UBR5 loss-of-function variants in autism spectrum disorder and intellectual disability: case series and review of the literature
UBR5 encodes an E3 ubiquitin-protein ligase which targets distinct N-terminal residues of proteins for degradation. Heterozygous loss-of-function variants were reported in patients with Autism Spectrum Disorder (ASD) and developmental delay, and recently in a cohort of individuals with neurodevelopmental disorders and variable other features. Here, we report three unrelated individuals with de novo loss-of-function variants in UBR5, presenting with ASD and intellectual disability. We review the literature for other de novo predicted loss-of-function variants in probands with ASD or developmental delay (in total n = 11 variants), providing further evidence that UBR5 haploinsufficiency is associated with ASD and atypical neurodevelopmental trajectories, including developmental delay and intellectual disability.
Authors
- Marla Mendes de Aquino (ORCID: https://orcid.org/0000-0002-6114-7482)
- Jennifer Howe
- Miriam S. Reuter (ORCID: https://orcid.org/0000-0001-8662-6685)
- Ege Sarikaya (ORCID: https://orcid.org/0009-0006-8433-1190)
- Guiomar Oliveira (ORCID: https://orcid.org/0000-0002-7049-1277)
- Bhooma Thiruvahindrapuram (ORCID: https://orcid.org/0000-0003-1128-008X)
- Stephen W. Scherer (ORCID: https://orcid.org/0000-0002-8326-1999)
- Christine M. Freitag (ORCID: https://orcid.org/0000-0001-9676-4782)
- Brett Trost (ORCID: https://orcid.org/0000-0003-4863-7273)
- Thanuja Selvanayagam (ORCID: https://orcid.org/0000-0002-2556-2566)
- Ny Hoang (ORCID: https://orcid.org/0000-0001-9064-7438)
- Astrid M. Vicente (ORCID: https://orcid.org/0000-0001-7134-8037)
- Nelson Bautista Salazar (ORCID: https://orcid.org/0000-0001-5184-982X)
Institutions
- Goethe University Frankfurt (DE)
- University of Toronto (CA)
- Hospital for Sick Children (CA)
- Hospitais da Universidade de Coimbra (PT)
- University Hospital Frankfurt (DE)
- Instituto Nacional de Saúde (MZ)
- SickKids Foundation (CA)
- University of Coimbra (PT)
Publication Details
- Journal
- npj Genomic Medicine
- Published
- 2025-11-29
- DOI
- https://doi.org/10.1038/s41525-025-00536-x
- Primary Topic
- Ubiquitin and proteasome pathways
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Autism Speaks
- University of Toronto
- Hospital for Sick Children