RT Journal Article SR Electronic T1 Presynaptic dysfunction in CASK-related neurodevelopmental disorders JF bioRxiv FD Cold Spring Harbor Laboratory SP 863308 DO 10.1101/863308 A1 Martin Becker A1 Francesca Mastropasqua A1 Jan Philipp Reising A1 Simon Maier A1 Mai-Lan Ho A1 Ielyzaveta Rabkina A1 Danyang Li A1 Janina Neufeld A1 Lea Ballenberger A1 Lynnea Myers A1 Viveka Moritz A1 Malin Kele A1 Josephine Wincent A1 Charlotte Willfors A1 Rouslan Sitnikov A1 Eric Herlenius A1 Britt-Marie Anderlid A1 Anna Falk A1 Sven Bölte A1 Kristiina Tammimies YR 2019 UL http://biorxiv.org/content/early/2019/12/09/863308.abstract AB CASK-related disorders are a genetically defined group of neurodevelopmental syndromes. There is limited information about the effects of CASK mutations in human neurons. Therefore, we sought to delineate CASK mutation consequences and neuronal level effects using induced pluripotent stem cell-derived neurons from two mutation carriers; one male diagnosed with ASD and a female with MICPCH. We show a reduction of the CASK protein in maturing neurons from the mutation carriers, which leads to significant downregulation of gene sets involved in presynaptic development and CASK protein interactors. Furthermore, CASK-deficient neurons showed decreased inhibitory presynapse size as indicated by VGAT staining, which may alter the excitatory-inhibitory (E/I) balance in developing neural circuitries. Using in vivo magnetic resonance spectroscopy quantification of GABA in the male mutation carrier, we further highlight the possibility to validate in vitro cellular data in brain. Our data shows that future pharmacological and clinical studies on targeting presynapses and E/I imbalance could lead to specific treatments for CASK-related disorders.Highlights Modelling of CASK-related disorders using iPSC-derived human neuronal cellsCASK mutations cause dysregulation of its protein interactor partnersReduced CASK levels primarily affect inhibitory presynapse developmentIn vitro GABAergic phenotype predicts in vivo neurotransmitter levels