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西班牙一家族中由神经节苷脂诱导分化相关蛋白2的新型功能丧失变异引起的常染色体隐性小脑共济失调27型

Autosomal Recessive Cerebellar Ataxia-27 Caused by a Novel Loss-of-Function Variant of Ganglioside-Induced Differentiation Associated Protein 2 in a Spanish Family.

作者信息

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

机构信息

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.

出版信息

Neurol Genet. 2025 May 28;11(3):e200268. doi: 10.1212/NXG.0000000000200268. eCollection 2025 Jun.


DOI:10.1212/NXG.0000000000200268
PMID:40469082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12135070/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e44c/12135070/2ae121acaaed/NXG-2024-100301f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e44c/12135070/02ec9fe103ac/NXG-2024-100301f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e44c/12135070/2ae121acaaed/NXG-2024-100301f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e44c/12135070/02ec9fe103ac/NXG-2024-100301f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e44c/12135070/2ae121acaaed/NXG-2024-100301f2.jpg

相似文献

[1]
Autosomal Recessive Cerebellar Ataxia-27 Caused by a Novel Loss-of-Function Variant of Ganglioside-Induced Differentiation Associated Protein 2 in a Spanish Family.

Neurol Genet. 2025-5-28

[2]
Autosomal recessive cerebellar ataxia with spasticity due to a rare mutation in gene in a large consanguineous Saudi family.

Genes Dis. 2019-7-27

[3]
A Novel Variant in CWF19L1 Gene in a Family with Late-Onset Autosomal Recessive Cerebellar Ataxia 17.

Neurol Res. 2021-2

[4]
Late-onset autosomal recessive cerebellar ataxia and neuropathy with a novel splicing mutation in the gene.

J Integr Neurosci. 2020-3-30

[5]
GDAP2 mutations implicate susceptibility to cellular stress in a new form of cerebellar ataxia.

Brain. 2018-9-1

[6]
Reply: A homozygous GDAP2 loss-of-function variant in a patient with adult-onset cerebellar ataxia; and Novel GDAP2 pathogenic variants cause autosomal recessive spinocerebellar ataxia-27 (SCAR27) in a Chinese family.

Brain. 2020-6-1

[7]
A novel biallelic variant further delineates PRDX3-related autosomal recessive cerebellar ataxia.

Neurogenetics. 2023-1

[8]
A de novo STUB1 variant associated with an early adult-onset multisystemic ataxia phenotype.

J Neurol. 2021-10

[9]
Heterozygous pathogenic variants in CWF19L1 in a Chinese family with spinocerebellar ataxia, autosomal recessive 17.

J Clin Lab Anal. 2022-12

[10]
A novel truncating variant p.(Arg297*) in the GRM1 gene causing autosomal-recessive cerebellar ataxia with juvenile-onset.

Eur J Med Genet. 2019-10

本文引用的文献

[1]
Hereditary Ataxias: From Bench to Clinic, Where Do We Stand?

Cells. 2024-2-9

[2]
Autosomal recessive cerebellar ataxias: a diagnostic classification approach according to ocular features.

Front Integr Neurosci. 2024-2-7

[3]
Diagnostic Yield of NGS Tests for Hereditary Ataxia: a Systematic Review.

Cerebellum. 2024-8

[4]
Isolated Dystonia as an Initial Presentation of GDAP2-Related Disorder.

Mov Disord Clin Pract. 2023-3-1

[5]
Genome Sequencing in the Parkinson Disease Clinic.

Neurol Genet. 2022-6-9

[6]
Heterozygous PRKN mutations are common but do not increase the risk of Parkinson's disease.

Brain. 2022-6-30

[7]
A Diagnostic Approach to Spastic ataxia Syndromes.

Cerebellum. 2022-12

[8]
Novel GDAP2 pathogenic variants cause autosomal recessive spinocerebellar ataxia-27 (SCAR27) in a Chinese family.

Brain. 2020-6-1

[9]
A homozygous GDAP2 loss-of-function variant in a patient with adult-onset cerebellar ataxia.

Brain. 2020-6-1

[10]
The landscape of Parkin variants reveals pathogenic mechanisms and therapeutic targets in Parkinson's disease.

Hum Mol Genet. 2019-9-1

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