2013
DOI: 10.1371/journal.pone.0058286
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A Novel Homozygous p.R1105X Mutation of the AP4E1 Gene in Twins with Hereditary Spastic Paraplegia and Mycobacterial Disease

Abstract: We report identical twins with intellectual disability, progressive spastic paraplegia and short stature, born to a consanguineous family. Intriguingly, both children presented with lymphadenitis caused by the live Bacillus Calmette-Guérin (BCG) vaccine. Two syndromes – hereditary spastic paraplegia (HSP) and mycobacterial disease – thus occurred simultaneously. Whole-exome sequencing (WES) revealed a homozygous nonsense mutation (p.R1105X) of the AP4E1 gene, which was confirmed by Sanger sequencing. The p.R11… Show more

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Cited by 35 publications
(36 citation statements)
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“…A more pronounced defect was observed in the presence of high doses of IFN-γ. Haploinsufficiency at the human IFNGR2 locus was restricted to EBV-B cells and T lymphocytes, but was not observed in monocytes and monocyte-derived macrophages (MDMs) [152]. The clinical penetrance of AD IFN-γR2 deficiency is very low, as only one of 18 heterozygous individuals was found to be affected, and the treatment of symptomatic individuals is based entirely on curative antibiotic treatments.…”
Section: Ifn-γr2 Deficiencymentioning
confidence: 99%
“…A more pronounced defect was observed in the presence of high doses of IFN-γ. Haploinsufficiency at the human IFNGR2 locus was restricted to EBV-B cells and T lymphocytes, but was not observed in monocytes and monocyte-derived macrophages (MDMs) [152]. The clinical penetrance of AD IFN-γR2 deficiency is very low, as only one of 18 heterozygous individuals was found to be affected, and the treatment of symptomatic individuals is based entirely on curative antibiotic treatments.…”
Section: Ifn-γr2 Deficiencymentioning
confidence: 99%
“…Munc18-1 is encoded by the STXBP1 gene that is found to be mutated in cases with nonsyndromal ID and ID with epilepsy (Hamdan et al, 2011; Milh et al, 2011). Munc18-1 has been ascribed a variety of functions in exocytosis and has been shown to promote vesicle priming, SNARE complex assembly, trafficking of syntexin1 to the plasma membrane, by preventing the formation of ectopic SNARE complexes (Kong et al, 2013; Smyth et al, 2013; Zhou et al, 2013). …”
Section: Genes Linked To Id and Asdmentioning
confidence: 99%
“…Mutations in genes encoding AP4 complex subunits (AP4B1, AP4E1, and AP4S1) have been identified in patients with ID, progressive spastic paraplegia, shy character, and short stature (Abou Jamra et al, 2011). Mutations in AP4M1 and AP4E1 have recently been found in patients with cerebral palsy associated with severe ID (Abou Jamra et al, 2011; Kong et al, 2013; Moreno-De-Luca et al, 2011)…”
Section: Genes Linked To Id and Asdmentioning
confidence: 99%
“…Robust sequencing of the complete coding region (exome) has the potential to be clinically relevant in genetic diagnosis as understanding of the functional consequences in sequence variation improves [13]. Currently exome sequencing is discovering inborn errors of immunity in children that confer severe and selective vulnerability to certain infectious diseases [14,15]. …”
Section: Body Of the Articlementioning
confidence: 99%