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Acer3-Related Leukoencephalopathy: Expanding the Clinical and Imaging Findings Spectrum Due to Novel Variants Publisher Pubmed



Dehnavi AZ1 ; Heidari E2 ; Rasulinezhad M1 ; Heidari M1 ; Ashrafi MR1 ; Hosseini MM1 ; Sadeghzadeh F1 ; Fallah MS3 ; Rostampour N4 ; Bahraini A5, 6 ; Garshasbi M2 ; Tavasoli AR1
Authors
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Authors Affiliations
  1. 1. Myelin Disorders Clinic, Pediatric Neurology Division, Children’s Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Medical Genetics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  3. 3. Kawsar Human Genetics research center, Tehran, Iran
  4. 4. Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States
  6. 6. KaryoGen, Isfahan, Iran

Source: Human Genomics Published:2021


Abstract

Background: Leukodystrophies are the main subgroup of inherited CNS white matter disorders which cause significant mortality and morbidity in early years of life. Diagnosis is mostly based on clinical context and neuroimaging findings; however, genetic tools, particularly whole-exome sequencing (WES), have led to comprehending the causative gene and molecular events contributing to these disorders. Mutation in Alkaline Ceramidase 3 (ACER3) gene which encodes alkaline ceramidase enzyme that plays a crucial role in cellular growth and viability has been stated as an uncommon reason for inherited leukoencephalopathies. Merely only two ACER3 mutations in cases of progressive leukodystrophies have been reported thus far. Results: In the current study, we have identified three novel variants in ACER3 gene in cases with new neurological manifestations including developmental regression, dystonia, and spasticity. The detected variants were segregated into family members. Conclusion: Our study expands the clinical, neuroimaging, electroencephalographic, and genetic spectrum of ACER3 mutations. Furthermore, we reviewed and compared the findings of all the previously reported cases and the cases identified here in order to facilitate their diagnosis and management. © 2021, The Author(s).
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