Spastin mutations are frequent in sporadic spastic paraparesis and their spectrum is different from that observed in familial cases (original) (raw)

Spastin mutations are frequent in sporadic spastic paraparesis and their spectrum is different from that observed in familial cases

C Depienne1,
C Tallaksen1,
J Y Lephay1,
B Bricka2,
S Poea-Guyon1,
B Fontaine3,
P Labauge4,
A Brice1,
A Durr1
1INSERM U679, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
2Unité de Neurogénétique, Département de Génétique, Cytogénétique et Embryologie, AP-HP, Groupe Hospitalier Pitié-Salpêtrière
3Fédération de Neurologie and INSERM U546, Groupe Hospitalier Pitié-Salpêtrière
4Service de Neurologie, CHU Montpellier-Nîmes, Hôpital Caremeau, Nîmes, France
Correspondence to: Professeur A Brice INSERM U679, Groupe Hospitalier Pitié-Salpêtrière, 47 boulevard de l’hôpital, 75013 Paris, France; brice{at}ccr.jussieu.fr

Abstract

Background:SPG4 encodes spastin, a member of the AAA protein family, and is the major gene responsible for autosomal dominant spastic paraplegia. It accounts for 10–40% of families with pure (or eventually complicated) hereditary spastic paraparesis (HSP).

Objective: To assess the frequency of SPG4 mutation in patients with spastic paraplegia but without family histories.

Methods: 146 mostly European probands with progressive spastic paraplegia were studied (103 with pure spastic paraplegia and 43 with additional features). Major neurological causes of paraplegia were excluded. None had a family history of paraplegia. DNA was screened by DHPLC for mutations in the 17 coding exons of the SPG4 gene. Sequence variants were characterised by direct sequencing. A panel of 600 control chromosomes was used to rule out polymorphisms.

Results: The overall rate of mutations was 12%; 19 different mutations were identified in 18 patients, 13 of which were novel. In one family, where both parents were examined and found to be normal, the mutation was transmitted by the asymptomatic mother, indicating reduced penetrance. The parents of other patients were not available for analysis but were reported to be normal. There was no evidence for de novo mutations. The mutations found in these apparently isolated patients were mostly of the missense type and tended to be associated with a less severe phenotype than previously described in patients with inherited mutations.

Conclusions: : The unexpected presence of SPG4 gene mutations in patients with sporadic spastic paraplegia suggests that gene testing should be done in individuals with pure or complicated spastic paraplegia without family histories.

AAA, ATPases associated with diverse cellular activities
DHPLC, denaturing high performance liquid chromatography
HSP, hereditary spastic paraparesis
SP, spastic paraparesis
SPG4
mutation
spastic paraplegia

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.