International Journal of Medical Laboratory

en A Missense Mutation in the HMNT Gene Responsible for Autosomal Recessive Intellectual Disability in an Iranian Family with Consanguineous Marriage ژنتیک/ بیوتکنولوژی Genetics/ Biotechnology پژوهشي Research <div style="text-align: justify;">Background and Aims: One of the neurotransmitters in the brain is Histamine which acts as several biological mechanism regulators like inflammation, gastric acid secretion, and neuromodulation. Inactivation of Histamine occurs by histamine N-methyltransferase (HNMT) enzyme. The HNMT transfers a methyl group from S-adenosyl-L-methionine to Histamine and is the main process for the termination of neurotransmission actions of Histamine in the mammalian central nervous system. Materials and Methods: In this case, a family was referred to the genetic clinic to diagnose the cause of their disorder. The clinical form, pedigree, and questionnaire were completed for the family, and the parents gave their written consent for all tests and photographs publication. Both siblings have moderate learning and intellectual disability. Whole exome sequencing was performed and Sanger sequencing for co-segregation was used. Results: Bioinformatics analysis revealed a homozygous missense variant in HNMT (c.623T>C p.Leu208Pro) which causes non-syndromic autosomal recessive intellectual disability in this consanguineous family. Analysis of segregation confirmed this mutation. P.Leu208Pro mutation reduces the stability of the protein, which reduces the inactivation of Histamine. Conclusion: HNMT should be considered an important gene in the genetic evaluation of consanguineous families with intellectual disability. </div> Consanguineous family, HNMT gene, Intellectual disability, Whole exome sequencing 218 225 http://ijml.ssu.ac.ir/browse.php?a_code=A-10-473-1&slc_lang=en&sid=1 Seyed Hamidreza Mirabutalebi سید حمیدرضا میرابوطالبی mirabutalebi93@gmail.com No Department of Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammadreza Dehghani محمدرضا دهقانی dehghani.dr@gmail.com No Medical Genetics Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Nasrin Ghasemi نسرین قاسمی nghasemi479@gmail.com 0000-0002-1103-6004 No Abortion Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mohammad Yahya Vahidi Mehjardi محمد یحیی وحیدی مهرجردی mmvahidi@gmail.com 0000-0003-0535-1590 No Medical Genetics Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Mojtaba Movahedinia مجتبی موحدی نیا hr_mirabutalebi@yahoo.com 0000-0002-3062-8267 No Department of pediatrics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Seyed Mehdi Kalantar سید مهدی کلانتر smkalantar@yahoo.com 0000-0002-6994-6449 Yes Department of Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran