Atypical Aicardi-Goutieres syndrome - is the WRN locus a modifier?
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Atypical Aicardi-Goutieres syndrome - is the WRN locus a modifier? / Lessel, Davor; Saha, Bidisha; Hisama, Fuki; Kaymakamzade, Bahar; Nurlu, Gulay; Gursoy-Özdemir, Yasemin; Thiele, Holger; Nürnberg, Peter; Martin, George M; Kubisch, Christian; Oshima, Junko.
in: AM J MED GENET A, Jahrgang 164A, Nr. 10, 01.10.2014, S. 2510-3.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Atypical Aicardi-Goutieres syndrome - is the WRN locus a modifier?
AU - Lessel, Davor
AU - Saha, Bidisha
AU - Hisama, Fuki
AU - Kaymakamzade, Bahar
AU - Nurlu, Gulay
AU - Gursoy-Özdemir, Yasemin
AU - Thiele, Holger
AU - Nürnberg, Peter
AU - Martin, George M
AU - Kubisch, Christian
AU - Oshima, Junko
N1 - © 2014 Wiley Periodicals, Inc.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - We describe a 28-year-old Turkish man with consanguineous parents who presented with an aged appearance with prematurely gray hair and scleroderma-like skin, spastic paraplegia, and apparent disability. The proband and each of his parents were heterozygous for a mutation in WRN, which could not explain his symptoms. Exome sequencing of the proband's blood DNA showed a homozygous c.626-1G > C mutation in intron 5 of the SAMHD1 gene, which encodes a triphosphohydrolase involved in the regulation of intracellular dNTP pools and which is mutated in Aicardi-Goutieres syndrome. The RNA studies confirmed aberrant splicing of exon 6, and family studies showed that both parents are heterozygous for this mutation. We conclude that mutations in SAMHD1 - in addition to causing an early-onset form of encephalopathy in Aicardi-Goutieres syndrome - may present with modest signs of accelerated aging similar to Werner syndrome. The extent to which heterozygosity at the WRN locus may modify the effect of biallelic SAMHD1 mutations is unknown. It is conceivable that synergistic effects of these two mutations might be responsible for the unusual phenotype.
AB - We describe a 28-year-old Turkish man with consanguineous parents who presented with an aged appearance with prematurely gray hair and scleroderma-like skin, spastic paraplegia, and apparent disability. The proband and each of his parents were heterozygous for a mutation in WRN, which could not explain his symptoms. Exome sequencing of the proband's blood DNA showed a homozygous c.626-1G > C mutation in intron 5 of the SAMHD1 gene, which encodes a triphosphohydrolase involved in the regulation of intracellular dNTP pools and which is mutated in Aicardi-Goutieres syndrome. The RNA studies confirmed aberrant splicing of exon 6, and family studies showed that both parents are heterozygous for this mutation. We conclude that mutations in SAMHD1 - in addition to causing an early-onset form of encephalopathy in Aicardi-Goutieres syndrome - may present with modest signs of accelerated aging similar to Werner syndrome. The extent to which heterozygosity at the WRN locus may modify the effect of biallelic SAMHD1 mutations is unknown. It is conceivable that synergistic effects of these two mutations might be responsible for the unusual phenotype.
U2 - 10.1002/ajmg.a.36664
DO - 10.1002/ajmg.a.36664
M3 - SCORING: Journal article
C2 - 24989684
VL - 164A
SP - 2510
EP - 2513
JO - AM J MED GENET A
JF - AM J MED GENET A
SN - 1552-4825
IS - 10
ER -