Article
Clinical Neurology
Shuai Chen, Jin-Long Zou, Shuang He, Wei Li, Jie-Wen Zhang, Shu-Jian Li
Summary: This study reports two Chinese families with adult-onset autosomal dominant leukodystrophy (ADLD), which present clinical and neuroimaging features mimicking neuronal intranuclear inclusion disease (NIID). The families showed slowly progressive central nervous system symptoms and band-like hyperintensities at the cortico-medullary junction on brain MRI, typical for NIID. Additionally, transient hypoglycemia and dilated pupils were recorded for the first time in ADLD. Whole exome sequencing identified a duplication mutation involving the entire LMNB1 gene.
NEUROLOGICAL SCIENCES
(2022)
Review
Clinical Neurology
Karthik Muthusamy, Ajith Sivadasan, Luke Dixon, Sniya Sudhakar, Maya Thomas, Sumita Danda, Zbigniew K. Wszolek, Klaas Wierenga, Radhika Dhamija, Ralitza Gavrilova
Summary: Adult-onset leukodystrophies, although individually rare, are not uncommon. They can be easily misdiagnosed due to the overlap with common acquired disorders and the challenges posed by non-specific white matter changes. A comprehensive evaluation and genetic confirmation are important for early diagnosis and treatment. In this review, we aim to provide a useful approach to adult-onset leukodystrophies, discussing their presentations, neuroimaging findings, treatment options, and diagnostic algorithms.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Woutje M. Berdowski, Herma C. van der Linde, Marjolein Breur, Nynke Oosterhof, Shanice Beerepoot, Leslie Sanderson, Lieve I. Wijnands, Patrick de Jong, Elisa Tsai-Meu-Chong, Walter de Valk, Moniek de Witte, Wilfred F. J. van IJcken, Jeroen Demmers, Marjo S. van der Knaap, Marianna Bugiani, Nicole I. Wolf, Tjakko J. van Ham
Summary: Tissue-resident macrophages, including microglia, in the brain are involved in the pathogenesis of CNS disorders and can be potential therapeutic targets. Heterozygous variants in CSF1R gene may lead to microglial depletion and adult-onset leukoencephalopathy. Through zebrafish models, it was found that these variants negatively affect the number of microglia in brain development.
ACTA NEUROPATHOLOGICA
(2022)
Letter
Clinical Neurology
Luca Marsili, Marcelo A. Kauffman, Diandra Rufin Florat, Amir Zaidi, Vanesa Botsford, Jennifer Sharma, Elizabeth G. Keeling, Joseph P. Broderick, Saulius Sumanas, Alberto J. Espay
Summary: This article describes an elderly woman who meets the criteria for vascular parkinsonism/dementia associated with a likely pathogenic COL22A1 gene variant. The findings are supported by functional experiments in a zebrafish model. The authors suggest that white matter hyperintensities may not represent small-vessel ischemic disease and propose that COL22A1 may be included among the adult-onset leukoencephalopathies mislabeled as vascular parkinsonism.
PARKINSONISM & RELATED DISORDERS
(2023)
Article
Genetics & Heredity
Hafiz Muhammad Jafar Hussain, Yikai Cai, Qinjie Weng, Jun Tong, Ayesha Aftab, Yuanmeng Jin, Jian Liu, Shuwen Yu, Zhengying Fang, Wen Du, Xiaoxia Pan, Hong Ren, Jingyuan Xie
Summary: This study identified a novel XPO5 variant in familial FSGS, which is associated with adult-onset disease. The study expanded our understanding of the mutation in this gene.
Article
Clinical Neurology
Natasa Dragasevic-Miskovic, Iva Stankovic, Andona Milovanovic, Vladimir S. Kostic
Summary: Autosomal recessive ataxias (ARCA) encompass a wide range of diseases, from primary ataxias to complex metabolic disorders where ataxia is just one aspect. Proper differential diagnosis is crucial for adult-onset ARCA, as they may be treatable and have prognostic implications.
JOURNAL OF NEUROLOGY
(2022)
Article
Biochemistry & Molecular Biology
Antonino Musumeci, Francesco Cali, Carmela Scuderi, Mirella Vinci, Girolamo Aurelio Vitello, Sebastiano Antonino Musumeci, Valeria Chiavetta, Concetta Federico, Greta Amore, Salvatore Saccone, Gabriella Di Rosa, Antonio Gennaro Nicotera
Summary: Recessive mutations in the POLR3A gene are associated with POLR3-HLD and deficient cerebral myelin formation. In a cohort of five families from Sicily, Italy, two cases of POLR3-related leukodystrophy were detected, with one caused by a compound heterozygous mutation in the POLR3A gene.
Review
Cell Biology
Ana Quelle-Regaldie, Daniel Sobrido-Camean, Anton Barreiro-Iglesias, Maria Jesus Sobrido, Laura Sanchez
Summary: Zebrafish models play a crucial role in studying hereditary dominant ataxias, aiding in understanding disease phenotypes, gene functions, behaviors, and potential treatments. However, there is a current lack of adult zebrafish heterozygous models and knock-in models, highlighting the need for more accurate models using new genetic editing techniques in the future.
Article
Medicine, General & Internal
Ahsan Alam, Emilie Cornec-Le Gall, Ronald D. Perrone
Summary: This article describes autosomal dominant polycystic kidney disease, its signs and symptoms, diagnosis, and treatment options.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Genetics & Heredity
Haloom Rafehi, Justin Read, David J. Szmulewicz, Kayli C. Davies, Penny Snell, Liam G. Fearnley, Liam Scott, Mirja Thomsen, Greta Gillies, Kate Pope, Mark F. Bennett, Jacob E. Munro, Kathie J. Ngo, Luke Chen, Mathew J. Wallis, Ernest G. Butler, Kishore R. Kumar, Kathy H. C. Wu, Susan E. Tomlinson, Stephen Tisch, Abhishek Malhotra, Matthew Lee-Archer, Egor Dolzhenko, Michael A. Eberle, Leslie J. Roberts, Brent L. Fogel, Norbert Bruggemann, Katja Lohmann, Martin B. Delatycki, Melanie Bahlo, Paul J. Lockhart
Summary: This study identified an intronic (GAA) repeat expansion in FGF14 and demonstrated that (GAA)>335 is a disease-causing variant while (GAA)>250 is likely pathogenic. Affected individuals presented with adult-onset cerebellar ataxia with variable features.
AMERICAN JOURNAL OF HUMAN GENETICS
(2023)
Review
Clinical Neurology
Mu -Hui Fu, Yung -Yee Chang
Summary: Genetic leukoencephalopathies (GLEs) are a group of white matter abnormalities with heterogeneous features. While primarily described in children, cases in adults are increasingly recognized. This review focuses on adult-onset GLEs with movement disorders and provides a step-by-step diagnostic approach, emphasizing the clinical and radiological clues to each disease and discussing the future application of artificial intelligence.
JOURNAL OF MOVEMENT DISORDERS
(2023)
Article
Neurosciences
Vito Luigi Colona, Enrico Bertini, Maria Cristina Digilio, Adele D'Amico, Antonio Novelli, Stefano Pro, Elisa Pisaneschi, Francesco Nicita
Summary: POLR3B gene encodes the RPC2 subunit of RNA polymerase III, and pathogenic variants are associated with various disorders, including hypomyelinating leukodystrophy and Charcot-Marie-Tooth syndrome type 1I. In this study, a new variant in the POLR3B gene was identified in a patient with developmental delay, epilepsy, and polyneuropathy.
Article
Genetics & Heredity
Hans R. Waterham, Janet Koster, Merel S. Ebberink, Pavel Jesina, Jiri Zeman, Lenka Noskova, Stanislav Kmoch, Perrine Devic, David Cheillan, Ronald J. A. Wanders, Sacha Ferdinandusse
Summary: We report two unrelated patients with autosomal dominant Zellweger spectrum disorders (ZSDs). Biochemical and genetic studies revealed single heterozygous de novo variants in the PEX14 genes of both patients, leading to mRNA mis-splicing and expression of truncated PEX14 proteins. Functional studies demonstrated the dominant-negative effect of these truncated proteins on peroxisome functioning, which was restored by inhibition of pexophagy.
GENETICS IN MEDICINE
(2023)
Article
Genetics & Heredity
Annelise Y. Mah-Som, Jil Daw, Diana Huynh, Mengcheng Wu, Benjamin C. Creekmore, William Burns, Steven A. Skinner, Oystein L. Holla, Marie F. Smeland, Marc Planes, Kevin Uguen, Sylvia Redon, Tatjana Bierhals, Tasja Scholz, Jonas Denecke, Martin A. Mensah, Henrike L. Sczakiel, Heidelis Tichy, Sarah Verheyen, Jasmin Blatterer, Elisabeth Schreiner, Jenny Thies, Christina Lam, Christine G. Spaeth, Loren Pena, Keri Ramsey, Vinodh Narayanan, Laurie H. Seaver, Diana Rodriguez, Alexandra Afenjar, Lydie Burglen, Edward B. Lee, Tsui-Fen Chou, Conrad C. Weihl, Marwan S. Shinawi
Summary: This study identified a childhood-onset neurodevelopmental disease associated with VCP gene variants. Unlike adult-onset multisystem proteinopathy, most of these gene variants result in decreased ATPase activity, while a few variants may lead to loss of function.
AMERICAN JOURNAL OF HUMAN GENETICS
(2023)
Article
Biochemistry & Molecular Biology
Eleanor Barker, Alan Morgan, Jeff W. Barclay
Summary: This study successfully established a Caenorhabditis elegans model for autosomal dominant adult-onset neuronal ceroid lipofuscinosis (ANCL), a rare neurodegenerative disorder. The disease-causing mutations were introduced into the worm's genome using CRISPR/Cas9 gene editing, accurately mimicking the human genetic disorder. The model exhibited similar phenotypes to ANCL patients and the impaired chemotaxis and reduced lifespan could be rescued by the anti-epileptic drug ethosuximide, suggesting its potential therapeutic use for ANCL.
HUMAN MOLECULAR GENETICS
(2023)