
DNA, Год журнала: 2025, Номер 5(2), С. 21 - 21
Опубликована: Апрель 27, 2025
Pathogenic variants in the KAT6A gene cause syndrome, a neurodevelopmental disorder characterised by intellectual disability (ID), developmental delay, speech and language challenges, feeding difficulties, skeletal abnormalities. This scoping review synthesises current knowledge on identifies key research themes, supports mission of advocacy groups like KAT6 Foundation. A systematic search five databases (Ovid MEDLINE, Ovid EMBASE, PubMed, Web Science, Scopus) was conducted from 1990 to 2024, including peer-reviewed articles, preprints, conference abstracts published 2022 onward. Of 771 citations retrieved, 111 full-text articles were reviewed, with 62 meeting inclusion criteria. Data synthesised into six themes: (1) genotype phenotype map, revealing broad phenotypic spectrum common features ID, absent speech, craniofacial dysmorphism, as well rare such severe aplastic anaemia pancraniosynostosis; (2) profile, detailing communication deficits, sleep disturbances, impaired adaptive functioning; (3) epigenetic roles KAT6A, highlighting its critical function histone acetylation, chromatin remodelling, regulation; (4) molecular biomarkers, identifying distinct DNA methylation episignatures dysregulated cellular pathways; (5) drug discovery, preliminary studies suggesting that pantothenate L-carnitine may mitigate mitochondrial dysfunction acetylation while RSPO2 overexpression reverses cognitive impairment animal models; (6) overlap Rett syndrome KAT6B-related disorders. underscores complexity variability need for multidisciplinary approaches improving diagnosis, management, development therapies. Future should focus longitudinal studies, underrepresented phenotypes, biomarker identification, robust therapeutic trials enhance outcomes affected individuals their families.
Язык: Английский