1. Late-onset spastic paraplegia: Aberrant SPG11 transcripts generated by a novel splice site donor mutation.
- Author
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Kawarai, Toshitaka, Miyamoto, Ryosuke, Mori, Atsuko, Oki, Ryosuke, Tsukamoto-Miyashiro, Ai, Matsui, Naoko, Miyazaki, Yoshimichi, Orlacchio, Antonio, Izumi, Yuishin, Nishida, Yoshihiko, and Kaji, Ryuji
- Subjects
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PARAPLEGIA , *SPASTICITY , *GENETIC transcription , *GENETIC mutation , *JAPANESE people , *THERAPEUTICS , *DISEASES - Abstract
We identified a novel homozygous mutation in the splice site donor (SSD) of intron 30 (c.5866 + 1G > A) in consanguineous Japanese SPG11 siblings showing late-onset spastic paraplegia using the whole-exome sequencing. Phenotypic variability was observed, including age-at-onset, dysarthria and pes cavus . Coding DNA sequencing revealed that the mutation affected the recognition of the constitutive SSD of intron 30, splicing upstream onto a nearby cryptic SSD in exon 30. The use of constitutive splice sites of intron 29 was confirmed by sequencing. The mutant transcripts are mostly subject to degradation by the nonsense-mediated mRNA decay system. SPG11 transcripts, escaping from the nonsense-mediated mRNA decay pathway, would generate a truncated protein (p.Tyr1900Phefs5X) containing the first 1899 amino acids and followed by 4 aberrant amino acids. This study showed a successful clinical application of whole-exome sequencing in spastic paraplegia and demonstrated a further evidence of allelic heterogeneity in SPG11. The confirmation of aberrant transcript by splice site mutation is a prerequisite for a more precise molecular diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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