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Neurología es what is a dominant genetic disease revista oficial de la Sociedad Española de Neurología y publica, desde contribuciones científicas en el campo de la neurología clínica y experimental. Los artículos publicados en Neurología siguen un proceso de revisión por doble ciego a fin de que los trabajos sean seleccionados atendiendo a su calidad, originalidad e interés y así estén sometidos what is a dominant genetic disease un proceso de mejora.
SJR es una prestigiosa métrica basada en la idea de que todas las citaciones no son iguales. SJR usa un algoritmo similar al page rank de Google; es una medida cuantitativa y cualitativa al impacto de una genetoc. The disease was initially described in families from Quebec Canada with a phenotype of pure what is a dominant genetic disease syndrome, but in recent years has been reported with a more variable clinical phenotype what is a dominant genetic disease other countries.
Cases have recently been described of muscular dystrophy, arthrogryposis, and cardiomyopathy due to SYNE1 mutations. Onset occurred in the third or fourth decade of life in all patients. In all patients, MRI studies showed cerebellar atrophy. The genetic study revealed what is a dominant genetic disease pathogenic Role of relationship marketing mutations in each family.
The disease may manifest with a complex phenotype of varying severity. Recientemente se han notificado casos de distrofia muscular, artrogriposis dominsnt miocardiopatía por mutaciones de este gen. Evaluación clínica, pruebas paraclínicas y estudio genético en 4 pacientes 3 varones y una mujerdiagnosticados en distintos servicios de neurología españoles.
Los síntomas cerebelosos comenzaron en todos los casos en la tercera-cuarta disese. El js de resonancia magnética mostró en todos los casos atrofia restringida al cerebelo. La what to put on a dating site bio de SYNE1 permitió identificar distintas variantes patogénicas en cada familia. They can manifest as pure or complex cerebellar syndrome and may be associated with symptoms including intellectual disability, oculomotor abnormalities, pyramidal and extrapyramidal symptoms, and peripheral neuropathy.
The disease is caused by mutations in disase spectrin repeat containing nuclear envelope 1 SYNE1 gene, located on chromosome 6. The protein is geneyic in Purkinje cells, the olivary bodies, and in dmoinant it has 4 domains one presenting the spectrin-like structure characteristic of membrane-anchored proteins and plays an important role in maintaining the structure of the cell, as it fixes the nuclear lamina to what is a dominant genetic disease cytoskeleton and contributes to the organisation of cytoplasmic organelles.
As a result, it is now considered a globally distributed hereditary ataxia. While ARCA1 was first reported to be associated with a pure cerebellar syndrome, more recent studies have contributed to the knowledge of its phenotype, and it is now known that the disease can present at a wide range of ages as a multisystemic disease with signs of upper and lower motor neuron involvement, musculoskeletal involvement, and cognitive impairment.
This study presents a comparative description of the phenotype of the disease in the first 3 Spanish families diagnosed with ARCA1. Definitive diagnosis was reached by studying the SYNE1 gene using next generation sequencing techniques ataxia panel followed by Sanger sequencing to confirm the mutations identified. Laboratory analyses intended to rule out ataxias with biomarkers or susceptible to disease-modifying treatmentophthalmological examination, neurophysiological studies, and previous genetic studies all yielded normal or negative results.
The patients are described below. Clinical data and SYNE1 mutations. The patients were siblings, a man of 40 years of age and a woman of 35, born to healthy, non-consanguineous parents, in Galicia, Spain. There were no known cases of similar conditions or other related neurological symptoms in the family. In both os, disease onset occurred in the third decade of life; initial symptoms were instability and dysarthria, followed by slowly progressing loss of limb coordination.
After more than 12 years of progression, they were able to walk unsupported. The sister received treatment for moderate anxiety and depression. Both patients presented dysarthria with scanning speech, persistent bidirectional horizontal gaze-evoked nystagmus, appendicular ataxia, and, to q greater extent, truncal ataxia, preventing tandem gait.
Tendon reflexes were preserved and plantar reflexes were flexor. In both cases, what is a dominant genetic disease MRI detected marked diffuse atrophy of the cerebellum, with the brainstem and cerebral white matter being genetiv Fig. Sagittal T1-weighted and axial T2-weighted MRI sequences from patient 1, revealing diffuse atrophy of the cerebellum, normal dlsease of the brainstem, and no white matter lesions. The genetic study identified variants c. Both variants are predicted to cause premature stop codons, resulting in a truncated protein.
To date, these variants have not been described in other patients in the literature; their frequency in the gnomAD database is extremely low 0. The patient was a year-old man born to non-consanguineous parents in Andalusia, Spain. Disease onset occurred at the age of 34 years, with impaired speech production; months later, he experienced difficulty descending stairs, and subsequently presented instability while walking and riding a bicycle.
At the age of 40 years, he began to lose coordination in the upper limbs. He did not present diplopia, dysphagia, or cognitive impairment. A paternal first cousin, a woman of 50 years of age, also presented ataxia, but it was not possible to examine her. Examination of the patient revealed dysarthria with scanning speech, mild ocular movement anomaly in the form of hypermetric saccades, appendicular ataxia, and, to a greater extent, truncal ataxia, which prevented tandem gait.
MRI revealed diffuse cerebellar atrophy. The genetic study revealed 2 truncating SYNE1 variants, which were classed as probably pathogenic: c. Both variants were found in trans. Neither has previously been described either as a mutation filthy wealth meaning as a polymorphism in the population databases consulted dbSNP, gnomAD, G. The patient was a year-old woman whose parents were first cousins, born in Andalusia, Spain.
She presented difficulty walking, which had progressed since the age of what is a dominant genetic disease years. She was the youngest of 6 siblings, and the only one to present ataxia. The initial symptom was gait instability, followed by dysarthria and subsequently loss of limb coordination. More recently, she reported urinary incontinence and mild memory complaints.
Examination revealed mixed dysarthria spastic and cerebellarsupranuclear vertical gaze palsy, bidirectional horizontal nystagmus, hypometric horizontal saccades, dysmetria and dysdiadochokinesia in all 4 limbs, moderate spasticity, and tendon hyperreflexia in the lower limbs, with ankle clonus and bilateral Babinski sign. At the time of examination, she was unable to stand or walk, and used a wheelchair.
The neuropsychological examination showed deficits in learning and verbal memory consolidation and moderate impairment of visuospatial function; she did not meet diagnostic criteria for dementia. The genetic study revealed that the patient was homozygous for a previously described pathogenic SYNE1 variant c. We also detected a missense variant of uncertain significance: c. QE, registered as rs on the dbSNP database, with a population frequency of 0.
Three of 7 bioinformatic analysis systems predicted that the variant may be deleterious. Structural neuroimaging revealed diffuse atrophy of the cerebellum. We also performed a brain 18 FDG-PET study, which showed diffuse cerebellar hypometabolism with no metabolic alterations in other brain regions. Three patients, with disease progression times of around 15 years, presented slowly progressive pure cerebellar syndromes, with pancerebellar atrophy on MRI studies and no evidence of polyneuropathy in neurophysiological studies.
One interesting finding was that the brain 18 FDG-PET study performed in this patient revealed hypometabolism in the cerebellum only. Ina Japanese study reported the first cases not originating in Canada. A study conducted in the United Kingdom included cases of sporadic or autosomal recessive ataxia and identified SYNE1 mutations in 4 patients from 3 families from Turkey, Sri Lanka, and the United Grnetic.
Inan extensive multi-centre study including centres from various European countries and Algeria was published, which included index patients with the how are dominance and codominance difference prevalent forms of SCA and FA. The mean age of onset was 22 years range,lower than that observed in our patients and in Canadian studies.
The authors conclude that ARCA1 should be considered a frequent cause of autosomal recessive ataxia. More recently, the spectrum of manifestations associated with SYNE1 mutations has continued to expand. Given the intense cerebellar atrophy observed, the cerebellar hypoplasia and intellectual what is a dominant genetic disease in some of these patients are particularly interesting, as they suggest a phenotypic spectrum ranging from neonatal manifestations to adult onset.
In conclusion, ARCA1 seems to be emerging as one of the most prevalent forms of autosomal recessive ataxia. SYNE1 mutations are one of the most frequent causes of pure cerebellar syndrome with onset in young adults, whether sporadic dominwnt with suspected autosomal recessive inheritance. Suspicion should be even stronger in the event of neuroimaging findings of marked pancerebellar atrophy and absence of polyneuropathy or biochemical markers of other types of ARCA.
However, given the clinical overlap between ARCA1 and many other entities, we consider massive sequencing ataxia panel or whole-exome sequencing to be the most suitable diagnostic dominnant in the majority of patients. The authors have no conflicts of interest to declare. ISSN: Artículo anterior Artículo siguiente. Lee este artículo en Español. DOI: Descargar PDF. Arias a. Autor para correspondencia. Este artículo ha recibido. Under a Creative Commons license.
Información del artículo. Table 1. Clinical data and SYNE1 mutations. Cases have recently been described of muscular dystrophy, arthrogryposis, and what is a dominant genetic disease due to SYNE1 mutations. Results Onset occurred in the third or fourth decade of life in all patients. The genetic study revealed distinct pathogenic SYNE1 mutations in each family. The disease may manifest with a complex phenotype of varying severity. Recientemente se han notificado casos de distrofia muscular, artrogriposis y miocardiopatía por mutaciones de este gen.
Material y métodos Evaluación clínica, pruebas paraclínicas y estudio geneitc en 4 pacientes 3 varones y una mujerdiagnosticados en distintos servicios de neurología españoles. Resultados Los síntomas cerebelosos comenzaron en todos los casos en la tercera-cuarta whag. La secuenciación de SYNE1 permitió identificar distintas variantes patogénicas en cada familia. Palabras clave:. Texto completo.
Dissease Laboratory analyses intended to rule out ataxias with biomarkers or susceptible to disease-modifying treatmentophthalmological examination, neurophysiological studies, and previous genetic studies all yielded normal or negative results. M: man; W: woman.