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扩展与该基因相关的表型和基因缺陷

Expanding the Phenotype and Genetic Defects Associated with the Gene.

作者信息

Praschberger Roman, Balint Bettina, Mencacci Niccolo E, Hersheson Joshua, Rubio-Agusti Ignacio, Kullmann Dimitri M, Bettencourt Conceição, Bhatia Kailash, Houlden Henry

机构信息

Department of Molecular Neuroscience UCL Institute of Neurology and The National Hospital for Neurology and Neurosurgery (NHNN) London United Kingdom.

Department of Clinical and Experimental Epilepsy UCL Institute of Neurology London United Kingdom.

出版信息

Mov Disord Clin Pract. 2015 Jun 17;2(3):271-273. doi: 10.1002/mdc3.12190. eCollection 2015 Sep.

Abstract

BACKGROUND

The homozygous missense mutation c.430G>T (p.G144W) in the gene has been repeatedly shown to cause progressive myoclonus epilepsy/ataxia. Thus far, no other disease associated mutation has been reported.

METHODS

From epilepsy, movement disorder and genetic clinics 43 patients suffering from progressive myoclonus epilepsy/ataxia were screened for defects in and .

RESULTS

A 61-year-old female patient suffering from progressive myoclonus epilepsy was found to be compound heterozygous for the known c.430G>T and a novel c.491_493delAGA (p.K164del) mutation. This is so far the oldest patient and her disease course seems overall milder.

CONCLUSIONS

This finding further highlights the gene as a cause of progressive myoclonus epilepsy and expands the genotype for a potentially weaker disease allele.

摘要

背景

该基因中的纯合错义突变c.430G>T(p.G144W)已被反复证明可导致进行性肌阵挛癫痫/共济失调。迄今为止,尚未报道其他与疾病相关的突变。

方法

从癫痫、运动障碍和遗传诊所中,对43例患有进行性肌阵挛癫痫/共济失调的患者进行了该基因缺陷筛查。

结果

一名患有进行性肌阵挛癫痫的61岁女性患者被发现为已知的c.430G>T和一个新的c.491_493delAGA(p.K164del)突变的复合杂合子。这是迄今为止年龄最大的患者,其病程似乎总体较为轻微。

结论

这一发现进一步突出了该基因是进行性肌阵挛癫痫的病因,并扩展了可能具有较弱疾病等位基因的基因型。

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