RT info:eu-repo/semantics/article T1 Paradigmatic De Novo GRIN1 Variants Recapitulate Pathophysiological Mechanisms Underlying GRIN1-Related Disorder Clinical Spectrum A1 Santos Gómez, Ana A1 Míguez Cabello, Federico A1 Juliá Palacios, Natalia A1 García Navas, Deyanira A1 Soto Insuga, Víctor A1 García Peñas, Juan J. A1 Fuentes, Patricia A1 Ibáñez Micó, Salvador A1 Cuesta, Laura A1 Cancho Candela, Ramón A1 Andreo Lillo, Patricia A1 Gutiérrez Aguilar, Gema A1 Alonso Luengo, Olga A1 Málaga, Ignacio A1 Hedrera Fernández, Antonio A1 García Cazorla, Àngels A1 Soto, David A1 Olivella, Mireia A1 Altafaj, Xavier AB Background: GRIN-related disorders (GRD), the so-called grinpathies, is a group of rareencephalopathies caused by mutations affecting GRIN genes (mostly GRIN1, GRIN2A and GRIN2Bgenes), which encode for the GluN subunit of the N-methyl D-aspartate (NMDA) type ionotropicglutamate receptors. A growing number of functional studies indicate that GRIN-encoded GluN1subunit disturbances can be dichotomically classified into gain- and loss-of-function, although in termediate complex scenarios are often present. Methods: In this study, we aimed to delineate thestructural and functional alterations of GRIN1 disease-associated variants, and their correlations withclinical symptoms in a Spanish cohort of 15 paediatric encephalopathy patients harbouring thesevariants. Results: Patients harbouring GRIN1 disease-associated variants have been clinically deeply phenotyped. Further, using computational and in vitro approaches, we identified different criticalcheckpoints affecting GluN1 biogenesis (protein stability, subunit assembly and surface trafficking)and/or NMDAR biophysical properties, and their association with GRD clinical symptoms. Con clusions: Our findings show a strong correlation between GRIN1 variants-associated structural andfunctional outcomes. This structural-functional stratification provides relevant insights of genotype phenotype association, contributing to future precision medicine of GRIN1-related encephalopathi PB MDPI YR 2021 FD 2021 LK https://uvadoc.uva.es/handle/10324/64711 UL https://uvadoc.uva.es/handle/10324/64711 LA spa NO International Journal of Molecular Sciences 2021; 22(23):12656 DS UVaDOC RD 04-abr-2025