Novel VARS1 variants define new clinical and molecular subtypes of a rare neurodevelopmental syndrome


Aynekin B., Lau T., Kaiyrzhanov R., Papazoglou I., Gulec A., Gumus U. G. O., ...Daha Fazla

Biochimica et Biophysica Acta - Molecular Basis of Disease, cilt.1872, sa.4, 2026 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 1872 Sayı: 4
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.bbadis.2026.168184
  • Dergi Adı: Biochimica et Biophysica Acta - Molecular Basis of Disease
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, Chemical Abstracts Core, EMBASE, MEDLINE
  • Anahtar Kelimeler: Monogenic diseases, Mendelian disorders, Aminoacyl tRNA synthetase, Molecular dynamics, Neurodevelopment
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Purpose: We aimed to broaden the understanding of autosomal recessive neurodevelopmental disorders caused by VARS1 by describing new clinical and molecular findings and assessing the predicted structural impact of identified variants. Methods: We clinically evaluated 13 affected individuals from 10 unrelated families presenting with a neurodevelopmental disorder. We used exome sequencing and cosegregation analyses to identify disease-causing variants, followed by three-dimensional in silico analyses and molecular dynamics simulations to assess the likely functional consequences of both previously reported and novel variants. Results: In all affected individuals who presented with a neurodevelopmental syndrome with progressive microcephaly, seizures, and intellectual disability, we identified biallelic disease-causing variants in VARS1. Two variants were predicted to induce premature protein truncation leading to loss of VARS1 function. The remaining 13 detected missense variants were located in the catalytic and aminoacylation domains, and in silico analysis of the affected residues showed that such substitutions can disrupt local protein dynamics, RNA-interaction surfaces, or catalytic geometry, thereby affecting ligand recognition, substrate specificity, and tRNA interaction. Conclusion: Together with prior reports, our results provide strong additional evidence supporting VARS1 as a recurrent cause of autosomal recessive neurodevelopmental disorders and expand the known clinical and allelic spectrum. While in silico analyses provide mechanistic plausibility for novel variants, functional studies will be important to confirm variant-specific effects and disease mechanisms.