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Defects in fatty acid amide hydrolase 2 in a male with neurologic and psychiatric symptoms. | LitMetric

AI Article Synopsis

  • FAAH2 is an enzyme involved in breaking down endocannabinoids, and changes in this system can relate to various neurological and psychiatric issues.
  • A case study of a male with autism and additional neurological symptoms revealed a rare genetic mutation in the FAAH2 gene, affecting its function.
  • The findings suggest that genetic defects in FAAH2 might play a role in developing specific neurological and psychiatric conditions.

Article Abstract

Background: Fatty acid amide hydrolase 2 (FAAH2) is a hydrolase that mediates the degradation of endocannabinoids in man. Alterations in the endocannabinoid system are associated with a wide variety of neurologic and psychiatric conditions, but the phenotype and biochemical characterization of patients with genetic defects of FAAH2 activity have not previously been described. We report a male with autistic features with an onset before the age of 2 years who subsequently developed additional features including anxiety, pseudoseizures, ataxia, supranuclear gaze palsy, and isolated learning disabilities but was otherwise cognitively intact as an adult.

Methods And Results: Whole exome sequencing identified a rare missense mutation in FAAH2, hg19: g.57475100G > T (c.1372G > T) resulting in an amino acid change (p.Ala458Ser), which was Sanger confirmed as maternally inherited and absent in his healthy brother. Alterations in lipid metabolism with abnormalities of the whole blood acyl carnitine profile were found. Biochemical and molecular modeling studies confirmed that the p.Ala458Ser mutation results in partial inactivation of FAAH2. Studies in patient derived fibroblasts confirmed a defect in FAAH2 activity resulting in altered levels of endocannabinoid metabolites.

Conclusions: We propose that genetic alterations in FAAH2 activity contribute to neurologic and psychiatric disorders in humans.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4423390PMC
http://dx.doi.org/10.1186/s13023-015-0248-3DOI Listing

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