2012
DOI: 10.1074/jbc.m112.372094
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Mutations in the GlyT2 Gene (SLC6A5) Are a Second Major Cause of Startle Disease

Abstract: Background:Hereditary startle disease is caused by genetic defects in inhibitory glycine receptor and transporter genes. Results: Loss of function mutations in SLC6A5, with novel mechanisms of action, were identified in 17 individuals with startle disease. Conclusion: Recessive mutations in SLC6A5 represent a second major cause of startle disease. Significance: Genetic screening for startle disease should encompass both presynaptic and postsynaptic causes of disease.

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Cited by 76 publications
(66 citation statements)
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“…Slc6a5 is also a component of the NRF2 pathway involved in oxidative stress response. Mutations in Slc6a5 cause hyperekplexia, a neurological disorder with pronounced startle responses and neonatal apnea (Carta et al., 2012). …”
Section: Resultsmentioning
confidence: 99%
“…Slc6a5 is also a component of the NRF2 pathway involved in oxidative stress response. Mutations in Slc6a5 cause hyperekplexia, a neurological disorder with pronounced startle responses and neonatal apnea (Carta et al., 2012). …”
Section: Resultsmentioning
confidence: 99%
“…Two additional hyperekplexia-associated missense mutations have been identified in the same TM7 region, both predicting clashes or disturbances of crucial residues involved in Na1 and Cl Ϫ coordination (N511S and S515I, rat position numbering) (10,12). Hence, substitutions in this important region alter the protein's function, although only severe structural alterations may provoke its misfolding.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, a spontaneous mutation in mouse Slc6a5, caused by a MusD retrotransposon insertion, also results in handling-induced spasms at 5 days of age, and mice that only survive for 2 weeks, presenting alterations in neuromuscular junction maturation [51]. Several missense, nonsense and frameshift mutations in the SLC6A5 gene cause HPX in humans [52][53][54], as well as related congenital neurological disorders in dogs [55], and cattle [56]. Nonsense and frameshift mutations produce inactive truncated transporters that are retained in the endoplasmic reticulum (W151X, R191X, Y297X, Y377X, R439X, V432F+fs97, Q630X, P108L+fs25, L198R+fs123, S489F+fs39, I665K+fs1).…”
Section: Movement Diseases: Hyperekplexiamentioning
confidence: 99%
“…Nonsense and frameshift mutations produce inactive truncated transporters that are retained in the endoplasmic reticulum (W151X, R191X, Y297X, Y377X, R439X, V432F+fs97, Q630X, P108L+fs25, L198R+fs123, S489F+fs39, I665K+fs1). However, missense mutations generate proteins that in general reach the plasma membrane but contain modifications in residues important for the catalytic cycle, like the binding sites for Na + (N509S, A275T), Cl − (S513I), or glycine (W482R affects directly while A275T and E248K affect indirectly), and others probably interfere with the folding or conformational changes that occur during the translocation cycle (L237P, L243T, T425M, Y491C, F547S, Y656H, G657A) [52][53][54]. Most of the described SLC5A5 mutations have an autosomal recessive inheritance and the parental carriers are typically asymptomatic indicating that dominant negative effects are not a common mutational mechanism [52].…”
Section: Movement Diseases: Hyperekplexiamentioning
confidence: 99%