VPS50 mutations cause a neurodevelopmental disorder with neonatal cholestasis
A new study published in Brain identified mono and biallelic variants in the gene coding for VPS50, VPS51 or VPS53, three subunits of membrane-tethering heterotetramers located at the trans-Golgi network (more specifically in GARP) and recycling endosomes (more specifically in EARP). Two unrelated individuals express severe developmental delay, postnatal microcephaly, corpus callosum hypoplasia, seizures and irritability, transient neonatal cholestasis and failure to thrive. Various analysis (light and transmission electron microscopy of liver from one patient, and patient-derived fibroblasts from both patients) underscore the importance of VPS50 and/or the EARP complex in endocytic recycling and suggest an additional function in establishing cell polarity and trafficking. Individuals with biallelic variants in VPS50, VPS51 or VPS53 show an overarching neurodegenerative disorder. The term ‘GARP/EARP deficiency’ designates disorders in such individuals.
- Brain . 2021 Nov 29;144(10):3036-3049