A Swedish family with de novo alpha-synuclein A53T mutation: evidence for early cortical dysfunction.

A Swedish family with de novo alpha-synuclein A53T mutation: evidence for early cortical dysfunction.
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DOI:
10.1016/j.parkreldis.2009.06.007
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发表时间:
2009-11
影响因子:
4.1
通讯作者:
Nilsson C
Nilsson C
中科院分区:
医学2区
文献类型:
--
作者:
Puschmann A;Ross OA;Vilariño-Güell C;Lincoln SJ;Kachergus JM;Cobb SA;Lindquist SG;Nielsen JE;Wszolek ZK;Farrer M;Widner H;van Westen D;Hägerström D;Markopoulou K;Chase BA;Nilsson K;Reimer J;Nilsson C

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在一个瑞典常染色体显性帕金森病(PD)家系中发现了α-突触核蛋白A53 T(p.Ala53Thr; c.209G>A)的新突变。两名受影响的个体有早发性(31岁和40岁之前),严重的左旋多巴反应性PD,伴有明显的言语障碍、构音障碍和认知能力下降。纵向临床随访、EEG、SPECT和CSF生物标志物检查提示潜在脑病伴皮质受累。突变的等位基因(c.209A)存在于一个不同于意大利(Contursi)和希腊-美国家庭H激酶突变携带者之间共享的单倍型内。一个未受影响的家庭成员进行突变单倍型没有c.209A突变,强烈表明其从头发生在这个家庭。此外,在早老素-2(PSEN 2)基因中检测到一个新的突变c.488G>A(p.Arg163His; R163 H),但与疾病状态无关。
A de novo α-synuclein A53T (p.Ala53Thr; c.209G>A) mutation has been identified in a Swedish family with autosomal dominant Parkinson's disease (PD). Two affected individuals had early-onset (before 31 and 40 years), severe levodopa-responsive PD with prominent dysphasia, dysarthria, and cognitive decline. Longitudinal clinical follow-up, EEG, SPECT and CSF biomarker examinations suggested an underlying encephalopathy with cortical involvement. The mutated allele (c.209A) was present within a haplotype different from that shared among mutation carriers in the Italian (Contursi) and the Greek-American Family H kindreds. One unaffected family member carried the mutation haplotype without the c.209A mutation, strongly suggesting its de novo occurrence within this family. Furthermore, a novel mutation c.488G>A (p.Arg163His; R163H) in the presenilin-2 (PSEN2) gene was detected, but was not associated with disease state.
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