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Description of Combined Arhsp/Jals Phenotype in Some Patients With Spg11 Mutations Publisher Pubmed



Khani M1 ; Shamshiri H2 ; Fatehi F2 ; Rohani M3 ; Haghi Ashtiani B4 ; Akhoundi FH4 ; Alavi A5 ; Moazzeni H1 ; Taheri H1 ; Ghani MT1 ; Javanparast L5 ; Hashemi SS5 ; Hajiseyedjavadi R6 ; Heidari M4 Show All Authors
Authors
  1. Khani M1
  2. Shamshiri H2
  3. Fatehi F2
  4. Rohani M3
  5. Haghi Ashtiani B4
  6. Akhoundi FH4
  7. Alavi A5
  8. Moazzeni H1
  9. Taheri H1
  10. Ghani MT1
  11. Javanparast L5
  12. Hashemi SS5
  13. Hajiseyedjavadi R6
  14. Heidari M4
  15. Nafissi S2
  16. Elahi E1
Show Affiliations
Authors Affiliations
  1. 1. School of Biology, College of Science, University of Tehran, Tehran, Iran
  2. 2. Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Neurology, Hazrat Rasool Hospital, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Neurology, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  6. 6. Department of Radiation Oncology, Emory University School of Medicine, Atlanta, GA, United States

Source: Molecular Genetics and Genomic Medicine Published:2020


Abstract

Background: SPG11 mutations can cause autosomal recessive hereditary spastic paraplegia (ARHSP) and juvenile amyotrophic lateral sclerosis (JALS). Because these diseases share some clinical presentations and both can be caused by SPG11 mutations, it was considered that definitive diagnosis may not be straight forward. Methods: The DNAs of referred ARHSP and JALS patients were exome sequenced. Clinical data of patients with SPG11 mutations were gathered by interviews and neurological examinations including electrodiagnosis (EDX) and magnetic resonance imaging (MRI). Results: Eight probands with SPG11 mutations were identified. Two mutations are novel. Among seven Iranian probands, six carried the p.Glu1026Argfs*4-causing mutation. All eight patients had features known to be present in both ARHSP and JALS. Additionally and surprisingly, presence of both thin corpus callosum (TCC) on MRI and motor neuronopathy were also observed in seven patients. These presentations are, respectively, key suggestive features of ARHSP and JALS. Conclusion: We suggest that rather than ARHSP or JALS, combined ARHSP/JALS is the appropriate description of seven patients studied. Criteria for ARHSP, JALS, and combined ARHSP/JALS designations among patients with SPG11 mutations are suggested. The importance of performing both EDX and MRI is emphasized. Initial screening for p.Glu1026Argfs*4 may facilitate SPG11 screenings in Iranian patients. © 2020 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals LLC