AP4-assocated hereditary spastic paraplegias

Rudenskaya G.E.; Guseva D.M.; Mironovich O.L.; Kadnikova V.A.; Dadali E.L.; Komar’kov I.F.; Novoselova O.G.; Ryzhkova O.P.

doi:https://doi.org/10.17116/jnevro202112102171

Rudenskaya G.E.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0002-8244-9367

Guseva D.M.

Research Centre for Medical Genetics

Mironovich O.L.

Research Centre for Medical Genetics

Kadnikova V.A.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0002-1245-4881

Dadali E.L.

Research Centre for Medical Genetics

Komar’kov I.F.

Genomed Ltd

Novoselova O.G.

Genomed Ltd

Ryzhkova O.P.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0003-1285-9093

AP4-assocated hereditary spastic paraplegias

Authors:

Rudenskaya G.E., Guseva D.M., Mironovich O.L., Kadnikova V.A., Dadali E.L., Komar’kov I.F., Novoselova O.G., Ryzhkova O.P.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(2): 71‑78

DOI: 10.17116/jnevro202112102171

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To cite this article:

Rudenskaya GE, Guseva DM, Mironovich OL, et al. . AP4-assocated hereditary spastic paraplegias. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(2):71‑78. (In Russ.)
https://doi.org/10.17116/jnevro202112102171

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)

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OBJECTIVE

In the course of studies of spastic paraplegias in Russian patients to detect AP4-associated forms, estimate their proportion in the total SPG group and analyze clinical and molecular characteristics.

MATERIAL AND METHODS

Five families of Russian ethnicity: four with SPG47, one with SPG51 (4 girls and a boy aged 2.5—9 years) were studied. Clinical and genealogical methods, whole-exome sequencing (WES) and verification by familial Sanger sequencing were used.

RESULTS

In our total group, including 118 families with 21 different forms, SPG AP4-associated forms accounted for 4.2% owing mainly to SPG47 (3.4%, 5^th place in SPG structure; 20% and 2^nd place in AE subgroup.) In non-consanguineous, unrelated SPG47 families three patients had identical genotypes: homozygosity for an earlier reported mutation c.1160_1161 delCA (p.Thr387ArgfsTer30) in AP4B1 exon 6; the 4^th patient was compound-heterozygous for the same mutation and novel c.1240C>T (p.Gln414Ter) in exon 7. Frequency of c.1160_1161 delCA may be caused by founder effect in Slavic populations though the idea needs additional studies. The SPG51 patient was compound heterozygous for novel AP4E1 mutations c.2604delA (p.Ser868fs) and c.3346A>G (p.Arg1116Gly). Parent’s heterozygosity in all cases was confirmed by Sanger sequencing. Phenotypes were typical: early development delay, muscle hypotony transforming into sever spasticity, mental deficiency, microceplaly (in all SPG47 cases), epilepsy (in 3 SPG47 and SPG51 cases), MRI changes, mainly hydrocephalus and/or hypoplasia of corpus callosum (in 3 SPG47 cases) and few extraneural signs.

CONCLUSION

AP4-associated SPG should be taken into consideration in patients with early-onset severe nervous diseases mimicking non-genetic organic CNS disorders and massive exome sequencing (WES or other variants) should be performed.

Keywords:

SPG47

SPG51

AP4B1 gene

common mutation

AP4E1 gene

spastic paraparesis

microcephaly

mental retardation

epilepsy

Authors:

Rudenskaya G.E.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0002-8244-9367

Guseva D.M.

Research Centre for Medical Genetics

Mironovich O.L.

Research Centre for Medical Genetics

Kadnikova V.A.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0002-1245-4881

Dadali E.L.

Research Centre for Medical Genetics

Komar’kov I.F.

Genomed Ltd

Novoselova O.G.

Genomed Ltd

Ryzhkova O.P.

Bochkov Research Centre for Medical Genetics

ORCID: 0000-0003-1285-9093

Received:

24.05.2020

Accepted:

02.06.2020

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References:

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