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常染色体隐性痉挛性共济失调型小脑性共济失调(CHARLEVOIX-SAGUENAY)是由 SACS 基因突变引起的:两个中国家系的报告。

Autosomal recessive spastic ataxia of Charlevoix-Saguenay caused by novel mutations in SACS gene: A report of two Chinese families.

机构信息

Department of Neurology, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, China.

Department of Neurology, Xuanwu Hospital of Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, China; Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing, China.

出版信息

Neurosci Lett. 2021 May 1;752:135831. doi: 10.1016/j.neulet.2021.135831. Epub 2021 Mar 18.

Abstract

Autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is a rare hereditary disease characterized by cerebellar ataxia, pyramidal signs in lower limbs, and sensorimotor neuropathy. The disease is caused by bi-allelic mutations of the SACS gene encoding the sacsin protein. Over 200 mutations have been reported worldwide. Here, we report two unrelated Chinese ARSACS patients with novel mutations revealed by whole-exome sequencing (WES). One 36-year-old female patient exhibited classical ARSACS characteristics including cerebellar ataxia, pyramidal tract signs in the lower limbs and sensorimotor neuropathy, while the other 9-year-old male showed cerebellar ataxia and peripheral neuropathy. WES identified a compound heterozygous variant in the SACS gene (c.5692 G > T, p.E1898X; c.12673-12677 del TATCA, p.Y4225D fs6) in the female patient and another compound heterozygous variant (c.1773C > A, p.S578X; c.8088-8089 in. CA, p.M2697Q fs43) in the male patient. All of these novel mutations were predicted to be loss-of-function which affect the expression of the two important C-terminal domains (DnaJ and HEPN). These findings add new insights into the mutational and clinical spectrum of ARSACS.

摘要

常染色体隐性痉挛性共济失调型小脑性共济失调(ARSACS)是一种罕见的遗传性疾病,其特征为小脑性共济失调、下肢锥体束征和感觉运动性神经病。该病由编码 sacsin 蛋白的 SACS 基因的双等位基因突变引起。全球已报道超过 200 种突变。在此,我们通过全外显子组测序(WES)报道了两例中国 ARSACS 患者的新突变。一名 36 岁女性患者表现出经典的 ARSACS 特征,包括小脑性共济失调、下肢锥体束征和感觉运动神经病,而另一名 9 岁男性患者则表现为小脑性共济失调和周围神经病。WES 在女性患者中发现 SACS 基因的复合杂合变异(c.5692 G > T,p.E1898X;c.12673-12677delTATCA,p.Y4225Dfs6),在男性患者中发现另一种复合杂合变异(c.1773C > A,p.S578X;c.8088-8089insCA,p.M2697Qfs43)。所有这些新突变均被预测为无功能突变,影响两个重要的 C 末端结构域(DnaJ 和 HEPN)的表达。这些发现为 ARSACS 的突变和临床谱提供了新的见解。

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