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中国进行性肌阵挛癫痫患者中新的 NUS1 变异:病例报告和系统评价。

Novel NUS1 variant in a Chinese patient with progressive myoclonus epilepsy: a case report and systematic review.

机构信息

Epilepsy Center, Department of Neurology, the First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou, 310003, China.

出版信息

Neurol Sci. 2023 Oct;44(10):3495-3498. doi: 10.1007/s10072-023-06851-4. Epub 2023 May 30.

DOI:10.1007/s10072-023-06851-4
PMID:37249665
Abstract

BACKGROUND

Variants of the NUS1 gene have been associated with an extensive spectrum of phenotypes, including epilepsy, intellectual disability, cerebellar ataxia, Parkinson's disease, dystonia, and congenital disorder of glycosylation. It is rarely reported in progressive myoclonus epilepsy (PME).

METHODS AND RESULTS

Herein, we report the case of PME caused by a novel de novo NUS1 missense variant (c.302T>A, p.Met101Lys). In addition, we reviewed the current literature of NUS1-associated PME. At present, five patients with NUS1 variants and PME have been reported in the literature. Due to limited cases reported, the relationship between NUS1 variants and PME is not well-established.

CONCLUSIONS

Our case provides further evidence of the role of NUS1 variants in PME. These findings expand the clinical phenotypes of NUS1 variants, which should be included in the PME genetic screening panel.

摘要

背景

NUS1 基因突变与广泛的表型相关,包括癫痫、智力障碍、小脑共济失调、帕金森病、肌张力障碍和先天性糖基化障碍。它在进行性肌阵挛性癫痫(PME)中很少见报道。

方法和结果

在此,我们报告了一例由新型从头 NUS1 错义变异(c.302T>A,p.Met101Lys)引起的 PME 病例。此外,我们还回顾了当前关于 NUS1 相关 PME 的文献。目前,文献中已有五例 NUS1 变异与 PME 相关的病例报道。由于报道的病例有限,NUS1 变异与 PME 之间的关系尚未明确。

结论

我们的病例进一步证明了 NUS1 变异在 PME 中的作用。这些发现扩展了 NUS1 变异的临床表型,这些表型应纳入 PME 的遗传筛查面板。

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本文引用的文献

1
Progressive myoclonus without epilepsy due to a NUS1 frameshift insertion: Dyssynergia cerebellaris myoclonica revisited.由NUS1移码插入导致的无癫痫性进行性肌阵挛:再探小脑性协同失调性肌阵挛。
Parkinsonism Relat Disord. 2022 May;98:53-55. doi: 10.1016/j.parkreldis.2022.03.016. Epub 2022 Apr 20.
2
Progressive Myoclonus Epilepsies: Diagnostic Yield With Next-Generation Sequencing in Previously Unsolved Cases.进行性肌阵挛癫痫:新一代测序技术在既往未确诊病例中的诊断率
Neurol Genet. 2021 Nov 12;7(6):e641. doi: 10.1212/NXG.0000000000000641. eCollection 2021 Dec.
3
Low-frequency and rare coding variants of NUS1 contribute to susceptibility and phenotype of Parkinson's disease.
双侧外侧裂周围多小脑回畸形的异质性遗传模式:来自芬兰家系队列的见解
Brain Commun. 2024 Apr 18;6(3):fcae142. doi: 10.1093/braincomms/fcae142. eCollection 2024.
4
Case report: Novel NUS1 variant in a Chinese patient with tremors and intellectual disability.病例报告:一名患有震颤和智力障碍的中国患者中的新型NUS1变体。
Front Genet. 2024 Apr 9;15:1373448. doi: 10.3389/fgene.2024.1373448. eCollection 2024.
5
Case report: splicing effect of a novel heterozygous variant of the NUS1 gene in a child with epilepsy.病例报告:NUS1基因新型杂合变异对一名癫痫患儿的剪接效应
Front Genet. 2023 Jul 4;14:1224949. doi: 10.3389/fgene.2023.1224949. eCollection 2023.
低频和罕见的 NUS1 编码变异与帕金森病的易感性和表型有关。
Neurobiol Aging. 2022 Feb;110:106-112. doi: 10.1016/j.neurobiolaging.2021.09.003. Epub 2021 Sep 17.
4
Case Report: Clinical Features of a Chinese Boy With Epileptic Seizures and Intellectual Disabilities Who Carries a Truncated Variant.病例报告:一名携带截短变异体的患有癫痫发作和智力残疾的中国男孩的临床特征
Front Pediatr. 2021 Aug 31;9:725231. doi: 10.3389/fped.2021.725231. eCollection 2021.
5
Progressive myoclonus epilepsies-Residual unsolved cases have marked genetic heterogeneity including dolichol-dependent protein glycosylation pathway genes.进行性肌阵挛性癫痫-遗留未解决病例具有明显的遗传异质性,包括聚醇依赖性蛋白糖基化途径基因。
Am J Hum Genet. 2021 Apr 1;108(4):722-738. doi: 10.1016/j.ajhg.2021.03.013.
6
Psychosis in NUS1 de novo mutation: New phenotypical presentation.NUS1基因新发突变所致精神病:新的表型表现
Clin Genet. 2021 Mar;99(3):475-476. doi: 10.1111/cge.13867. Epub 2020 Oct 28.
7
Structural elucidation of the -prenyltransferase NgBR/DHDDS complex reveals insights in regulation of protein glycosylation.NgBR/DHDDS 复合物的结构阐明揭示了蛋白质糖基化调控的新机制。
Proc Natl Acad Sci U S A. 2020 Aug 25;117(34):20794-20802. doi: 10.1073/pnas.2008381117. Epub 2020 Aug 12.
8
NUS1 mutation in a family with epilepsy, cerebellar ataxia, and tremor.NUS1 突变与一家系的癫痫、小脑性共济失调和震颤
Epilepsy Res. 2020 Aug;164:106371. doi: 10.1016/j.eplepsyres.2020.106371. Epub 2020 May 22.
9
Recurrent NUS1 canonical splice donor site mutation in two unrelated individuals with epilepsy, myoclonus, ataxia and scoliosis - a case report.两个无关联的癫痫、肌阵挛、共济失调和脊柱侧凸患者中出现 NUS1 规范剪接受体位点的反复突变:病例报告。
BMC Neurol. 2019 Oct 27;19(1):253. doi: 10.1186/s12883-019-1489-x.
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The best evidence for progressive myoclonic epilepsy: A pathway to precision therapy.进行性肌阵挛性癫痫的最佳证据:精准治疗之路。
Seizure. 2019 Oct;71:247-257. doi: 10.1016/j.seizure.2019.08.012. Epub 2019 Aug 23.