Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia
Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the...
Ausführliche Beschreibung
Autor*in: |
Wei, Qiao [verfasserIn] Dong, Hai-Lin [verfasserIn] Pan, Li-Ying [verfasserIn] Chen, Cong-Xin [verfasserIn] Yan, Yang-Tian [verfasserIn] Wang, Rou-Min [verfasserIn] Li, Hong-Fu [verfasserIn] Liu, Zhi-Jun [verfasserIn] Tao, Qing-Qing [verfasserIn] Wu, Zhi-Ying [verfasserIn] |
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E-Artikel |
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Englisch |
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2019 |
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Enthalten in: Translational neurodegeneration - London : Biomed Central, 2012, 8(2019), 1 vom: 26. Juni |
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Übergeordnetes Werk: |
volume:8 ; year:2019 ; number:1 ; day:26 ; month:06 |
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DOI / URN: |
10.1186/s40035-019-0157-9 |
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Katalog-ID: |
SPR032683030 |
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520 | |a Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. | ||
650 | 4 | |a Hereditary spastic paraplegia |7 (dpeaa)DE-He213 | |
650 | 4 | |a Autosomal recessive |7 (dpeaa)DE-He213 | |
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10.1186/s40035-019-0157-9 doi (DE-627)SPR032683030 (SPR)s40035-019-0157-9-e DE-627 ger DE-627 rakwb eng 570 ASE Wei, Qiao verfasserin aut Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. Hereditary spastic paraplegia (dpeaa)DE-He213 Autosomal recessive (dpeaa)DE-He213 Targeted next-generation sequencing (dpeaa)DE-He213 Chinese (dpeaa)DE-He213 Genetic spectrum (dpeaa)DE-He213 Phenotype (dpeaa)DE-He213 Dong, Hai-Lin verfasserin aut Pan, Li-Ying verfasserin aut Chen, Cong-Xin verfasserin aut Yan, Yang-Tian verfasserin aut Wang, Rou-Min verfasserin aut Li, Hong-Fu verfasserin aut Liu, Zhi-Jun verfasserin aut Tao, Qing-Qing verfasserin aut Wu, Zhi-Ying verfasserin aut Enthalten in Translational neurodegeneration London : Biomed Central, 2012 8(2019), 1 vom: 26. Juni (DE-627)688083420 (DE-600)2653701-1 2047-9158 nnns volume:8 year:2019 number:1 day:26 month:06 https://dx.doi.org/10.1186/s40035-019-0157-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 1 26 06 |
spelling |
10.1186/s40035-019-0157-9 doi (DE-627)SPR032683030 (SPR)s40035-019-0157-9-e DE-627 ger DE-627 rakwb eng 570 ASE Wei, Qiao verfasserin aut Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. Hereditary spastic paraplegia (dpeaa)DE-He213 Autosomal recessive (dpeaa)DE-He213 Targeted next-generation sequencing (dpeaa)DE-He213 Chinese (dpeaa)DE-He213 Genetic spectrum (dpeaa)DE-He213 Phenotype (dpeaa)DE-He213 Dong, Hai-Lin verfasserin aut Pan, Li-Ying verfasserin aut Chen, Cong-Xin verfasserin aut Yan, Yang-Tian verfasserin aut Wang, Rou-Min verfasserin aut Li, Hong-Fu verfasserin aut Liu, Zhi-Jun verfasserin aut Tao, Qing-Qing verfasserin aut Wu, Zhi-Ying verfasserin aut Enthalten in Translational neurodegeneration London : Biomed Central, 2012 8(2019), 1 vom: 26. Juni (DE-627)688083420 (DE-600)2653701-1 2047-9158 nnns volume:8 year:2019 number:1 day:26 month:06 https://dx.doi.org/10.1186/s40035-019-0157-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 1 26 06 |
allfields_unstemmed |
10.1186/s40035-019-0157-9 doi (DE-627)SPR032683030 (SPR)s40035-019-0157-9-e DE-627 ger DE-627 rakwb eng 570 ASE Wei, Qiao verfasserin aut Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. Hereditary spastic paraplegia (dpeaa)DE-He213 Autosomal recessive (dpeaa)DE-He213 Targeted next-generation sequencing (dpeaa)DE-He213 Chinese (dpeaa)DE-He213 Genetic spectrum (dpeaa)DE-He213 Phenotype (dpeaa)DE-He213 Dong, Hai-Lin verfasserin aut Pan, Li-Ying verfasserin aut Chen, Cong-Xin verfasserin aut Yan, Yang-Tian verfasserin aut Wang, Rou-Min verfasserin aut Li, Hong-Fu verfasserin aut Liu, Zhi-Jun verfasserin aut Tao, Qing-Qing verfasserin aut Wu, Zhi-Ying verfasserin aut Enthalten in Translational neurodegeneration London : Biomed Central, 2012 8(2019), 1 vom: 26. Juni (DE-627)688083420 (DE-600)2653701-1 2047-9158 nnns volume:8 year:2019 number:1 day:26 month:06 https://dx.doi.org/10.1186/s40035-019-0157-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 1 26 06 |
allfieldsGer |
10.1186/s40035-019-0157-9 doi (DE-627)SPR032683030 (SPR)s40035-019-0157-9-e DE-627 ger DE-627 rakwb eng 570 ASE Wei, Qiao verfasserin aut Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. Hereditary spastic paraplegia (dpeaa)DE-He213 Autosomal recessive (dpeaa)DE-He213 Targeted next-generation sequencing (dpeaa)DE-He213 Chinese (dpeaa)DE-He213 Genetic spectrum (dpeaa)DE-He213 Phenotype (dpeaa)DE-He213 Dong, Hai-Lin verfasserin aut Pan, Li-Ying verfasserin aut Chen, Cong-Xin verfasserin aut Yan, Yang-Tian verfasserin aut Wang, Rou-Min verfasserin aut Li, Hong-Fu verfasserin aut Liu, Zhi-Jun verfasserin aut Tao, Qing-Qing verfasserin aut Wu, Zhi-Ying verfasserin aut Enthalten in Translational neurodegeneration London : Biomed Central, 2012 8(2019), 1 vom: 26. Juni (DE-627)688083420 (DE-600)2653701-1 2047-9158 nnns volume:8 year:2019 number:1 day:26 month:06 https://dx.doi.org/10.1186/s40035-019-0157-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 1 26 06 |
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10.1186/s40035-019-0157-9 doi (DE-627)SPR032683030 (SPR)s40035-019-0157-9-e DE-627 ger DE-627 rakwb eng 570 ASE Wei, Qiao verfasserin aut Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. Hereditary spastic paraplegia (dpeaa)DE-He213 Autosomal recessive (dpeaa)DE-He213 Targeted next-generation sequencing (dpeaa)DE-He213 Chinese (dpeaa)DE-He213 Genetic spectrum (dpeaa)DE-He213 Phenotype (dpeaa)DE-He213 Dong, Hai-Lin verfasserin aut Pan, Li-Ying verfasserin aut Chen, Cong-Xin verfasserin aut Yan, Yang-Tian verfasserin aut Wang, Rou-Min verfasserin aut Li, Hong-Fu verfasserin aut Liu, Zhi-Jun verfasserin aut Tao, Qing-Qing verfasserin aut Wu, Zhi-Ying verfasserin aut Enthalten in Translational neurodegeneration London : Biomed Central, 2012 8(2019), 1 vom: 26. Juni (DE-627)688083420 (DE-600)2653701-1 2047-9158 nnns volume:8 year:2019 number:1 day:26 month:06 https://dx.doi.org/10.1186/s40035-019-0157-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 1 26 06 |
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Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia |
abstract |
Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. |
abstractGer |
Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. |
abstract_unstemmed |
Background Although many causative genes of hereditary spastic paraplegia (HSP) have been uncovered in recent years, there are still approximately 50% of HSP patients without genetically diagnosis, especially in autosomal recessive (AR) HSP patients. Rare studies have been performed to determine the genetic spectrum and clinical profiles of recessive HSP patients in the Chinese population. Methods In this study, we investigated 24 Chinese index AR/sporadic patients by targeted next-generation sequencing (NGS), Sanger sequencing and multiplex ligation-dependent probe amplification (MLPA). Further functional studies were performed to identify pathogenicity of those uncertain significance variants. Results We identified 11 mutations in HSP related genes including 7 novel mutations, including two (p.V1979_L1980delinsX, p.F2343 fs) in SPG11, two (p.T55 M, p.S308 T) in AP5Z1, one (p.S242 N) in ALDH18A1, one (p.D597fs) in GBA2, and one (p.Q486X) in ATP13A2 in 8 index patients and their family members. Mutations in ALDH18A1, AP5Z1, CAPN1 and ATP13A2 genes were firstly reported in the Chinese population. Furthermore, the clinical phenotypes of the patients carrying mutations were described in detail. The mutation (p.S242 N) in ALDH18A1 decreased enzyme activity of P5CS and mutations (p.T55 M, p.S308 T) in AP5Z1 induced lysosomal dysfunction. Conclusion Our results expanded the genetic spectrum and clinical profiles of AR-HSP patients and further demonstrated the efficiency and reliability of targeted NGS diagnosing suspected HSP patients. |
collection_details |
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container_issue |
1 |
title_short |
Clinical features and genetic spectrum in Chinese patients with recessive hereditary spastic paraplegia |
url |
https://dx.doi.org/10.1186/s40035-019-0157-9 |
remote_bool |
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author2 |
Dong, Hai-Lin Pan, Li-Ying Chen, Cong-Xin Yan, Yang-Tian Wang, Rou-Min Li, Hong-Fu Liu, Zhi-Jun Tao, Qing-Qing Wu, Zhi-Ying |
author2Str |
Dong, Hai-Lin Pan, Li-Ying Chen, Cong-Xin Yan, Yang-Tian Wang, Rou-Min Li, Hong-Fu Liu, Zhi-Jun Tao, Qing-Qing Wu, Zhi-Ying |
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doi_str |
10.1186/s40035-019-0157-9 |
up_date |
2024-07-03T14:10:34.042Z |
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