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Relevance to Autism

Analysis of combined CNV data from the Autism Genetic Resource Exchange (AGRE) and the Simons Simplex Collection (SSC) in Leppa et al., 2016 found that CNVs overlapping the WWOX gene were identified in affected children in 12 of 3,565 families (0.34%) but in only one unaffected sibling out of 2,633 families (0.04%, p=0.01, OR=8.8, Fisher's exact test). In contrast, the overall frequency of >100 kb CNVs overlapping WWOX in the Database of Genomic Variants (DGV) was 26/27,263 (0.10%), and the combined association test for all datasets was nominally significant (p=0.0148, OR=2.6).

Molecular Function

This gene encodes a member of the short-chain dehydrogenases/reductases (SDR) protein family. This gene spans the FRA16D common chromosomal fragile site and appears to function as a tumor suppressor gene. Expression of the encoded protein is able to induce apoptosis, while defects in this gene are associated with multiple types of cancer. Biallelic variants in the WWOX gene are responsible for early infantile epileptic encephalopathy-28 (EIEE28; OMIM 616211) and autosomal recessive spinocerebellar ataxia-12 (SCAR12; OMIM 614322).

External Links

        

References

Type
Title
Type of Disorder
Associated Disorders
Author, Year
Primary
Rare Inherited and De Novo CNVs Reveal Complex Contributions to ASD Risk in Multiplex Families.
ASD
Support
Epilepsy/seizures
Support
A spontaneous mutation of the Wwox gene and audiogenic seizures in rats with lethal dwarfism and epilepsy.
Support
Diagnostic exome sequencing of syndromic epilepsy patients in clinical practice.
Epilepsy/seizures
Hypotonia
Support
ID, epilepsy/seizures
Support
Clinical exome sequencing: results from 2819 samples reflecting 1000 families.
Early infantile epileptic encephalopathy-28
DD, ID, epilepsy/seizures
Support
Integrating de novo and inherited variants in 42
ASD
Support
Mutations in Human Accelerated Regions Disrupt Cognition and Social Behavior.
ASD
Support
Deep phenotyping and whole-exome sequencing improved the diagnostic yield for nuclear pedigrees with neurodevelopmental disorders
DD, ID, epilepsy/seizures
Support
WWOX-related encephalopathies: delineation of the phenotypical spectrum and emerging genotype-phenotype correlation.
Early infantile epileptic encephalopathy-28
Support
Mutational Landscape of Autism Spectrum Disorder Brain Tissue
ASD
Support
The supposed tumor suppressor gene WWOX is mutated in an early lethal microcephaly syndrome with epilepsy, growth retardation and retinal degenerat...
Early infantile epileptic encephalopathy-28
Support
Genome sequencing of 320 Chinese children with epilepsy: a clinical and molecular study
DD, epilepsy/seizures
Support
The tumour suppressor gene WWOX is mutated in autosomal recessive cerebellar ataxia with epilepsy and mental retardation.
Autosomal recessive spinocerebellar ataxia-12
Support
Inherited and De Novo Genetic Risk for Autism Impacts Shared Networks.
ASD

Rare

Variant ID
Variant Type
Allele Change
Residue Change
Inheritance Pattern
Inheritance Association
Family Type
Author, Year
 GEN851R001 
 copy_number_gain 
  
  
 Unknown 
  
  
 GEN851R002 
 copy_number_gain 
  
  
 Unknown 
  
  
 GEN851R003 
 copy_number_gain 
  
  
 Familial 
 Paternal 
 Multiplex 
 GEN851R004 
 copy_number_gain 
  
  
 Unknown 
  
  
 GEN851R005 
 copy_number_gain 
  
  
 Familial 
 Paternal 
 Multiplex 
 GEN851R006 
 copy_number_loss 
  
  
 Familial 
 Maternal 
 Multiplex 
 GEN851R007 
 copy_number_loss 
  
  
 Familial 
 Maternal 
 Multiplex 
 GEN851R008 
 copy_number_loss 
  
  
 Familial 
 Maternal 
  
 GEN851R009 
 copy_number_gain 
  
  
 Familial 
 Maternal 
 Simplex 
 GEN851R010 
 copy_number_gain 
  
  
 Familial 
 Paternal 
 Simplex 
 GEN851R011 
 copy_number_loss 
  
  
 Familial 
 Maternal 
 Simplex 
 GEN851R012 
 copy_number_loss 
  
  
 Familial 
 Maternal 
 Simplex 
 GEN851R013a 
 missense_variant 
 c.139C>A 
 p.Pro47Thr 
 Familial 
 Both parents 
 Multiplex 
 GEN851R014a 
 missense_variant 
 c.1114G>C 
 p.Gly372Arg 
 Familial 
 Both parents 
 Multiplex 
 GEN851R015a 
 stop_gained 
 c.160G>T 
 p.Arg54Ter 
 Familial 
 Both parents 
 Multiplex 
 GEN851R016a 
 copy_number_loss 
  
  
 Familial 
 Paternal 
 Simplex 
 GEN851R016b 
 copy_number_loss 
  
  
 Familial 
 Maternal 
 Simplex 
 GEN851R017a 
 copy_number_loss 
  
  
 Familial 
 Paternal 
 Simplex 
 GEN851R017b 
 stop_gained 
 c.1005G>A 
 p.Trp335Ter 
 Familial 
 Maternal 
 Simplex 
 GEN851R018a 
 frameshift_variant 
 c.-229_-226del 
  
 Familial 
 Paternal 
 Multiplex 
 GEN851R018b 
 missense_variant 
 c.140C>G 
 p.Pro47Arg 
 Familial 
 Maternal 
 Multiplex 
 GEN851R019a 
 copy_number_loss 
  
  
 Familial 
 Paternal 
 Simplex 
 GEN851R019b 
 stop_gained 
 c.889A>T 
 p.Lys297Ter 
 Familial 
 Maternal 
 Simplex 
 GEN851R020 
 intron_variant 
 c.178-61369T>C 
  
  
  
 Unknown 
 GEN851R021 
 intron_variant 
 c.718-253123T>C 
  
  
  
 Unknown 
 GEN851R022a 
 splice_site_variant 
 c.173-1G>T 
  
 Familial 
  
 Simplex 
 GEN851R022b 
 frameshift_variant 
 c.918del 
 p.Glu306AspfsTer21 
 Familial 
  
 Simplex 
 GEN851R023a 
 splice_site_variant 
 c.70+1G>T 
  
 Familial 
 Both parents 
 Simplex 
 GEN851R024a 
 stop_gained 
 c.183C>A 
 p.Tyr61Ter 
 Unknown 
  
 Unknown 
 GEN851R024b 
 frameshift_variant 
 c.579del 
 p.Glu193AspfsTer21 
 Unknown 
  
 Unknown 
 GEN851R025 
 stop_gained 
 c.-126C>T 
  
 Familial 
 Paternal 
 Multiplex 
 GEN851R026 
 splice_site_variant 
 c.452+1G>C 
  
 Familial 
 Paternal 
 Multiplex 
 GEN851R027a 
 stop_gained 
 c.786C>A 
 p.Ser262%3D 
 Familial 
 Both parents 
  
 GEN851R028a 
 splice_site_variant 
 c.453-1G>C 
 p.? 
 Familial 
 Paternal 
  
 GEN851R028b 
 copy_number_gain 
  
  
 Unknown 
  
  
 GEN851R029 
 synonymous_variant 
 c.378G>C 
 p.Val126%3D 
 Unknown 
  
  
 GEN851R030a 
 missense_variant 
 c.1063G>C 
 p.Gly355Arg 
 Familial 
 Paternal 
 Multiplex 
 GEN851R030b 
 frameshift_variant 
 c.515del 
 p.Asn172ThrfsTer42 
 Familial 
 Maternal 
 Multiplex 
 GEN851R031 
 missense_variant 
 c.754G>A 
 p.Val252Ile 
 De novo 
  
  
 GEN851R032 
 3_prime_UTR_variant 
 c.*110T>G 
  
 De novo 
  
  
 GEN851R033a 
 frameshift_variant 
 c.1043del 
 p.Phe348SerfsTer57 
 Familial 
 Both parents 
  
  et al.  
 GEN851R034a 
 splice_site_variant 
 c.-167-1286G>A 
  
 Familial 
 Both parents 
  
  et al.  

Common

No Common Variants Available
Chromosome
CNV Locus
CNV Type
# of studies
Animal Model
16
Duplication
 1
 
16
Duplication
 2
 
16
Duplication
 1
 
16
Deletion
 1
 
16
Deletion-Duplication
 47
 
16
Deletion
 3
 
16
Deletion
 1
 
16
Duplication
 6
 

Model Summary

The LDE strain (lethal dwarfism with epilepsy) was inbred using heterozygous rats, derived from inbreeding of a closed colony of Wistar Imamichi rats. Mutant rats showed severe dwarfism, short lifespan (early postnatal lethality), and high incidence of epileptic seizures. The lde locus was mapped to a 1.5-Mbp region on rat chromosome 19 that included the latter half of the Wwox gene. The lde/lde rat is unique model for studying the physiological function of Wwox in CNS.

References

Type
Title
Author, Year
Primary
Phenotypic characterization of spontaneously mutated rats showing lethal dwarfism and epilepsy.
Additional
Retarded differentiation of Leydig cells and increased apoptosis of germ cells in the initial round of spermatogenesis of rats with lethal dwarf an...
Additional
A spontaneous mutation of the Wwox gene and audiogenic seizures in rats with lethal dwarfism and epilepsy.

R_WWOX_1_SP_HM

Model Type: Genetic
Model Genotype: Homozygous
Mutation: LDE strain (lethal dwarfism with epilepsy) was inbred using heterozygous rats, derived from inbreeding of a closed colony of Wistar Imamichi rats.
Allele Type: Spontaneous mutation
Strain of Origin: Wistar Imamichi LDE
Genetic Background: Wistar Imamichi
ES Cell Line: Not Specified
Mutant ES Cell Line: Not Specified
Model Source:

R_WWOX_1_SP_HM

Category
Entity
Quantity
Experimental Paradigm
Age at Testing
Ataxia1
Increased
Description: 95% mutant rats but none of the phenotypically normal (wild-types and heterozygotes) had ataxic gait
Exp Paradigm: General observations
 General observations
 3 weeks
Hippocampal morphology3
Abnormal
Description: Extracellular vacuoles present around pyramidal cells in CA1 region
Exp Paradigm: Histology
 Histology
 Unreported
Hippocampal morphology1
Abnormal
Description: Extracellular vacuoles present around pyramidal cells in CA1 region
Exp Paradigm: Histology
 Histology
 4 weeks
Brain size1
Increased
Description: Relative brain weight was found to be higher in both sexes for the mutant rats
Exp Paradigm: Measurement of tissue weight
 Measurement of tissue weight
 4 weeks
Seizure threshold3
Increased
Description: Sound stimulation triggers seizures in 95% of mutant rats
Exp Paradigm: Observation of sensory-evoked seizures: audiogenic seizures
 Observation of sensory-evoked seizures
 Unreported
Electroencephalogram (eeg): signature of seizure/epilepsy3
Increased
Description: Interictal spikes were sporadically observed in homozygous rats under non-stimulated conditions. Typical EEGs recorded from homozygous rats during audiogenic seizures include 'wild running' (fast waves) and clonic seizure (bursts of spikes).
Exp Paradigm: Electroencephalogram (EEG)
 Electroencephalogram (eeg)
 Unreported
Seizures1
Increased
Description: Spontaneous epileptic seizures were detected in 33.8% of male and 33.9% of female mutant rats.
Exp Paradigm: Observation of seizures
 Observation of seizures
 2-9 weeks
Hormone levels2
Decreased
Description: Decreased levels of FSH and LH compared to male control rats at 4 weeks; at 3 and 5 weeks levels are not significantly different; decreased levels of FH- and LSH-positive cells in the pituitary
Exp Paradigm: Immunostaining: LH and FSH antibodies; Measurement of enzyme activity-Immunostaining
 Immunostaining
 4 weeks
Hormone levels2
Decreased
Description: Decreased levels of FSH and LH compared to male control rats at 4 weeks; at 3 and 5 weeks levels are not significantly different; decreased levels of FH- and LSH-positive cells in the pituitary
Exp Paradigm: Immunostaining: LH and FSH antibodies; Measurement of enzyme activity- Measurement of enzyme activity
 Enzyme assay
 4 weeks
Reproductive function1
Decreased
Description: The testes of mutant males show immature seminiferous tubules with decreased diameter, spindle-shaped mesenchymal Leydig-like cells in the interstitium, and no normal spermatocytes were present in the tubules of mutant rats
Exp Paradigm: Histology
 Histology
 4 weeks
Apoptosis1
Increased
Description: Increased number of apoptotic germ cells and the presences of deciduous germ cells in the center of seminiferous tubules in mutant testes.
Exp Paradigm: Histology
 Histology
 4 weeks
Reproductive function2
Decreased
Description: Decreased diameter of seminiferous tubes, decreased number of spermatocytes and no sperm found in mutant testes; smaller size of Sertoli cells
Exp Paradigm: Histology
 Histology
 3-8 weeks
Apoptosis2
Increased
Description: Increased apoptosis in seminiferous tubules, mostly of spermatocytes
Exp Paradigm: Detection of apoptosis using the TUNEL assay
 Tunel assay
 4-8 weeks
Reproductive system development2
Decreased
Description: Decreased absolute and relative weights of male reproductive organs: testes, epididymis, seminal vesicles, prostate gland; fetal-type Leydig cells persist after 3 weeks
Exp Paradigm: Histology
 Histology
 3-8 weeks
Tissue weight1
Decreased
Description: Absolute weight of all organs (except the male brain) were decreased in mutant rats. Additionally, the relative weights of testes and spleen in males, and thymus in both sexes was significantly lower.
Exp Paradigm: Measurement of tissue weight
 Measurement of tissue weight
 4 weeks
Mortality/lethality1
Increased
Description: All male mutant rats died before P77 and all female mutant rats died before P84
Exp Paradigm: Survival analysis
 Survival analysis
 3-7 weeks
Size/growth1
Decreased
Description: Weights of mutants at 56% of wild-types
Exp Paradigm: Body weight measurement
 Body weight measurement
 3 weeks
Size/growth1
Decreased
Description: Weights of mutants at 56% of wild-types
Exp Paradigm: Body length measurement
 Body length measurement
 3 weeks
Tissue weight1
Increased
Description: The relative weights of the adrenal and pituitary glands were higher in female mutant rats, and kidney, lungs were also higher in both sexes.
Exp Paradigm: Measurement of tissue weight
 Measurement of tissue weight
 4 weeks
Targeted expression3
Decreased
Description: No bands for two variants, 47 or 42 kDa were observed in the homozygous mutant, but Wwox mRNA was observed, in testes and hippocampus
Exp Paradigm: Western blot: Wwox antibody
 Western blot
 2 weeks
Metabolite level quantification1
Increased
Description: Increased plasma concentrations of urea nitrogen, creatinine in both sexes, and inorganic phosphate in females. The concentrations of electrolytes, aberration enzymes, glucose and triglyceride were comparable to control rats.
Exp Paradigm: In vitro diagnostic tests
 In vitro diagnostic tests
 4 weeks
Renal morphology1
 No change
 Histology
 4 weeks
Skeletal development1
 No change
 Skeletal x-rays
 3 weeks
Hormone levels1
 No change
 Enzyme assay
 4 weeks
Hormone levels1
 No change
 Immunostaining
 4 weeks
 Not Reported: Circadian sleep/wake cycle, Communications, Developmental profile, Emotion, Immune response, Learning & memory, Maternal behavior, Molecular profile, Motor phenotype, Neuroanatomy / ultrastructure / cytoarchitecture, Neurophysiology, Physiological parameters, Repetitive behavior, Seizure, Sensory, Social behavior

 

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