Dick K J, Al-Mjeni R, Baskir W, Koul R, Simpson M A, Patton M A, Raeburn S, Crosby A H
Department of Medical Genetics, St George's University of London, Cranmer Terrace, London SW17 0RE, UK.
Neurology. 2008 Jul 22;71(4):248-52. doi: 10.1212/01.wnl.0000319610.29522.8a. Epub 2008 May 7.
The hereditary spastic paraplegias (HSPs) are a group of clinically and genetically heterogeneous neurodegenerative disorders in which the cardinal pathologic feature is upper motor neuron degeneration leading to progressive spasticity and weakness of the lower limbs. To date, 14 autosomal recessive HSP loci have been mapped.
We have identified a large consanguineous Omani family in which an autosomal recessive form of HSP is segregating. The age at onset varied from 6 to 11 years and the course of the disease is progressive with intellectual disability and is associated with seizures in two individuals. To map the chromosomal location of the causative gene we undertook 250K gene chip SNP analyses of all affected individuals assuming that a founder mutation was responsible.
All affected individuals shared a 20.4 Mb (3.25 cM) region of homozygosity located on chromosome 16q21-q23.1, defined by SNP markers rs149428 and rs9929635 (peak multipoint lod score of 4.86). Two candidate genes, dynein, cytoplasmic 1, light intermediate chain 2 (DYNC1LI2) and vacuolar protein sorting 4 homolog A (VPS4A), were sequenced but no disease causing mutations were identified.
We have mapped the chromosomal location of a novel gene responsible for a form of hereditary spastic paraplegia (HSP) (SPG35) and defined its clinical presentation.
遗传性痉挛性截瘫(HSPs)是一组临床和基因异质性的神经退行性疾病,其主要病理特征是上运动神经元变性,导致下肢进行性痉挛和无力。迄今为止,已定位了14个常染色体隐性HSP基因座。
我们鉴定了一个大型近亲阿曼家族,其中常染色体隐性形式的HSP正在分离。发病年龄从6岁到11岁不等,疾病进程呈进行性,伴有智力残疾,且有两名患者伴有癫痫发作。为了定位致病基因的染色体位置,我们假设存在奠基者突变,对所有受影响个体进行了250K基因芯片SNP分析。
所有受影响个体在16号染色体q21 - q23.1上共享一个20.4 Mb(3.25 cM)的纯合区域,由SNP标记rs149428和rs9929635定义(峰值多点连锁分数为4.86)。对两个候选基因,胞质动力蛋白1轻中间链2(DYNC1LI2)和液泡蛋白分选4同源物A(VPS4A)进行了测序,但未发现致病突变。
我们已经定位了一个导致某种遗传性痉挛性截瘫(HSP)(SPG35)的新基因的染色体位置,并确定了其临床表现。