This report describes intellectual disability, syndromic, autosomal dominant 75, a newly identified neurodevelopmental disorder postulated to be associated with heterozygous de novo missense variants of the DHX9 gene. DHX9 encodes an RNA helicase that appears to function as a transcriptional regulator. There is a single orthologous gene in Drosophila, mle, but the Drosophila gene has not been used in this disease model.
Multiple UAS constructs of the human Hsap\DHX9 gene have been introduced into flies, including wild-type and variants implicated in human disease. See the 'Disease-Implicated Variants' table below. Expression of wild-type Hsap\DHX9 protein in the fly visual system results in a rough eye phenotype; expression of the variant proteins has minimal effect, supporting the hypothesis that they are loss-of-function mutations. Assessments of transcript and protein levels suggest that the variant DHX9:p.Gly414Arg protein is more susceptible to degradation after translation.
[updated Mar. 2025 by FlyBase; FBrf0222196]
Intellectual disability is characterized by impairments in intellectual functioning and adaptive behavior; symptoms must be present before a child becomes 18 years old (http://medical-dictionary.thefreedictionary.com/mental+retardation; 2016.01.19).
Intellectual disability can be subdivided into syndromic forms, characterized by cognitive impairment accompanied by dysmorphic features, malformations or neurological abnormalities, and nonsyndromic forms, characterized by cognitive impairment without additional features (Basel-Vanagaite, 2008; DOI: 10.1002/9780470015902.a0021454).
[INTELLECTUAL DEVELOPMENTAL DISORDER, AUTOSOMAL DOMINANT 75; MRD75](https://omim.org/entry/620988)
[DExH-BOX HELICASE 9; DHX9](https://omim.org/entry/603115)
Autosomal dominant intellectual developmental disorder-75 (MRD75) is a neurodevelopmental disorder with highly variable severity and features. Affected individuals have developmental delay and most have mild to severely impaired intellectual development, often accompanied by neuropsychiatric disorders. Additional more variable features may include hypotonia, seizures, nonspecific dysmorphic features, poor overall growth with small head circumference, abnormal brain imaging, and heart disease (Calame et al., 2023; pubmed:37467750). [from MIM:620988; 2025.03.08]
The single patient described presented with short stature, intellectual disability, and ventricular non-compaction cardiomyopathy (Yamada et al., 2023; pubmed:37369308; FBrf0257121).
Autosomal dominant intellectual developmental disorder-75 (MRD75) is caused by heterozygous mutation in the DHX9 gene. [from MIM:620988; 2025.03.08]
The variant DHX9:p.Gly414Arg was identified in the described patient. A second variant in the DXH9 gene, DHX9:p.Arg1052Gln , has been identified in a patient with autism (Yamada et al., 2023; pubmed:37369308; FBrf0257121).
DHX9 encodes a member of the DEAD/DExH-box-containing family of RNA helicases. The encoded protein is an enzyme that catalyzes the ATP-dependent unwinding of double-stranded RNA and DNA-RNA complexes. The DHX9 protein localizes to both the nucleus and the cytoplasm and functions as a transcriptional regulator. [Gene Cards, DHX9; 2023.09.18]
One to one: 1 human gene to 1 Drosophila gene; multiple related genes exist in both species.
High-scoring ortholog of human DHX9 (1 Drosophila to 1 human); multiple related genes exist in both species.