Erro Maria Elena, Martí-Andrés Gloria, Alvira-Iraizoz Fernando, Vicente Esther, Pérez-Juana Del Casal Aranzazu, Bengoa-Alonso Amaya, Ramos-Arroyo María A, García-Solaesa Virginia
Department of Neurology, Hospital Universitario de Navarra (HUN), Pamplona, Spain.
Neuroepigenetics Laboratory-Navarrabiomed-Universidad Pública de Navarra (UPNA)-Hospital Universitario de Navarra (HUN), IdiSNA, Pamplona, Spain.
Neurol Genet. 2025 May 28;11(3):e200268. doi: 10.1212/NXG.0000000000200268. eCollection 2025 Jun.
BACKGROUND AND OBJECTIVES: Our aim has been to describe a patient with a novel loss-of-function variant of the ganglioside-induced differentiation associated protein 2 () gene in homozygosis causing autosomal recessive cerebellar ataxia. METHODS: We studied the virtual gene panel of hereditary ataxia with onset in adulthood (version 4.15) of PanelApp by means of whole exome sequencing. The validation of the variant of interest found was performed by Sanger sequencing. A segregation study was performed on family members. RESULTS: The patient is a man who started at age 32 years with dysarthria soon followed by cerebellar ataxia. On evolution, spasticity, cervical dystonia, and cognitive impairment were observed. A premature stop codon variant was detected in homozygosity in exon 2 of the 2 gene: c.57_59delinsACCCCAGCT (p.Trp19*). It was also detected in the patient's mother and brother, who were heterozygous, and 4 nephews on the paternal side, who were also carriers of the variant. DISCUSSION: This null variant in the gene has not been previously described in the literature associated to ataxia, neither is it present in population databases. It is considered probably pathogenic (PVS1 and PM2) and as such can be classified from this study, providing further evidence on the association of with hereditary cerebellar ataxia.
背景与目的:我们的目标是描述一名纯合子状态下携带神经节苷脂诱导分化相关蛋白2()基因新型功能丧失变异体的患者,该变异体导致常染色体隐性遗传性小脑共济失调。 方法:我们通过全外显子组测序研究了PanelApp中成年起病的遗传性共济失调虚拟基因面板(版本4.15)。对发现的感兴趣变异体进行桑格测序验证。对家庭成员进行分离研究。 结果:该患者为男性,32岁开始出现构音障碍,随后很快出现小脑共济失调。病情进展过程中,观察到痉挛、颈部肌张力障碍和认知障碍。在2基因外显子2中检测到纯合子状态的一个过早终止密码子变异体:c.57_59delinsACCCCAGCT(p.Trp19*)。在患者的母亲和兄弟(为杂合子)以及父系的4个侄子中也检测到该变异体,他们也是该变异体的携带者。 讨论:该基因中的这种无效变异体在先前与共济失调相关的文献中未被描述,在人群数据库中也不存在。它被认为可能具有致病性(PVS1和PM2),因此从本研究中可进行分类,为与遗传性小脑共济失调的关联提供了进一步证据。
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