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Bi-Allelic Hpdl Variants Cause a Neurodegenerative Disease Ranging From Neonatal Encephalopathy to Adolescent-Onset Spastic Paraplegia Publisher Pubmed



Husain RA1 ; Grimmel M2 ; Wagner M3, 4, 5 ; Hennings JC6 ; Marx C7 ; Feichtinger RG8 ; Saadi A9 ; Rostasy K10 ; Radelfahr F11, 12 ; Bevot A13 ; Doblerneumann M13 ; Hartmann H14 ; Colleaux L15 ; Cordts I16 Show All Authors
Authors
  1. Husain RA1
  2. Grimmel M2
  3. Wagner M3, 4, 5
  4. Hennings JC6
  5. Marx C7
  6. Feichtinger RG8
  7. Saadi A9
  8. Rostasy K10
  9. Radelfahr F11, 12
  10. Bevot A13
  11. Doblerneumann M13
  12. Hartmann H14
  13. Colleaux L15
  14. Cordts I16
  15. Kobeleva X17
  16. Darvish H18
  17. Bakhtiari S19
  18. Kruer MC19
  19. Besse A20
  20. Ng ACH21
  21. Chiang D21
  22. Bolduc F21
  23. Tafakhori A22
  24. Mane S23
  25. Ghasemi Firouzabadi S24
  26. Huebner AK6
  27. Buchert R2
  28. Beckwoedl S2
  29. Muller AJ2
  30. Laugwitz L2, 13
  31. Nagele T25
  32. Wang ZQ7, 26
  33. Strom TM3, 4
  34. Sturm M2
  35. Meitinger T3, 4, 27
  36. Klockgether T17, 28
  37. Riess O2, 29
  38. Klopstock T11, 12, 27
  39. Brandl U1
  40. Hubner CA6
  41. Deschauer M16
  42. Mayr JA8
  43. Bonnen PE20
  44. Kragelohmann I13
  45. Wortmann SB3, 4, 8, 30
  46. Haack TB2, 29
Show Affiliations
Authors Affiliations
  1. 1. Department of Neuropediatrics, Jena University Hospital, Jena, 07747, Germany
  2. 2. Institute of Medical Genetics and Applied Genomics, University of Tuebingen, Tubingen, 72076, Germany
  3. 3. Institute of Human Genetics, Technical University of Munich (TUM), School of Medicine, Munich, 81675, Germany
  4. 4. Institute of Human Genetics, Helmholtz Zentrum Munchen, Neuherberg, 85764, Germany
  5. 5. Institute of Neurogenomics, Helmholtz Zentrum Munchen, Neuherberg, 85764, Germany
  6. 6. Institute of Human Genetics, Jena University Hospital, Jena, 07747, Germany
  7. 7. Leibniz Institute on Aging - Fritz Lipmann Institute (FLI), Jena, 07745, Germany
  8. 8. University Children's Hospital, Salzburger Landeskliniken (SALK) and Paracelsus Medical University (PMU), Salzburg, 5020, Austria
  9. 9. Department of Neurology, Ben Aknoun Hospital, Benyoucef Benkhedda University, Algiers, 16028, Algeria
  10. 10. Department of Pediatric Neurology, Children's Hospital Datteln, Witten/Herdecke University, Datteln, 45711, Germany
  11. 11. Department of Neurology, Friedrich-Baur-Institute, Ludwig-Maximilians-University, Munich, 80336, Germany
  12. 12. German Center for Neurodegenerative Diseases (DZNE), Munich, 81377, Germany
  13. 13. Department of Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tubingen, 72072, Germany
  14. 14. Clinic for Pediatric Kidney-, Liver- and Metabolic Diseases, Hannover Medical School, Hannover, 30625, Germany
  15. 15. INSERM UMR1163, Developmental Brain Disorders Laboratory, Imagine Institute, Paris-Descartes University, Paris, France
  16. 16. Department of Neurology, Technische Universitat Munchen, School of Medicine, Munich, 81675, Germany
  17. 17. Department of Neurology, University of Bonn, Bonn, 53127, Germany
  18. 18. Cancer Research Center and Department of Medical Genetics, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
  19. 19. Barrow Neurological Institute, Phoenix Children's Hospital & University of Arizona College of Medicine, Phoenix, 85004, AZ, United States
  20. 20. Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, 77030, TX, United States
  21. 21. Division of Pediatric Neurology, Department of Pediatrics, University of Alberta, Edmonton, AB T6G 2R3, Canada
  22. 22. Iranian Center of Neurological Research, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  23. 23. Yale Center for Genome Analysis, Yale University School of Medicine, West Haven, 06516, CT, United States
  24. 24. Genetics Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  25. 25. Department of Neuroradiology, University Hospital Tuebingen, Tubingen, 72072, Germany
  26. 26. Faculty of Biological Sciences, Friedrich Schiller University Jena, Jena, 07743, Germany
  27. 27. Munich Cluster for Systems Neurology (SyNergy), Munich, 81377, Germany
  28. 28. German Center for Neurodegenerative Diseases (DZNE), Bonn, 53127, Germany
  29. 29. Centre for Rare Diseases, University of Tuebingen, Tubingen, 72076, Germany
  30. 30. Radboud Center for Mitochondrial Medicine, Department of Pediatrics, Amalia Children's Hospital, Radboudumc, 6525 GA, Nijmegen, Netherlands

Source: American Journal of Human Genetics Published:2020


Abstract

We report bi-allelic pathogenic HPDL variants as a cause of a progressive, pediatric-onset spastic movement disorder with variable clinical presentation. The single-exon gene HPDL encodes a protein of unknown function with sequence similarity to 4-hydroxyphenylpyruvate dioxygenase. Exome sequencing studies in 13 families revealed bi-allelic HPDL variants in each of the 17 individuals affected with this clinically heterogeneous autosomal-recessive neurological disorder. HPDL levels were significantly reduced in fibroblast cell lines derived from more severely affected individuals, indicating the identified HPDL variants resulted in the loss of HPDL protein. Clinical presentation ranged from severe, neonatal-onset neurodevelopmental delay with neuroimaging findings resembling mitochondrial encephalopathy to milder manifestation of adolescent-onset, isolated hereditary spastic paraplegia. All affected individuals developed spasticity predominantly of the lower limbs over the course of the disease. We demonstrated through bioinformatic and cellular studies that HPDL has a mitochondrial localization signal and consequently localizes to mitochondria suggesting a putative role in mitochondrial metabolism. Taken together, these genetic, bioinformatic, and functional studies demonstrate HPDL is a mitochondrial protein, the loss of which causes a clinically variable form of pediatric-onset spastic movement disorder. © 2020 American Society of Human Genetics