2020
DOI: 10.3390/jcm9041212
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Novel MAG Variant Causes Cerebellar Ataxia with Oculomotor Apraxia: Molecular Basis and Expanded Clinical Phenotype

Abstract: Homozygous variants in MAG, encoding myelin-associated glycoprotein (MAG), have been associated with complicated forms of hereditary spastic paraplegia (HSP). MAG is a glycoprotein member of the immunoglobulin superfamily, expressed by myelination cells. In this study, we identified a novel homozygous missense variant in MAG (c.124T>C; p.Cys42Arg) in a Portuguese family with early-onset autosomal recessive cerebellar ataxia with neuropathy and oculomotor apraxia. We used homozygosity mapping and exome sequenci… Show more

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Cited by 4 publications
(3 citation statements)
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“…Mutation of C19ORF12 induces spasticity and weakness confined to lower extremities, with skin peeling and declining intellect [101]. MAG proteins expressed by myelination cells and are designated as Siglec-4a (sialic acid-binding immunoglobulin type lectin) necessary for axon attachment with glial cells, axon regenerating, neurites outgrowth inhibition, and neuron protection from axonal damage and any missense variations lead to oculomotor apraxia, neuropathy ataxia [102].…”
Section: Chromosome 19mentioning
confidence: 99%
“…Mutation of C19ORF12 induces spasticity and weakness confined to lower extremities, with skin peeling and declining intellect [101]. MAG proteins expressed by myelination cells and are designated as Siglec-4a (sialic acid-binding immunoglobulin type lectin) necessary for axon attachment with glial cells, axon regenerating, neurites outgrowth inhibition, and neuron protection from axonal damage and any missense variations lead to oculomotor apraxia, neuropathy ataxia [102].…”
Section: Chromosome 19mentioning
confidence: 99%
“…These families had been identified during our national population survey in Portugal [10], but remained for many years without a molecular diagnosis, after testing the most common genes. More recently, new causal-genes were identified in undiagnosed families, including PNKP in eight families with AOA4 [11], MAG in one family with AOA and neuropathy [12], and DAB1 in three AD families with SCA37 [34].…”
Section: Discussionmentioning
confidence: 99%
“…Targeted genetic testing was conducted ab initium, according to the main clinical phenotype; 61 families (83 patients), however, remained without a genetic diagnosis [10]. Pathogenic variants in PNKP [11] were later identified in eight families (11 patients), and in MAG [12] in one family (3 patients), all with AOA. More recently, expansion of an intronic repeat in RFC1 [13] was excluded in all families with genomic DNA available who persisted without diagnosis.…”
Section: Genetic Analysismentioning
confidence: 99%