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August 10, 2022The Journal of Experimental MedicineOpen Access

Biallelic PAX5 mutations cause hypogammaglobulinemia, sensorimotor deficits, and autism spectrum disorder

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Authors

FKFabian KaiserErasmus MCSGSarah GruenbacherResearch Institute of Molecular PathologyMOMaria Roa OyagaErasmus MC

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Implication

Translational study reveals PAX5 mutations cause hypogammaglobulinemia and autism spectrum disorder in mice and humans, indicating essential roles for PAX5 in midbrain and cerebellar neurogenesis.

Key Points

  • To identify the genetic etiology and pathogenic mechanism linking primary antibody deficiency, sensorimotor deficits, and autism spectrum disorder.
  • Identified biallelic mutations in PAX5 in a patient presenting with hypogammaglobulinemia, motor deficits, and autism spectrum disorder.
  • Engineered patient-specific Pax5 mutant mouse models to evaluate B cell ontogeny, antibody-mediated immunity, neuroanatomy, and autism-related behaviors.
  • Conducted genetic lineage tracing in mice to determine the physiological role of Pax5 during cerebellar morphogenesis and midbrain neurogenesis.
  • Pax5 mutant mice exhibited an early block in B cell development leading to defective humoral immune responses and hypogammaglobulinemia, alongside core autism spectrum behavioral deficits.
  • PAX5 deficiency induced aberrant cerebellar foliation, impaired sensorimotor learning, and profound hypoplasia of the substantia nigra and ventral tegmental area secondary to GABAergic neuron loss.
  • Mice with heterozygous Pax5 mutations recapitulated the neuroanatomical and behavioral defects observed in homozygous mutants.

Cite This Study

Kaiser et al. (2022) studied this question.

synapsesocial.com/papers/6a8ce2634847f413e42f0558https://doi.org/10.1084/jem.20220498
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