Al-Yahyaee S, Al-Gazali L I, De Jonghe P, Al-Barwany H, Al-Kindi M, De Vriendt E, Chand P, Koul R, Jacob P C, Gururaj A, Sztriha L, Parrado A, Van Broeckhoven C, Bayoumi R A
College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Neurology. 2006 Apr 25;66(8):1230-4. doi: 10.1212/01.wnl.0000208501.52849.dd.
Hereditary spastic paraplegia (HSP) are classified clinically as pure when progressive spasticity occurs in isolation or complicated when other neurologic abnormalities are present. At least 22 genetic loci have been linked to HSP, 8 of which are autosomal recessive (ARHSP). HSP complicated with the presence of thin corpus callosum (HSP-TCC) is a common subtype of HSP. One genetic locus has been identified on chromosome 15q13-q15 (SPG11) for HSP-TCC, but some HSP-TCC families have not been linked to this locus.
The authors characterized two families clinically and radiologically and performed a genome-wide scan and linkage analysis.
The two families had complicated ARHSP. The affected individuals in Family A had thin corpus callosum and mental retardation, whereas in Family B two of three affected individuals had epilepsy. In both families linkage analysis identified a locus on chromosome 8 between markers D8S1820 and D8S532 with the highest combined lod score of 7.077 at marker D8S505. This 9 cM interval located on 8p12-p11.21 represents a new locus for ARHSP-TCC. Neuregulin and KIF13B genes, located within this interval, are interesting functional candidate genes for this HSP form.
Two consanguineous families with complicated autosomal recessive hereditary spastic paraplegia were clinically characterized and genetically mapped to a new locus on 8p12-p11.21.
遗传性痉挛性截瘫(HSP)在临床上若仅出现进行性痉挛则分类为单纯型,若伴有其他神经学异常则分类为复杂型。至少有22个基因位点与HSP相关,其中8个为常染色体隐性遗传(ARHSP)。伴有胼胝体变薄的HSP(HSP-TCC)是HSP的常见亚型。已在15号染色体q13-q15区域(SPG11)确定了一个与HSP-TCC相关的基因位点,但一些HSP-TCC家系与该位点并无关联。
作者对两个家系进行了临床和影像学特征分析,并进行了全基因组扫描和连锁分析。
这两个家系均为复杂型ARHSP。A家系中受影响个体有胼胝体变薄和智力发育迟缓,而B家系的三名受影响个体中有两名患有癫痫。在两个家系中,连锁分析均在8号染色体上标记D8S1820和D8S532之间确定了一个位点,在标记D8S505处的最高合并对数得分是7.077。位于8p12-p11.21的这个9厘摩区间代表了ARHSP-TCC的一个新位点。位于该区间内的神经调节蛋白和KIF13B基因是这种HSP类型有趣的功能候选基因。
对两个患有复杂型常染色体隐性遗传性痉挛性截瘫的近亲家系进行了临床特征分析,并通过基因定位到8p12-p11.21的一个新位点。