Genetic and Clinical Features in 24 Chinese Distal Hereditary Motor Neuropathy Families.

Genetic and Clinical Features in 24 Chinese Distal Hereditary Motor Neuropathy Families.
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24个中国远端遗传性运动神经病家系的遗传和临床特征

DOI:
10.3389/fneur.2020.603003
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发表时间:
2020
影响因子:
3.4
通讯作者:
Zhang R
Zhang R
中科院分区:
医学3区
文献类型:
--
作者:
Xie Y;Lin Z;Pakhrin PS;Li X;Wang B;Liu L;Huang S;Zhao H;Cao W;Hu Z;Guo J;Shen L;Tang B;Zhang R

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背景和目的:远端遗传性运动神经病(dHMN)是一组临床和遗传异质性遗传性神经病。本研究的目的是报告中国队列中dHMN患者的临床和遗传特征。目的和方法:我们对来自中国大陆的24个dHMN家系进行了临床评估和全外显子组测序。我们对这些数据进行了回顾性分析,并调查了确诊突变患者的频率和临床特征。结果如下:在加尔斯中发现了两个新的杂合突变,c.373 G>C(p.E125 Q)和c.1015 G>A(p.G339 R),它们对应于典型的dHMN-V表型。加上WARS、SORD、SIGMAR 1和HSPB 1突变的家族,29.2%(7/24)的家族获得了明确的遗传诊断。在1例轻度dHMN表型患者中发现了一种新的意义不明的杂合变异体,即LRSAM 1中的c.1834G>A(p.G612S)。结论:我们的研究扩大了加尔斯突变的突变谱,并增加了加尔斯突变与轴突Charcot-Marie-Tooth和dHMN表型相关的证据。氨基酰胺tRNA合成酶(ARS)基因突变可能是常染色体显性dHMN的常见病因,SORD基因突变可能是常染色体隐性dHMN的主要病因。相对较低的基因诊断率表明,更多的致病基因需要发现。
Background and Objectives: Distal hereditary motor neuropathy (dHMN) is a clinically and genetically heterogeneous group of inherited neuropathies. The objectives of this study were to report the clinical and genetic features of dHMN patients in a Chinese cohort. Aims and Methods: We performed clinical assessments and whole-exome sequencing in 24 dHMN families from Mainland China. We conducted a retrospective analysis of the data and investigated the frequency and clinical features of patients with a confirmed mutation. Results: Two novel heterozygous mutations in GARS, c.373G>C (p.E125Q) and c.1015G>A (p.G339R), were identified and corresponded to the typical dHMN-V phenotype. Together with families with WARS, SORD, SIGMAR1, and HSPB1 mutations, 29.2% of families (7/24) acquired a definite genetic diagnosis. One novel heterozygous variant of uncertain significance, c.1834G>A (p.G612S) in LRSAM1, was identified in a patient with mild dHMN phenotype. Conclusion: Our study expanded the mutation spectrum of GARS mutations and added evidence that GARS mutations are associated with both axonal Charcot-Marie-Tooth and dHMN phenotypes. Mutations in genes encoding aminoamide tRNA synthetase (ARS) might be a frequent cause of autosomal dominant-dHMN, and SORD mutation might account for a majority of autosomal recessive-dHMN cases. The relatively low genetic diagnosis yield indicated more causative dHMN genes need to be discovered.
SORD 的双等位基因突变会导致一种常见且可治疗的遗传性神经病,对糖尿病有影响
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影响因子: 4.8
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