Loss of Protocadherin-12 Leads to Diencephalic-Mesencephalic Junction Dysplasia Syndrome.

Loss of Protocadherin-12 Leads to Diencephalic-Mesencephalic Junction Dysplasia Syndrome.
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原钙粘着蛋白12的丧失导致双脑脑脑发育不良综合征。

DOI:
10.1002/ana.25327
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发表时间:
2018-11
影响因子:
11.2
通讯作者:
Gleeson JG
Gleeson JG
中科院分区:
医学1区
文献类型:
--
作者:
Guemez-Gamboa A;Çağlayan AO;Stanley V;Gregor A;Zaki MS;Saleem SN;Musaev D;McEvoy-Venneri J;Belandres D;Akizu N;Silhavy JL;Schroth J;Rosti RO;Copeland B;Lewis SM;Fang R;Issa MY;Per H;Gumus H;Bayram AK;Kumandas S;Akgumus GT;Erson-Omay EZ;Yasuno K;Bilguvar K;Heimer G;Pillar N;Shomron N;Weissglas-Volkov D;Porat Y;Einhorn Y;Gabriel S;Ben-Zeev B;Gunel M;Gleeson JG

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To identify causes of the autosomal recessive malformation diencephalic-mesencephalic junction dysplasia (DMJD) syndrome. Eight families with DMJD were studied by whole exome or targeted sequencing, with detailed clinical and radiological characterization. Patient-derived induced pluripotent stem cells were derived into neural precursor and endothelial cells to study gene expression. All patients showed bi-allelic mutations in the non-clustered protocadherin-12 (PCDH12) gene. The characteristic clinical presentation included progressive microcephaly, craniofacial dysmorphism, psychomotor disability, epilepsy, and axial hypotonia with variable appendicular spasticity. Brain imaging showed brainstem malformations and with frequent thinned corpus callosum with punctate brain calcifications, reflecting expression of PCDH12 in neural and endothelial cells. These cells showed lack of PCDH12 expression and impaired neurite outgrowth. DMJD patients have bi-allelic mutations in PCDH12 and lack of protein expression. These patients present with characteristic microcephaly and frequent abnormal white matter tracts. Such pathogenic variants predict a poor outcome as a result of brainstem malformation and evidence of white matter tract defects, and should be added to the phenotypic spectrum associated with PCDH12-related conditions.
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