Anxiety disorder is a common psychopathological comorbidity in patients with SHANK pathogenic variants: description of five new cases - Summary - MDSpire

Anxiety disorder is a common psychopathological comorbidity in patients with SHANK pathogenic variants: description of five new cases

  • By

  • Carmen Manso-Bazus

  • Nino Spataro

  • Laura Plans

  • Meritxell Tomàs

  • Mercè Casadesús

  • Montserrat Pamias

  • Anna Ruiz

  • November 11, 2025

  • 0 min

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Objective:

To describe the neurodevelopmental, neuropsychiatric, and dysmorphic features of five patients with pathogenic variants in SHANK genes, focusing on specific symptoms and conditions.

Key Findings:
  • Five patients with pathogenic variants in SHANK1, SHANK2, and SHANK3 were identified, representing 4.3% of the cohort, indicating a notable prevalence of these variants.
  • Two loss of function variants in SHANK1 were found, absent from the Genome Aggregation Database, suggesting their potential clinical significance.
Interpretation:

The findings suggest a prevalent neuropsychiatric phenotype associated with SHANK gene variants, highlighting the genetic underpinnings of psychiatric disorders in patients with intellectual disabilities and the need for targeted interventions.

Limitations:
  • The study is limited by the small sample size of five patients, which may restrict the ability to draw broader conclusions.
  • The cohort may not be representative of all patients with SHANK gene variants, potentially limiting the applicability of the findings.
Conclusion:

This study emphasizes the importance of genetic screening in understanding the neuropsychiatric profiles of patients with SHANK gene variants, which could lead to improved management strategies.

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