Brain Communications,
Год журнала:
2024,
Номер
7(1)
Опубликована: Дек. 24, 2024
Abstract
Dominantly
inherited
intronic
GAA
repeat
expansions
in
the
fibroblast
growth
factor
14
gene
have
recently
been
shown
to
cause
spinocerebellar
ataxia
27B.
Currently,
pathogenic
threshold
of
(GAA)≥300
units
is
considered
highly
penetrant,
while
(GAA)250–299
likely
with
reduced
penetrance.
This
study
investigated
frequency
expansion
and
phenotypic
profile
a
Cypriot
cohort
unresolved
late-onset
cerebellar
ataxia.
We
analysed
this
trinucleotide
155
patients
227
non-neurological
disease
controls.
The
locus
was
examined
by
long-range
PCR
followed
fragment
analysis
using
capillary
electrophoresis,
agarose
gel
electrophoresis
automated
electrophoresis.
A
comprehensive
comparison
all
three
techniques
conducted.
Additionally,
bidirectional
repeat-primed
PCRs
Sanger
sequencing
were
carried
out
confirm
absence
any
interruptions
or
non-GAA
motifs
expanded
alleles.
(GAA)≥250
present
12
(7.7%)
patients.
average
age
at
onset
60
±
13.5
years.
earliest
observed
patient
(GAA)287
expansion,
symptoms
appearing
25
years
age.
All
27B
displayed
gait
appendicular
Nystagmus
41.7%
patients,
58.3%
exhibited
dysarthria.
Our
findings
indicate
that
represents
predominant
aetiology
autosomal
dominant
population,
as
first
type
detected
population.
Given
our
results
existing
research,
we
propose
including
testing
first-tier
genetic
diagnostic
approach
for
Annals of Clinical and Translational Neurology,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 25, 2025
ABSTRACT
Objective
The
hereditary
spastic‐ataxia
spectrum
disorders
are
a
group
of
disabling
neurological
diseases.
traditional
genetic
testing
pathway
is
complex,
multistep
and
leaves
many
cases
unsolved.
We
aim
to
streamline
improve
this
process
using
long‐read
sequencing.
Methods
developed
targeted
sequencing
strategy
with
the
capacity
characterise
variation
all
types
sizes
within
469
disease‐associated
genes,
in
single
assay.
applied
cohort
34
individuals
unsolved
spastic‐ataxia.
An
additional
five
known
diagnosis
were
included
as
positive
controls.
Results
identified
causative
pathogenic
variants
that
would
be
sufficient
for
14/34
(41%)
participants.
success
rate
was
5/11
(45%)
those
who
naïve
9/23
(39%)
undiagnosed
after
prior
testing,
completed
on
clinical
basis.
Short
tandem
repeat
expansions
FGF14
most
common
(7/34,
21%).
Two
(2/34,
6%)
had
biallelic
RFC1
one
individual
monoallelic
expansion
ATXN8OS
/
ATXN8
.
Causative
sequence
other
than
short
found
four
individuals,
including
VCP
,
STUB1
ANO10
SPG7
Furthermore,
controls
identified.
Interpretation
Our
results
demonstrate
utility
evaluation
patients
disorders,
highlighting
both
increase
overall
diagnostic
yield
by
capturing
causes
Natural Product Communications,
Год журнала:
2025,
Номер
20(3)
Опубликована: Март 1, 2025
Neuronal
pyroptosis
is
one
of
the
crucial
pathogenesis
neurodegenerative
diseases,
and
signaling
pathway
mediated
by
inflammasome
main
pyroptosis.
Neuroinflammation
not
only
a
common
feature,
but
also
an
essential
basis
for
diagnosis
diseases.
important
pathological
feature
nervous
system
diseases
such
as
Alzheimer's
disease
(AD),
Parkinson's
(PD).
NLRP1
plays
role
in
activating
inducing
inflammatory
response,
so
development
drugs
targeting
regulation
has
become
reasonable
research
direction
treatment
By
analyzing
current
progress
which
affects
process
neuronal
related
Chinese
medicine,
natural
products
were
docked
with
targets
to
find
higher
activity.
The
target
CB-Dock
molecular
docking
platform.
Molecular
results
showed
that
silibinin,
crocin,
hyperoside
had
excellent
binding
affinity,
most
promising
potential
active
compounds
AD
regulating
NLRP1.
This
paper
discusses
feasibility
rationality
medicine
on
future.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2024,
Номер
unknown
Опубликована: Май 3, 2024
Abstract
Tandem
repeat
sequences
comprise
approximately
8%
of
the
human
genome
and
are
linked
to
more
than
50
neurodegenerative
disorders.
Accurate
characterization
disease-associated
loci
remains
resource
intensive
often
lacks
high
resolution
genotype
calls.
We
introduce
a
multiplexed,
targeted
nanopore
sequencing
panel
HMMSTR,
sequence-based
tandem
copy
number
caller.
HMMSTR
outperforms
current
signal-
callers
relative
two
assemblies
we
show
it
performs
with
accuracy
in
heterozygous
regions
at
low
read
coverage.
The
flexible
allows
us
capture
disease
associated
an
average
coverage
>150x.
Using
these
tools,
successfully
characterize
known
or
suspected
expansions
patient
derived
samples.
In
samples
also
identify
unexpected
expanded
alleles
not
previously
underlying
diagnosis.
This
genotyping
approach
for
is
scalable,
simple,
flexible,
accurate,
offering
significant
potential
diagnostic
applications
investigation
expansion
co-occurrence
Figure
Annals of Neurology,
Год журнала:
2024,
Номер
96(6), С. 1092 - 1103
Опубликована: Сен. 12, 2024
Objectives
Spinocerebellar
ataxia
27B
due
to
GAA
repeat
expansions
in
the
fibroblast
growth
factor
14
(
FGF14
)
gene
has
recently
been
recognized
as
a
common
cause
of
late‐onset
hereditary
cerebellar
ataxia.
Here
we
present
first
report
this
disease
US
population,
characterizing
its
clinical
manifestations,
progression,
pathological
abnormalities,
and
response
4‐aminopyridine
cohort
102
patients
bearing
expansions.
Methods
We
compiled
series
with
SCA27B,
recruited
from
5
academic
centers
across
United
States.
Clinical
manifestations
patient
demographics
were
collected
retrospectively
records
an
unblinded
approach
using
standardized
form.
Post‐mortem
analysis
was
done
on
4
brains
genetically
confirmed
SCA27B.
Results
In
our
found
that
SCA27B
(57
±
12.5
years)
slowly
progressive
episodic
component
51%
patients.
Balance
gait
impairment
almost
always
at
onset.
The
principal
finding
post‐mortem
examination
brain
specimens
loss
Purkinje
neurons
most
severe
vermis
particularly
anterior
vermis.
Similar
European
populations,
high
percent
21/28
(75%)
reported
positive
treatment
4‐aminopyridine.
Interpretation
Our
study
further
estimates
prevalence
expands
clinical,
imaging
features
while
looking
response,
survival
disease.
Testing
for
should
be
considered
all
undiagnosed
patients,
especially
those
ANN
NEUROL
2024;96:1092–1103
Journal of Human Genetics,
Год журнала:
2024,
Номер
69(9), С. 433 - 440
Опубликована: Июнь 12, 2024
Intronic
GAA
repeat
expansion
([GAA]
≥250)
in
FGF14
is
associated
with
the
late-onset
neurodegenerative
disorder,
spinocerebellar
ataxia
27B
(SCA27B,
GAA-FGF14
ataxia).
We
aim
to
determine
prevalence
of
Chinese
populations
presenting
cerebellar
(LOCA)
and
evaluate
characteristics
tandem
inheritance,
radiological
features
sympathetic
nerve
involvement.
European Journal of Neurology,
Год журнала:
2024,
Номер
31(12)
Опубликована: Авг. 17, 2024
Abstract
Background
and
Purpose
Multiple
system
atrophy
(MSA)
is
a
progressive,
adult‐onset
neurodegenerative
disorder
clinically
characterized
by
combinations
of
autonomic
failure,
parkinsonism,
cerebellar
ataxia
pyramidal
signs.
Although
few
genetic
factors
have
been
reported
to
contribute
the
disease,
its
mutational
profiles
not
systemically
studied.
Methods
To
address
diagnosed
MSA
patients,
exome
sequencing
triplet
repeat
detection
was
conducted
in
205
including
one
familial
case.
The
pathogenicity
variants
determined
according
American
College
Medical
Genetics
Genomics
Association
for
Molecular
Pathology
guidelines.
Results
In
patient,
novel
heterozygous
COQ2
pathogenic
variant
(p.Ala351Thr)
identified
pedigree.
sporadic
29
were
revealed
21
genes,
PARK7
p.Ala104Thr
significantly
associated
with
(
p
=
0.0018).
Moreover,
burden
tests
demonstrated
that
enriched
ataxia‐related
genes
patients.
Furthermore,
expansion
analyses
two
patients
carried
CAG
CACNA1A
gene
(SCA6),
patient
(ACAGG)exp/(ACAGG)exp
RFC1
GAA‐pure
FGF14
gene.
Conclusion
conclusion,
expansions
CACNA1A,
detected
four
MSA.