[AP4-assocated hereditary spastic paraplegias].
| Autor: | Rudenskaya GE; Research Centre for Medical Genetics, Moscow, Russia., Guseva DM; Research Centre for Medical Genetics, Moscow, Russia., Mironovich OL; Research Centre for Medical Genetics, Moscow, Russia., Kadnikova VA; Research Centre for Medical Genetics, Moscow, Russia., Dadali EL; Research Centre for Medical Genetics, Moscow, Russia., Komar'kov IF; Genomed Ltd, Moscow, Russia., Novoselova OG; Genomed Ltd, Moscow, Russia., Ryzhkova OP; Research Centre for Medical Genetics, Moscow, Russia. |
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| Jazyk: | ruština |
| Zdroj: | Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova [Zh Nevrol Psikhiatr Im S S Korsakova] 2021; Vol. 121 (2), pp. 71-78. |
| DOI: | 10.17116/jnevro202112102171 |
| Abstrakt: | Objective: In the course of studies of spastic paraplegias in Russian patients to detect AP4-associated forms, estimate their proportion in the total SPG group and analyze clinical and molecular characteristics. Material and Methods: Five families of Russian ethnicity: four with SPG47, one with SPG51 (4 girls and a boy aged 2.5-9 years) were studied. Clinical and genealogical methods, whole-exome sequencing (WES) and verification by familial Sanger sequencing were used. Results: In our total group, including 118 families with 21 different forms, SPG AP4-associated forms accounted for 4.2% owing mainly to SPG47 (3.4%, 5 th place in SPG structure; 20% and 2 nd place in AE subgroup.) In non-consanguineous, unrelated SPG47 families three patients had identical genotypes: homozygosity for an earlier reported mutation c.1160_1161 delCA (p.Thr387ArgfsTer30) in AP4B1 exon 6; the 4 th patient was compound-heterozygous for the same mutation and novel c.1240C>T (p.Gln414Ter) in exon 7. Frequency of c.1160_1161 delCA may be caused by founder effect in Slavic populations though the idea needs additional studies. The SPG51 patient was compound heterozygous for novel AP4E1 mutations c.2604delA (p.Ser868fs) and c.3346A>G (p.Arg1116Gly). Parent's heterozygosity in all cases was confirmed by Sanger sequencing. Phenotypes were typical: early development delay, muscle hypotony transforming into sever spasticity, mental deficiency, microceplaly (in all SPG47 cases), epilepsy (in 3 SPG47 and SPG51 cases), MRI changes, mainly hydrocephalus and/or hypoplasia of corpus callosum (in 3 SPG47 cases) and few extraneural signs. Conclusion: AP4-associated SPG should be taken into consideration in patients with early-onset severe nervous diseases mimicking non-genetic organic CNS disorders and massive exome sequencing (WES or other variants) should be performed. |
| Databáze: | MEDLINE |
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