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DDX3X Sendromu ve Eşlik Eden Otizm Spektrum Bozukluğu Olan Kız Çocuk: Bir Olgu Sunumu

Year 2026, Volume: 11 Issue: 1, 24 - 30, 25.02.2026
https://doi.org/10.70852/tmj.1760383
https://izlik.org/JA28LF36RT

Abstract

DDX3X sendromu, X kromozomuna bağlı DDX3X genindeki mutasyonlardan kaynaklanan, gelişimsel gecikme, entelektüel yetersizlik, konuşma-dil gecikmeleri veya bozuklukları, otizm spektrum bozukluğu (OSB) ve dikkat eksikliği ve hiperaktivite bozukluğu (DEHB) gibi nörogelişimsel bozuklukların sıklıkla eşlik ettiği bir genetik hastalıktır.
DDX3X sendromu nadir görülen bir genetik hastalıktır ve literatürde bildirilen vakaların sayısı azdır. Hakkında yeterli bilgi sahibi olunamaması ve DDX3X sendromunun OSB ile benzer özellikler taşıyabilmesi sebebiyle, DDX3X sendromuna eşlik eden OSB tanısının ayırt edilmesi her zaman mümkün olamamaktadır. Kliniğimizde muayene edilen, DDX3X sendromlu hafif düzeyde entelektüel yetersizlik, dikkat eksikliği ve hiperaktivite bozukluğu, konuşma bozukluğu tanıları olan dokuz yaşında bir kız hastaya geç dönemde otizm tanısı konulmuştur.
Bu hastalarda doğru ve etkili tedavi yaklaşımlarının uygulanabilmesi için erken dönemde tanı konulmasına katkı sağlamak amacıyla ve literatüre katkı sağlaması amacıyla bu olgu sunumu hazırlanmıştır.

References

  • Adam, M. P., Feldman, J., & Mirzaa, G. M. (2020). DDX3X related neurodevelopmental disorder. In GeneReviews® [Internet]. University of Washington, Seattle. Erişim adresi: https://www.ncbi.nlm.nih.gov/books/NBK561282/
  • Bauminger, N., Solomon, M., Aviezer, A., Heung, K., Gazit, L., Brown, J., & Rogers, S. J. (2008). Children with autism and their friends: A multidimensional study of friendship in high-functioning autism spectrum disorder. Journal of Abnormal Child Psychology, 36(2), 135–150. https://doi.org/10.1007/s10802-007-9156-x
  • Belenska-Todorova, L., Zamfirov, M., Todorov, T., Atemin, S., Sleptsova, M., Pavlova, Z., Kadiyska, T., Maver, A., Peterlin, B., & Todorova, A. (2025). Exome Study of Single Nucleotide Variations in Patients with Syndromic and Non-Syndromic Autism Reveals Potential Candidate Genes for Diagnostics and Novel Single Nucleotide Variants. Cells, 14(12), 'Article 915'. https://doi.org/10.3390/cells14120915
  • Chang, X., Sun, L., & Li, R. (2023). Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-04647-6
  • Chen, H. H., Yu, H. I., & Tarn, W. Y. (2016). DDX3 modulates neurite development via translationally activating an RNA regulon involved in Rac1 activation. Journal of Neuroscience, 36(38), 9792–9804. https://doi.org/10.1523/JNEUROSCI.4603-15.2016
  • Duffy, C., & Healy, O. (2011). Spontaneous communication in autism spectrum disorder: A review of topographies and interventions. In Research in Autism Spectrum Disorders (Vol. 5, Issue 3, pp. 977–983). https://doi.org/10.1016/j.rasd.2010.12.005
  • Forbes, E. J., Morison, L. D., Lelik, F., Howell, T., Debono, S., Goel, H., Burger, P., Mandel, J. L., Geneviève, D., Amor, D. J., & Morgan, A. T. (2024). Speech and language in DDX3X-neurodevelopmental disorder: A call for early augmentative and alternative communication intervention. American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics, 195(6). https://doi.org/10.1002/ajmg.b.32971
  • Griffin, J. W., Bauer, R., & Scherf, K. S. (2021). A quantitative meta-analysis of face recognition deficits in autism: 40 years of research. Psychological Bulletin, 147(3), 268–292. https://doi.org/10.1037/bul0000310
  • Hobson, R. P., Lee, A., & Hobson, J. A. (2009). Qualities of symbolic play among children with autism: A social-developmental perspective. Journal of Autism and Developmental Disorders, 39(1), 12–22.  https://doi.org/10.1007/s10803-008-0589-z
  • Kirchner, J. C., Hatri, A., Heekeren, H. R., & Dziobek, I. (2011). Autistic symptomatology, face processing abilities, and eye fixation patterns. Journal of Autism and Developmental Disorders, 41(2), 158–167. https://doi.org/10.1007/s10803-010-1032-9
  • Lai, M. C., Lee, Y. H. W., & Tarn, W. Y. (2008). The DEAD-box RNA helicase DDX3 associates with export essenger ribonucleoproteins as well as tip-associated protein and participates in translational control. Molecular Biology of the Cell, 19(9), 3847–3858. https://doi.org/10.1091/mbc.E07-12-1264
  • Lennox, A. L., Hoye, M. L., Jiang, R., Johnson-Kerner, B. L., Suit, L. A., Venkataramanan, S., Sheehan, C. J., Alsina, F. C., Fregeau, B., Aldinger, K. A., Moey, C., Lobach, I., Afenjar, A., Babovic-Vuksanovic, D., Bézieau, S., Blackburn, P. R., Bunt, J., Burglen, L., Campeau, P. M., … Sherr, E. H. (2020). Pathogenic DDX3X Mutations Impair RNA etabolism and Neurogenesis during Fetal Cortical Development. Neuron, 106(3), 404-420.e8. https://doi.org/10.1016/j.neuron.2020.01.042
  • Ng-Cordell, E., Kolesnik-Taylor, A., O’Brien, S., Astle, D., Scerif, G., & Baker, K. (2023). Social and motional characteristics of girls and young women with DDX3X-associated intellectual disability: a descriptive and comparative study. Journal of Autism and Developmental Disorders, 53(8), 3208–3219.  https://doi.org/10.1007/s10803-022-05527-w
  • Papaeliou, C. F., Sakellaki, K., & Papoulidi, A. (2019). The relation between functional play and other forms of cooperation and word learning in ASD. International Archives of Communication Disorder, 2(1). https://doi.org/10.23937/IACOD‑2017/1710012
  • Sharma, D., & Jankowsky, E. (2014). The Ded1/DDX3 subfamily of DEAD-box RNA helicases. In Critical Reviews in Biochemistry and Molecular Biology (Vol. 49, Issue 4, pp. 343–360). Informa Healthcare. https://doi.org/10.3109/10409238.2014.931339
  • Snijders Blok, L., Madsen, E., Juusola, J., Gilissen, C., Baralle, D., Reijnders, M. R. F., Venselaar, H., Helsmoortel, C., Cho, M. T., Hoischen, A., Vissers, L. E. L. M., Koemans, T. S., Wissink-Lindhout, W., Eichler, E. E., Romano, C., Van Esch, H., Stumpel, C., Vreeburg, M., Smeets, E., … Kleefstra, T. (2015). Mutations in DDX3X Are a Common Cause of Unexplained Intellectual Disability with Gender-Specific Effects on Wnt Signaling. American Journal of Human Genetics, 97(2), 343–352. https://doi.org/10.1016/j.ajhg.2015.07.004
  • Stefaniak-Preis, U., Kaczmarek, A., Andrusiewicz, M., Roszak, M., Trzeszczyńska, N., Samborski, W.,  Mojs, E., & Malak, R. (2024). First Diagnostic Questionnaire for Assessing Patients’ Social Functioning: Comprehensive DDX3X Syndrome Patient Profile. Journal of Clinical Medicine, 13(24). https://doi.org/10.3390/jcm13247842
  • Stefaniak, U., Malak, R., Mojs, E., & Samborski, W. (2022). Autistic-like Behaviors Associated with a Novel Non-Canonical Splice-Site DDX3X Variant: A Case Report of a Rare Clinical Syndrome. Brain Sciences, 12(3). https://doi.org/10.3390/brainsci12030390
  • von Mueffling, A., Garcia-Forn, M., & De Rubeis, S. (2024). DDX3X syndrome: From clinical phenotypes to biological insights. In Journal of Neurochemistry (Vol. 168, Issue 9, pp. 2147–2154). John Wiley and Sons Inc. https://doi.org/10.1111/jnc.16174
  • Williams, J. H. G., Whiten, A., Suddendorf, T., & Perrett, D. I. (2001). Imitation, mirror neurons and autism. www.elsevier.com/locate/neubiorev
  • Wilson, C. E., Brock, J., & Palermo, R. (2010). Attention to social stimuli and facial identity recognition skills in autism spectrum disorder. Journal of Intellectual Disability Research, 54(12), 1104–1115. https://doi.org/10.1111/j.1365-2788.2010.01340.x

DDX3X Syndrome and Associated Autism Spectrum Disorder In A Girl: A Case Report

Year 2026, Volume: 11 Issue: 1, 24 - 30, 25.02.2026
https://doi.org/10.70852/tmj.1760383
https://izlik.org/JA28LF36RT

Abstract

DDX3X syndrome is a genetic disorder caused by mutations in the DDX3X gene located on the X chromosome. It is frequently accompanied by developmental delay, intellectual disability, speech and language delays or impairments, autism spectrum disorder (ASD), and attention deficit hyperactivity disorder (ADHD), which are common neurodevelopmental disorders. DDX3X syndrome is a rare genetic condition, and the number of reported cases in the literature is limited. Distinguishing ASD comorbidity in people with DDX3X syndrome is often challenging due to inadequate knowledge regarding the condition and its shared characteristics with ASD. In our clinic, a nine-year-old girl diagnosed with DDX3X syndrome, mild intellectual disability, ADHD and speech disorder, was later diagnosed with autism at a delayed stage. This case report was prepared to contribute to the literature and to emphasize the importance of early diagnosis in order to apply the most accurate and effective treatment approaches for these patients.

References

  • Adam, M. P., Feldman, J., & Mirzaa, G. M. (2020). DDX3X related neurodevelopmental disorder. In GeneReviews® [Internet]. University of Washington, Seattle. Erişim adresi: https://www.ncbi.nlm.nih.gov/books/NBK561282/
  • Bauminger, N., Solomon, M., Aviezer, A., Heung, K., Gazit, L., Brown, J., & Rogers, S. J. (2008). Children with autism and their friends: A multidimensional study of friendship in high-functioning autism spectrum disorder. Journal of Abnormal Child Psychology, 36(2), 135–150. https://doi.org/10.1007/s10802-007-9156-x
  • Belenska-Todorova, L., Zamfirov, M., Todorov, T., Atemin, S., Sleptsova, M., Pavlova, Z., Kadiyska, T., Maver, A., Peterlin, B., & Todorova, A. (2025). Exome Study of Single Nucleotide Variations in Patients with Syndromic and Non-Syndromic Autism Reveals Potential Candidate Genes for Diagnostics and Novel Single Nucleotide Variants. Cells, 14(12), 'Article 915'. https://doi.org/10.3390/cells14120915
  • Chang, X., Sun, L., & Li, R. (2023). Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder. BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-04647-6
  • Chen, H. H., Yu, H. I., & Tarn, W. Y. (2016). DDX3 modulates neurite development via translationally activating an RNA regulon involved in Rac1 activation. Journal of Neuroscience, 36(38), 9792–9804. https://doi.org/10.1523/JNEUROSCI.4603-15.2016
  • Duffy, C., & Healy, O. (2011). Spontaneous communication in autism spectrum disorder: A review of topographies and interventions. In Research in Autism Spectrum Disorders (Vol. 5, Issue 3, pp. 977–983). https://doi.org/10.1016/j.rasd.2010.12.005
  • Forbes, E. J., Morison, L. D., Lelik, F., Howell, T., Debono, S., Goel, H., Burger, P., Mandel, J. L., Geneviève, D., Amor, D. J., & Morgan, A. T. (2024). Speech and language in DDX3X-neurodevelopmental disorder: A call for early augmentative and alternative communication intervention. American Journal of Medical Genetics, Part B: Neuropsychiatric Genetics, 195(6). https://doi.org/10.1002/ajmg.b.32971
  • Griffin, J. W., Bauer, R., & Scherf, K. S. (2021). A quantitative meta-analysis of face recognition deficits in autism: 40 years of research. Psychological Bulletin, 147(3), 268–292. https://doi.org/10.1037/bul0000310
  • Hobson, R. P., Lee, A., & Hobson, J. A. (2009). Qualities of symbolic play among children with autism: A social-developmental perspective. Journal of Autism and Developmental Disorders, 39(1), 12–22.  https://doi.org/10.1007/s10803-008-0589-z
  • Kirchner, J. C., Hatri, A., Heekeren, H. R., & Dziobek, I. (2011). Autistic symptomatology, face processing abilities, and eye fixation patterns. Journal of Autism and Developmental Disorders, 41(2), 158–167. https://doi.org/10.1007/s10803-010-1032-9
  • Lai, M. C., Lee, Y. H. W., & Tarn, W. Y. (2008). The DEAD-box RNA helicase DDX3 associates with export essenger ribonucleoproteins as well as tip-associated protein and participates in translational control. Molecular Biology of the Cell, 19(9), 3847–3858. https://doi.org/10.1091/mbc.E07-12-1264
  • Lennox, A. L., Hoye, M. L., Jiang, R., Johnson-Kerner, B. L., Suit, L. A., Venkataramanan, S., Sheehan, C. J., Alsina, F. C., Fregeau, B., Aldinger, K. A., Moey, C., Lobach, I., Afenjar, A., Babovic-Vuksanovic, D., Bézieau, S., Blackburn, P. R., Bunt, J., Burglen, L., Campeau, P. M., … Sherr, E. H. (2020). Pathogenic DDX3X Mutations Impair RNA etabolism and Neurogenesis during Fetal Cortical Development. Neuron, 106(3), 404-420.e8. https://doi.org/10.1016/j.neuron.2020.01.042
  • Ng-Cordell, E., Kolesnik-Taylor, A., O’Brien, S., Astle, D., Scerif, G., & Baker, K. (2023). Social and motional characteristics of girls and young women with DDX3X-associated intellectual disability: a descriptive and comparative study. Journal of Autism and Developmental Disorders, 53(8), 3208–3219.  https://doi.org/10.1007/s10803-022-05527-w
  • Papaeliou, C. F., Sakellaki, K., & Papoulidi, A. (2019). The relation between functional play and other forms of cooperation and word learning in ASD. International Archives of Communication Disorder, 2(1). https://doi.org/10.23937/IACOD‑2017/1710012
  • Sharma, D., & Jankowsky, E. (2014). The Ded1/DDX3 subfamily of DEAD-box RNA helicases. In Critical Reviews in Biochemistry and Molecular Biology (Vol. 49, Issue 4, pp. 343–360). Informa Healthcare. https://doi.org/10.3109/10409238.2014.931339
  • Snijders Blok, L., Madsen, E., Juusola, J., Gilissen, C., Baralle, D., Reijnders, M. R. F., Venselaar, H., Helsmoortel, C., Cho, M. T., Hoischen, A., Vissers, L. E. L. M., Koemans, T. S., Wissink-Lindhout, W., Eichler, E. E., Romano, C., Van Esch, H., Stumpel, C., Vreeburg, M., Smeets, E., … Kleefstra, T. (2015). Mutations in DDX3X Are a Common Cause of Unexplained Intellectual Disability with Gender-Specific Effects on Wnt Signaling. American Journal of Human Genetics, 97(2), 343–352. https://doi.org/10.1016/j.ajhg.2015.07.004
  • Stefaniak-Preis, U., Kaczmarek, A., Andrusiewicz, M., Roszak, M., Trzeszczyńska, N., Samborski, W.,  Mojs, E., & Malak, R. (2024). First Diagnostic Questionnaire for Assessing Patients’ Social Functioning: Comprehensive DDX3X Syndrome Patient Profile. Journal of Clinical Medicine, 13(24). https://doi.org/10.3390/jcm13247842
  • Stefaniak, U., Malak, R., Mojs, E., & Samborski, W. (2022). Autistic-like Behaviors Associated with a Novel Non-Canonical Splice-Site DDX3X Variant: A Case Report of a Rare Clinical Syndrome. Brain Sciences, 12(3). https://doi.org/10.3390/brainsci12030390
  • von Mueffling, A., Garcia-Forn, M., & De Rubeis, S. (2024). DDX3X syndrome: From clinical phenotypes to biological insights. In Journal of Neurochemistry (Vol. 168, Issue 9, pp. 2147–2154). John Wiley and Sons Inc. https://doi.org/10.1111/jnc.16174
  • Williams, J. H. G., Whiten, A., Suddendorf, T., & Perrett, D. I. (2001). Imitation, mirror neurons and autism. www.elsevier.com/locate/neubiorev
  • Wilson, C. E., Brock, J., & Palermo, R. (2010). Attention to social stimuli and facial identity recognition skills in autism spectrum disorder. Journal of Intellectual Disability Research, 54(12), 1104–1115. https://doi.org/10.1111/j.1365-2788.2010.01340.x
There are 21 citations in total.

Details

Primary Language Turkish
Subjects Pediatric Genetic Illnesses, Child and Adolescent Psychiatry
Journal Section Case Report
Authors

Aydan Söğüt 0009-0007-3518-5008

Cansel Azizağaoğlu 0009-0008-7632-784X

Şahin Bodur 0000-0002-4942-7932

Ayhan Cöngöloğlu 0000-0003-2290-3537

Submission Date August 7, 2025
Acceptance Date October 14, 2025
Publication Date February 25, 2026
DOI https://doi.org/10.70852/tmj.1760383
IZ https://izlik.org/JA28LF36RT
Published in Issue Year 2026 Volume: 11 Issue: 1

Cite

APA Söğüt, A., Azizağaoğlu, C., Bodur, Ş., & Cöngöloğlu, A. (2026). DDX3X Sendromu ve Eşlik Eden Otizm Spektrum Bozukluğu Olan Kız Çocuk: Bir Olgu Sunumu. Turkish Medical Journal, 11(1), 24-30. https://doi.org/10.70852/tmj.1760383

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