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Characterization of a novel loss-of-function variant in TDP2 in two adult patients with spinocerebellar ataxia autosomal recessive 23 (SCAR23)
E. Errichiello, G. Zagnoli-Vieira, R. Rizzi, L. Garavelli, KW. Caldecott, O. Zuffardi
Jazyk angličtina Země Velká Británie
Typ dokumentu kazuistiky, časopisecké články
NLK
Free Medical Journals
od 1977
ProQuest Central
od 2000-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2000-01-01 do Před 1 rokem
- MeSH
- DNA vazebné proteiny genetika MeSH
- dospělí MeSH
- fosfodiesterasy genetika MeSH
- geny recesivní genetika MeSH
- lidé středního věku MeSH
- lidé MeSH
- mentální retardace genetika patologie MeSH
- mutace ztráty funkce genetika MeSH
- spinocerebelární ataxie genetika patofyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
TDP2 encodes a 5'-tyrosyl DNA phosphodiesterase required for the efficient repair of double-strand breaks (DSBs) induced by the abortive activity of DNA topoisomerase II (TOP2). To date, only three homozygous variants in TDP2 have been reported in six patients from four unrelated pedigrees with spinocerebellar ataxia 23 (SCAR23). By whole-exome sequencing, we identified a novel TDP2 splice-site variant (c.636 + 3_636 + 6del) in two Italian siblings (aged 40 and 45) showing progressive ataxia, intellectual disability, speech delay, refractory seizures, and various physical anomalies. The variant caused exon 5 skipping with consequent nonsense-mediated mRNA decay and defective repair of TOP2-induced DSBs, as demonstrated by the functional assays on the patients' fibroblasts. Our findings further demonstrate the pathogenic role of TDP2 biallelic loss-of-function variants in SCAR23 pathogenesis. Considering the age of our patients, the oldest reported to date, and their extensive follow-up, our study delineates in more detail the clinical phenotype related to the loss of TDP2 activity.
Genome Damage and Stability Centre University of Sussex Falmer Brighton UK
Medical Genetics Unit Department of Molecular Medicine University of Pavia Pavia Italy
Citace poskytuje Crossref.org
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- $a Errichiello, Edoardo $u Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, Pavia, Italy. edoardo.errichiello@unipv.it
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