The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders

Rare neurodevelopmental disorders (NDDs) are one of the most significant unmet challenges in healthcare due to their lifelong nature, high management costs, and recurrence within families. This review will focus on newly-emerging genetic forms of NDDs resulting from variants in the glycine receptor...

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Main Authors: Sean D. Fraser, Robert J. Harvey
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Molecular Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnmol.2025.1550863/full
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author Sean D. Fraser
Sean D. Fraser
Robert J. Harvey
Robert J. Harvey
author_facet Sean D. Fraser
Sean D. Fraser
Robert J. Harvey
Robert J. Harvey
author_sort Sean D. Fraser
collection DOAJ
description Rare neurodevelopmental disorders (NDDs) are one of the most significant unmet challenges in healthcare due to their lifelong nature, high management costs, and recurrence within families. This review will focus on newly-emerging genetic forms of NDDs resulting from variants in the glycine receptor (GlyR) α2 subunit gene. Studies using Glra2 knockout mice have convincingly demonstrated that GlyR α2 is essential for cortical interneuron migration and progenitor homeostasis. Genetic inactivation of GlyR α2 impairs the capacity of apical progenitors to generate basal progenitors, resulting in an overall reduction of projection neurons in the cerebral cortex. As a result, microcephaly is observed in newborn Glra2 knockout mice, as well as defects in neuronal morphology, increased susceptibility to seizures, and defects in novel object recognition, motor memory consolidation, righting reflexes, novelty-induced locomotion in the open field test, and motivational reward tasks. Consistent with these findings, we and others have identified missense variants and microdeletions in the human GlyR α2 subunit gene (GLRA2) in individuals with autism spectrum disorder (ASD), developmental delay (DD) and/or intellectual disability (ID), often accompanied by microcephaly, language delay and epilepsy. In this review, we highlight the critical role of the GlyR α2 subunit revealed by knockout mice and our current understanding of GlyR α2 pathomechanisms in human NDDs. Finally, we will consider the current gaps in our knowledge, which include: (i) Limited functional validation for GlyR α2 missense variants associated with human NDDs; (ii) The lack of gain-of-function GlyR α2 mouse models; (iii) Our limited knowledge of GlyR α2 interacting proteins. We also highlight potential future developments in the field, including routes to personalized medicines for individuals with GlyR α2 mutations.
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spelling doaj-art-554cd1d3d2e4446ab244f063f8daa8162025-02-11T06:59:15ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992025-02-011810.3389/fnmol.2025.15508631550863The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disordersSean D. Fraser0Sean D. Fraser1Robert J. Harvey2Robert J. Harvey3School of Health, University of the Sunshine Coast, Maroochydore, QLD, AustraliaNational PTSD Research Centre, Thompson Institute, University of the Sunshine Coast, Birtinya, QLD, AustraliaSchool of Health, University of the Sunshine Coast, Maroochydore, QLD, AustraliaNational PTSD Research Centre, Thompson Institute, University of the Sunshine Coast, Birtinya, QLD, AustraliaRare neurodevelopmental disorders (NDDs) are one of the most significant unmet challenges in healthcare due to their lifelong nature, high management costs, and recurrence within families. This review will focus on newly-emerging genetic forms of NDDs resulting from variants in the glycine receptor (GlyR) α2 subunit gene. Studies using Glra2 knockout mice have convincingly demonstrated that GlyR α2 is essential for cortical interneuron migration and progenitor homeostasis. Genetic inactivation of GlyR α2 impairs the capacity of apical progenitors to generate basal progenitors, resulting in an overall reduction of projection neurons in the cerebral cortex. As a result, microcephaly is observed in newborn Glra2 knockout mice, as well as defects in neuronal morphology, increased susceptibility to seizures, and defects in novel object recognition, motor memory consolidation, righting reflexes, novelty-induced locomotion in the open field test, and motivational reward tasks. Consistent with these findings, we and others have identified missense variants and microdeletions in the human GlyR α2 subunit gene (GLRA2) in individuals with autism spectrum disorder (ASD), developmental delay (DD) and/or intellectual disability (ID), often accompanied by microcephaly, language delay and epilepsy. In this review, we highlight the critical role of the GlyR α2 subunit revealed by knockout mice and our current understanding of GlyR α2 pathomechanisms in human NDDs. Finally, we will consider the current gaps in our knowledge, which include: (i) Limited functional validation for GlyR α2 missense variants associated with human NDDs; (ii) The lack of gain-of-function GlyR α2 mouse models; (iii) Our limited knowledge of GlyR α2 interacting proteins. We also highlight potential future developments in the field, including routes to personalized medicines for individuals with GlyR α2 mutations.https://www.frontiersin.org/articles/10.3389/fnmol.2025.1550863/fullautism spectrum disordercortical neuronal migrationepilepsyglycine receptorGlra2 knockout miceGlyR α2 subunit
spellingShingle Sean D. Fraser
Sean D. Fraser
Robert J. Harvey
Robert J. Harvey
The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
Frontiers in Molecular Neuroscience
autism spectrum disorder
cortical neuronal migration
epilepsy
glycine receptor
Glra2 knockout mice
GlyR α2 subunit
title The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
title_full The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
title_fullStr The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
title_full_unstemmed The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
title_short The emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
title_sort emerging role of glycine receptor α2 subunit defects in neurodevelopmental disorders
topic autism spectrum disorder
cortical neuronal migration
epilepsy
glycine receptor
Glra2 knockout mice
GlyR α2 subunit
url https://www.frontiersin.org/articles/10.3389/fnmol.2025.1550863/full
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