Corticobasal and ataxia syndromes widen the spectrum of C9ORF72 hexanucleotide expansion disease

Autor: Lindquist, S. G., Duno, M., Batbayli, M., Puschmann, A., Braendgaard, H., Mardosiene, S., Svenstrup, K., Pinborg, L. H., Vestergaard, Karsten, Hjermind, L. E., Stokholm, J., Andersen, B. B., Johannsen, P., Nielsen, J. E.
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Lindquist, S G, Duno, M, Batbayli, M, Puschmann, A, Braendgaard, H, Mardosiene, S, Svenstrup, K, Pinborg, L H, Vestergaard, K, Hjermind, L E, Stokholm, J, Andersen, B B, Johannsen, P & Nielsen, J E 2013, ' Corticobasal and ataxia syndromes widen the spectrum of C9ORF72 hexanucleotide expansion disease ', Clinical Genetics, vol. 83, no. 3, pp. 279-283 . https://doi.org/10.1111/j.1399-0004.2012.01903.x
Lindquist, S G, Dunø, M, Batbayli, M, Puschmann, A, Braendgaard, H, Mardosiene, S, Svenstrup, K, Pinborg, L H, Vestergaard, K, Hjermind, L E, Stokholm, J, Andersen, B B, Johannsen, P & Nielsen, J E 2013, ' Corticobasal and ataxia syndromes widen the spectrum of C9ORF72 hexanucleotide expansion disease ', Clinical Genetics, vol. 83, no. 3, pp. 279-83 . https://doi.org/10.1111/j.1399-0004.2012.01903.x
DOI: 10.1111/j.1399-0004.2012.01903.x
Popis: Recently, a hexanucleotide (GGGGCC) repeat expansion in the first intron of C9ORF72 was reported as the cause of chromosome 9p21-linked frontotemporal dementia-amyotrophic lateral sclerosis (FTD-ALS). We here report the prevalence of the expansion in a hospital-based cohort and associated clinical features indicating a wider clinical spectrum of C9ORF72 disease than previously described. We studied 280 patients previously screened for mutations in genes involved in early onset autosomal dominant inherited dementia disorders. A repeat-primed polymerase chain reaction amplification assay was used to identify pathogenic GGGGCC expansions. As a potential modifier, confirmed cases were further investigated for abnormal CAG expansions in ATXN2. A pathogenic GGGGCC expansion was identified in a total of 14 probands. Three of these presented with atypical clinical features and were previously diagnosed with clinical olivopontocerebellar degeneration (OPCD), atypical Parkinsonian syndrome (APS) and a corticobasal syndrome (CBS). Further, the pathogenic expansion was identified in six FTD patients, four patients with FTD-ALS and one ALS patient. All confirmed cases had normal ATXN2 repeat sizes. Our study widens the clinical spectrum of C9ORF72related disease and confirms the hexanucleotide expansion as a prevalent cause of FTD-ALS disorders. There was no indication of a modifying effect of the ATXN2 gene.
Databáze: OpenAIRE