Neurodevelopmental and neurobehavioral characteristics in males and females with CDKL5 duplications

Przemyslaw Szafranski, Sailaja Golla, Weihong Jin, Ping Fang, Patricia Hixson, Reuben Matalon, Daniel Kinney, Hans Georg Bock, William Craigen, Janice L. Smith, Weimin Bi, Ankita Patel, Sau Wai Cheung, Carlos A. Bacino, Paweł Stankiewicz

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Point mutations and genomic deletions of the CDKL5 (STK9) gene on chromosome Xp22 have been reported in patients with severe neurodevelopmental abnormalities, including Rett-like disorders. To date, only larger-sized (8-21 Mb) duplications harboring CDKL5 have been described. We report seven females and four males from seven unrelated families with CDKL5 duplications 540-935 kb in size. Three families of different ethnicities had identical 667kb duplications containing only the shorter CDKL5 isoform. Four affected boys, 8-14 years of age, and three affected girls, 6-8 years of age, manifested autistic behavior, developmental delay, language impairment, and hyperactivity. Of note, two boys and one girl had macrocephaly. Two carrier mothers of the affected boys reported a history of problems with learning and mathematics while at school. None of the patients had epilepsy. Similarly to CDKL5 mutations and deletions, the X-inactivation pattern in all six studied females was random. We hypothesize that the increased dosage of CDKL5 might have affected interactions of this kinase with its substrates, leading to perturbation of synaptic plasticity and learning, and resulting in autistic behavior, developmental and speech delay, hyperactivity, and macrocephaly.

Original languageEnglish
Pages (from-to)915-921
Number of pages7
JournalEuropean Journal of Human Genetics
Issue number7
StatePublished - 12 Jul 2015
Externally publishedYes


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