2016
DOI: 10.1016/j.ajhg.2016.08.005
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Biallelic TBCD Mutations Cause Early-Onset Neurodegenerative Encephalopathy

Abstract: We describe four families with affected siblings showing unique clinical features: early-onset (before 1 year of age) progressive diffuse brain atrophy with regression, postnatal microcephaly, postnatal growth retardation, muscle weakness/atrophy, and respiratory failure. By whole-exome sequencing, we identified biallelic TBCD mutations in eight affected individuals from the four families. TBCD encodes TBCD (tubulin folding co-factor D), which is one of five tubulin-specific chaperones playing a pivotal role i… Show more

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Cited by 53 publications
(80 citation statements)
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“…The TBCD mutants that had reduced binding to ␤-tubulin showed an increase in the rate of tubulin polymerization compared with control cells. Similar studies have recently added to our appreciation of the importance of TBCD and its binding to ARL2 and ␤-tubulin in related neurological syndromes (18,19,20,39). Together, these findings argue that the TBCD⅐ARL2⅐␤-tubulin complex is vital for the proper homeostasis that is required in microtubule dynamics and human health.…”
Section: Discussionmentioning
confidence: 74%
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“…The TBCD mutants that had reduced binding to ␤-tubulin showed an increase in the rate of tubulin polymerization compared with control cells. Similar studies have recently added to our appreciation of the importance of TBCD and its binding to ARL2 and ␤-tubulin in related neurological syndromes (18,19,20,39). Together, these findings argue that the TBCD⅐ARL2⅐␤-tubulin complex is vital for the proper homeostasis that is required in microtubule dynamics and human health.…”
Section: Discussionmentioning
confidence: 74%
“…As a consequence, we propose the TBCD⅐ARL2⅐␤-tubulin complex to be a key player in the folding process and potentially separately in regulating the lifetime or stability of the microtubule array. Finally, the studies by Flex et al (17) and others (18,19,20,39) highlight the clinical significance of the TBCD⅐ARL2⅐␤-tubulin trimer and suggest that continued study of this complex will prove to be beneficial to both the scientific and clinical communities.…”
Section: Discussionmentioning
confidence: 99%
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“…Notably, reduced soluble α/β-tubulin levels and accelerated microtubule polymerization has been reported in fibroblasts derived from patients with biallelic TBCD mutations, while cellular proliferation was not markedly reduced. While more work is required to investigate this, the reduced rate of microtubule polymerization and cellular proliferation associated with the PRUNE mutations described here may in part provide an explanation for the more marked neurodevelopmental impairment seen in Prune syndrome patients (Edvardson et al , 2016; Flex et al , 2016; Miyake et al , 2016; Pode-Shakked et al , 2016). …”
Section: Discussionmentioning
confidence: 90%
“…Also, a spate of recent reports describe point mutations in TBCD found in patients with links to early-onset encephalopathy [2831] and intractable seizures [32]. A subset of these mutations were specifically shown to disrupt formation and stability of the TBCD•ARL2•β-tubulin complex [29], which we have recently purified and characterized [11].…”
Section: Introductionmentioning
confidence: 99%