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In a single-family case report, one of two siblings with ASD carried a rare de novo heterozygous RIMS1 mutation, implicating RIMS1 as an ASD candidate gene (PMID:30949922). A large whole-exome sequencing study of 787 ASD trios identified clustering of de novo frameshift indels in RIMS1, further suggesting a contributory role of RIMS1 variants in ASD risk (PMID:25284784). No multi-generational segregation or recurrent founder alleles have been reported to date, and overall case counts remain low.
Biochemical and genetic studies demonstrate that RIM1 is essential for synaptic vesicle release: the N-terminal domain binds Rab3-GTP to regulate exocytosis (PMID:11431472), and deletion of RIM1 in yeast leads to impaired meiosis-associated gene expression and spore formation (PMID:8367297). While these data establish RIM1’s role in neurotransmitter dynamics, ASD-specific functional assays or animal models are lacking. Key take-home: Current evidence for RIMS1 in ASD is limited but justifies further genetic and functional studies to clarify its clinical diagnostic utility.
Gene–Disease AssociationLimitedOne de novo variant in an ASD proband ([PMID:30949922]) and rare de novo indel clustering ([PMID:25284784]); no segregation data. Genetic EvidenceLimitedOne de novo RIMS1 mutation in an ASD proband ([PMID:30949922]) and de novo frameshift clustering in a multi-patient WES cohort ([PMID:25284784]). Functional EvidenceLimitedBiochemical and yeast studies demonstrate RIM1’s role in synaptic vesicle release ([PMID:11431472],[PMID:8367297]) but no ASD-specific functional models. |