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扩展与突变相关的表型谱:一例肌张力障碍病例

Extending the Phenotypic Spectrum Associated with Mutations: A Case of Dystonia.

作者信息

Olszewska Diana A, Kinsella Justin A

机构信息

Department of Neurology Dublin Neurological Institute at the Mater Misericordiae University Hospital Dublin Ireland.

Department of Neurology St. Vincent's University Hospital Dublin Ireland.

出版信息

Mov Disord Clin Pract. 2020 Mar 9;7(3):318-324. doi: 10.1002/mdc3.12914. eCollection 2020 Apr.

DOI:10.1002/mdc3.12914
PMID:32258232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7111583/
Abstract

BACKGROUND

Mutations in the STIP1 homology and U-box containing protein 1 gene were first described in 2013 and lead to disorders with symptoms including ataxia and dysarthria, such as spinocerebellar autosomal-recessive ataxia type 16 (SCAR16), Gordon-Holmes syndrome, and spinocerebellar ataxia type 48. There have been 15 families described to date with SCAR16.

CASES

We describe a 45-year-old right-handed woman with dysarthria, ataxia, and cervical dystonia with SCAR16 with 2 compound heterozygous variants in the STIP1 homology and U-box containing protein 1 gene, and a family history significant for her 47-year-old sister with dysarthria and cognitive problems.

CONCLUSION

We present a comprehensive overview of the phenotypic data of all 15 families with SCAR16 and expand the phenotype by describing a third patient with SCAR16 and dystonia reported to date in the literature.

摘要

背景

含STIP1同源结构域和U盒蛋白1基因的突变于2013年首次被描述,可导致共济失调和构音障碍等症状的疾病,如16型常染色体隐性遗传性脊髓小脑共济失调(SCAR16)、戈登 - 霍姆斯综合征和48型脊髓小脑共济失调。迄今为止,已有15个家庭被描述患有SCAR16。

病例

我们描述了一名45岁右利手女性,患有构音障碍、共济失调和颈部肌张力障碍,诊断为SCAR16,其含STIP1同源结构域和U盒蛋白1基因存在2种复合杂合变异,并且其家族史显示她47岁的姐姐有构音障碍和认知问题。

结论

我们全面概述了所有15个患有SCAR16家庭的表型数据,并通过描述文献中迄今为止报道的第三例患有SCAR16和肌张力障碍的患者来扩展了该疾病的表型。

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本文引用的文献

1
Heterozygous mutation causes familial ataxia with cognitive affective syndrome (SCA48).杂合突变导致伴认知情感障碍的家族性共济失调(SCA48)。
Neurology. 2018 Nov 20;91(21):e1988-e1998. doi: 10.1212/WNL.0000000000006550. Epub 2018 Oct 31.
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Genetic Dystonia-ataxia Syndromes: Clinical Spectrum, Diagnostic Approach, and Treatment Options.遗传性肌张力障碍共济失调综合征:临床谱、诊断方法及治疗选择
Mov Disord Clin Pract. 2018 Jul 3;5(4):373-382. doi: 10.1002/mdc3.12635. eCollection 2018 Jul-Aug.
3
Inaugural cognitive decline, late disease onset and novel STUB1 variants in SCAR16.SCAR16中的首发认知衰退、疾病晚期发作及新型STUB1变异体
Neurol Sci. 2018 Dec;39(12):2231-2233. doi: 10.1007/s10072-018-3545-5. Epub 2018 Sep 11.
4
STUB1 polyadenylation signal variant AACAAA does not affect polyadenylation but decreases STUB1 translation causing SCAR16.STUB1 多聚腺苷酸化信号变异 AACAAA 不影响多聚腺苷酸化,但降低 STUB1 翻译导致 SCAR16。
Hum Mutat. 2018 Oct;39(10):1344-1348. doi: 10.1002/humu.23601. Epub 2018 Aug 22.
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ClinVar Miner: Demonstrating utility of a Web-based tool for viewing and filtering ClinVar data.ClinVar Miner:展示基于 Web 的工具在查看和筛选 ClinVar 数据方面的实用性。
Hum Mutat. 2018 Aug;39(8):1051-1060. doi: 10.1002/humu.23555. Epub 2018 Jun 21.
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Cerebellum: An explanation for dystonia?小脑:肌张力障碍的一种解释?
Cerebellum Ataxias. 2017 May 12;4:6. doi: 10.1186/s40673-017-0064-8. eCollection 2017.
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Systematic review of autosomal recessive ataxias and proposal for a classification.常染色体隐性共济失调的系统评价及分类建议
Cerebellum Ataxias. 2017 Feb 23;4:3. doi: 10.1186/s40673-017-0061-y. eCollection 2017.
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Using the shared genetics of dystonia and ataxia to unravel their pathogenesis.利用肌张力障碍和共济失调的共同遗传学来揭示它们的发病机制。
Neurosci Biobehav Rev. 2017 Apr;75:22-39. doi: 10.1016/j.neubiorev.2017.01.033. Epub 2017 Jan 28.
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Choreoathetosis, Dystonia, and Myoclonus in 3 Siblings With Autosomal Recessive Spinocerebellar Ataxia Type 16.3例常染色体隐性遗传性脊髓小脑共济失调16型患者同胞中的舞蹈手足徐动症、肌张力障碍和肌阵挛
JAMA Neurol. 2016 Jul 1;73(7):888-90. doi: 10.1001/jamaneurol.2016.0647.
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SIFT missense predictions for genomes.SIFT 错义预测基因组。
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