1. A heterozygous mutation in the CCDC88C gene likely causes early-onset pure hereditary spastic paraplegia: a case report
- Author
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Rawaa Adil, Ammar E. Ahmed, Rayan Abubaker, Ho Yin Edwin Chan, Shaimaa Omer M. A. Taha, Sara Emad, Liena E. O. Elsayed, Mustafa A. Salih, Ashraf Yahia, Zhefan Stephen Chen, Giovanni Stevanin, Gestionnaire, Hal Sorbonne Université, University of Khartoum, Institut du Cerveau = Paris Brain Institute (ICM), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), The Chinese University of Hong Kong [Hong Kong], King Saud University [Riyadh] (KSU), École pratique des hautes études (EPHE), Université Paris sciences et lettres (PSL), Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], and Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Heterozygote ,Hereditary spastic paraplegia ,[SDV]Life Sciences [q-bio] ,Case Report ,Spinocerebellar ataxia type 40 ,lcsh:RC346-429 ,Sudan ,03 medical and health sciences ,symbols.namesake ,0302 clinical medicine ,medicine ,Humans ,Gene ,Exome sequencing ,CCDC88C ,lcsh:Neurology. Diseases of the nervous system ,030304 developmental biology ,Genetics ,Sanger sequencing ,0303 health sciences ,Cerebellar ataxia ,Spastic Paraplegia, Hereditary ,business.industry ,Microfilament Proteins ,HEK 293 cells ,Intracellular Signaling Peptides and Proteins ,General Medicine ,Middle Aged ,medicine.disease ,Phenotype ,[SDV] Life Sciences [q-bio] ,Mutation ,Spinocerebellar ataxia ,symbols ,Female ,Neurology (clinical) ,medicine.symptom ,business ,030217 neurology & neurosurgery - Abstract
Background CCDC88C is a ubiquitously expressed protein with multiple functions, including roles in cell polarity and the development of dendrites in the nervous system. Bi-allelic mutations in the CCDC88C gene cause autosomal recessive congenital hydrocephalus (OMIM #236600). Studies recently linked heterozygous mutations in CCDC88C to the development of the late-onset spinocerebellar ataxia type 40 (OMIM #616053). Case presentation A 48-year-old Sudanese female presented with pure early onset hereditary spastic paraplegia. Exome sequencing, in-silico analysis, and Sanger sequencing identified the heterozygous NM_001080414.4:c.1993G > A (p.E665K) variant in CCDC88C as a potential cause of her illness. To explore the pathogenicity of the NM_001080414.4:c.1993G > A (p.E665K) variant, we expressed it in human embryonic kidney 293 cells and assessed its effects on apoptosis. In our experiment, NM_001080414.4:c.1993G > A (p.E665K) induced JNK hyper-phosphorylation and enhanced apoptosis. In contrast to previous reports, our patient developed neurological symptoms in early childhood and showed neither features of cerebellar ataxia, extrapyramidal signs, nor evidence of intellectual involvement. Conclusion We, herein, heighlighted the possibility of extending the phenotype associated with variants in CCDC88C to include early-onset pure hereditary spastic paraplegia.
- Published
- 2021
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