012 
 missense_variant 
 c.83G>T 
 p.Arg28Leu 
 Familial 
 Maternal 
  
 GEN876R013 
 missense_variant 
 c.802T>C 
 p.Tyr268His 
 Familial 
 Maternal 
 Multi-generational 
 GEN876R014 
 missense_variant 
 c.1186C>T 
 p.Pro396Ser 
 Familial 
 Maternal 
 Extended multiplex 
 GEN876R015 
 missense_variant 
 c.2129A>G 
 p.Asp710Gly 
 Familial 
 Maternal 
 Extended multiplex 
 GEN876R016 
 missense_variant 
 c.2755T>C 
 p.Trp919Arg 
 Familial 
 Maternal 
 Multiplex 
 GEN876R017 
 missense_variant 
 c.2183A>G 
 p.Lys728Arg 
 Familial 
 Maternal 
 Multiplex 
 GEN876R018 
 splice_site_variant 
 c.2521-2A>T 
 p.? 
 Familial 
 Maternal 
 Multiplex 
 GEN876R019 
 missense_variant 
 c.1424G>T 
 p.Ser475Ile 
 Familial 
 Maternal 
 Multiplex 
 GEN876R020 
 frameshift_variant 
 c.68del 
 p.Phe23SerfsTer18 
 De novo 
  
  
 GEN876R021 
 missense_variant 
 c.1556T>C 
 p.Met519Thr 
 Unknown 
 Not maternal 
 Simplex 
 GEN876R022 
 missense_variant 
 c.1556T>C 
 p.Met519Thr 
 Unknown 
  
  
 GEN876R023 
 missense_variant 
 c.1976G>A 
 p.Gly659Asp 
 De novo 
  
  
 GEN876R024 
 missense_variant 
 c.1922G>A 
 p.Arg641Lys 
 Familial 
 Maternal 
  
 GEN876R025 
 missense_variant 
 c.1159T>C 
 p.Tyr387His 
 De novo 
  
  
 GEN876R026 
 stop_gained 
 c.2119C>T 
 p.Gln707Ter 
 De novo 
  
  
 GEN876R027 
 frameshift_variant 
 c.1214_1215del 
 p.Ala405GlyfsTer16 
 De novo 
  
 Multiplex 
 GEN876R028 
 missense_variant 
 c.490G>A 
 p.Gly164Arg 
 Familial 
 Maternal 
 Unknown 
 GEN876R029 
 stop_gained 
 c.79C>T 
 p.Arg27Ter 
 De novo 
  
 Simplex 
 GEN876R030 
 splice_site_variant 
 c.1314+1G>T 
  
 Familial 
 Maternal 
 Multiplex 
 GEN876R031 
 copy_number_gain 
  
  
 De novo 
  
 Simplex 
 GEN876R032 
 missense_variant 
 c.1610G>A 
 p.Arg537Gln 
 Unknown 
  
  
 GEN876R033 
 frameshift_variant 
 c.1623_1626del 
 p.Ile542ValfsTer52 
 De novo 
  
 Simplex 
 GEN876R034 
 frameshift_variant 
 c.1682_1694del 
 p.Gly561AlafsTer53 
 De novo 
  
  
 GEN876R035 
 missense_variant 
 c.589G>A 
 p.Gly197Arg 
 De novo 
  
  
 GEN876R036 
 stop_gained 
 c.79C>T 
 p.Arg27Ter 
 De novo 
  
  
 GEN876R037 
 stop_gained 
 c.725G>A 
 p.Trp242Ter 
 De novo 
  
  
 GEN876R038 
 copy_number_loss 
  
  
 Unknown 
  
 Simplex 
 GEN876R039 
 missense_variant 
 c.1610G>A 
 p.Arg537Gln 
 Unknown 
  
 Simplex 
 GEN876R040 
 copy_number_loss 
  
  
 Unknown 
  
 Simplex 
 GEN876R041 
 missense_variant 
 c.427A>G 
 p.Lys143Glu 
 Unknown 
  
 Simplex 
 GEN876R042 
 inversion 
  
  
 Unknown 
  
 Simplex 
 GEN876R043 
 missense_variant 
 c.1223G>A 
 p.Arg408Lys 
 Unknown 
  
  
  et al.  
 GEN876R044 
 missense_variant 
 c.793A>T 
 p.Ile265Phe 
 De novo 
  
  
  et al.  
 GEN876R045 
 missense_variant 
 c.1394C>G 
 p.Ser465Cys 
 Unknown 
  
  
  et al.  

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
X
Deletion-Duplication
 31
 
X
Deletion
 1
 
X
Deletion
 5
 
X
Deletion
 2
 
X
Deletion
 4
 
X
Deletion-Duplication
 1
 
X
Deletion
 1
 
X
Duplication
 1
 
X
Deletion
 1
 
X
Deletion-Duplication
 21
 

No Animal Model Data Available

 

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