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Relevance to Autism

Analysis of 101 mTOR-related genes in a cohort of 826 patients with intellectual disability (ID) identified three individuals from two families with de novo missense variants in the RHEB gene that, in addition to ID, presented with macrocephaly and autism spectrum disorder/autistic features; functional analysis of both RHEB missense variants in animal models revealed increased head size in zebrafish and aberrant neuronal migration and induction of seizures in mice (Reijnders et al., 2017).

Molecular Function

This gene is a member of the small GTPase superfamily and encodes a lipid-anchored, cell membrane protein with five repeats of the RAS-related GTP-binding region. This protein is vital in regulation of growth and cell cycle progression due to its role in the insulin/TOR/S6K signaling pathway. The protein has GTPase activity and shuttles between a GDP-bound form and a GTP-bound form, and farnesylation of the protein is required for this activity.

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References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
Variation in a range of mTOR-related genes associates with intracranial volume and intellectual disability.
ID, ASD/autistic features, macrocephaly
Epilepsy/seizures
Support
DD, ID, epilepsy/seizures
Support

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN983R001 
 missense_variant 
 c.202T>C 
 p.Ser68Pro 
 De novo 
  
 Simplex 
 GEN983R002 
 missense_variant 
 c.110C>T 
 p.Pro37Leu 
 De novo (germline mosaicism) 
  
 Multiplex 
 GEN983R003 
 missense_variant 
 c.71T>C 
 p.Ile24Thr 
 De novo 
  
 Simplex 

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
7
Deletion
 2
 
7
Duplication
 1
 
7
Duplication
 1
 
7
Duplication
 1
 
7
Deletion
 4
 
7
Deletion-Duplication
 5
 
7
Deletion
 2
 
7
Deletion-Duplication
 31
 
7
Duplication
 9
 
7
Deletion
 7
 

Model Summary

Overexpression of WT human RHEB or RHEBp.P37L and RHEBp.S68P mutations resulted in an increased head size as well as enlarged hippocampal neuron soma size. Rapamycin sufficiently and reproducibly rescued the macrocephalic phenotype and the change in hippocampal neuron size induced by both RHEBp.P37L and RHEBp.S68P.

References

Type
Title
Author, Year
Primary
Variation in a range of mTOR-related genes associates with intracranial volume and intellectual disability.

Z_RHEB_1_KI_RHEB-HWT

Model Type: Genetic
Model Genotype: Homozygous
Mutation: Human WT RHEB mRNA was injected into 1- to 4-cell stage zebrafish embryos.
Allele Type: Gain-of-function
Strain of Origin:
Genetic Background:
ES Cell Line:
Mutant ES Cell Line:
Model Source:

Z_RHEB_2_KI_RHEBP.P37L

Model Type: Genetic
Model Genotype: Homozygous
Mutation: Mutant RHEB mRNA was injected into 1- to 4-cell stage zebrafish embryos.
Allele Type: Humanized GOF mutation
Strain of Origin:
Genetic Background:
ES Cell Line:
Mutant ES Cell Line:
Model Source:

Z_RHEB_3_KI_RHEBP.S68P

Model Type: Genetic
Model Genotype: Homozygous
Mutation: Mutant RHEB mRNA was injected into 1- to 4-cell stage zebrafish embryos.
Allele Type: Humanized GOF mutation
Strain of Origin:
Genetic Background:
ES Cell Line:
Mutant ES Cell Line:
Model Source:

Z_RHEB_1_KI_RHEB-HWT

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Neuronal size1
Increased
Description: Expression of WT human RHEB induced a significant increase in the hippocampal neuron soma size compared to controls.
 Confocal microscopy
 5 dpf
Brain size1
Increased
Description: Expression of WT human RHEB induced a significant increase in the headsize area compared to controls.
 General observations
 5 dpf
 Not Reported: Circadian sleep/wake cycle, Communications, Developmental profile, Emotion, Immune response, Learning & memory, Maternal behavior, Molecular profile, Motor phenotype, Neurophysiology, Physiological parameters, Repetitive behavior, Seizure, Sensory, Social behavior

Z_RHEB_2_KI_RHEBP.P37L

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Neuronal size1
Increased
Description: Overexpression of RHEBp.P37L induced a significant increase in the hippocampal neuron soma size compared to controls.
 Confocal microscopy
 5 dpf
Brain size1
Increased
Description: Overexpression of RHEBp.P37L resulted in significantly increased headsize compared to controls.
 General observations
 5 dpf
 Not Reported: Circadian sleep/wake cycle, Communications, Developmental profile, Emotion, Immune response, Learning & memory, Maternal behavior, Molecular profile, Motor phenotype, Neurophysiology, Physiological parameters, Repetitive behavior, Seizure, Sensory, Social behavior

Z_RHEB_3_KI_RHEBP.S68P

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Neuronal size1
Increased
Description: Overexpression of RHEBp.S68P induced a significant increase in the hippocampal neuron soma size compared to controls.
 Confocal microscopy
 5 dpf
Brain size1
Increased
Description: Overexpression of RHEBp.S68P resulted in significantly increased headsize compared to controls.
 General observations
 5 dpf
 Not Reported: Circadian sleep/wake cycle, Communications, Developmental profile, Emotion, Immune response, Learning & memory, Maternal behavior, Molecular profile, Motor phenotype, Neurophysiology, Physiological parameters, Repetitive behavior, Seizure, Sensory, Social behavior

 

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