Loss of TNR causes a nonprogressive neurodevelopmental disorder with spasticity and transient opisthotonus
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Loss of TNR causes a nonprogressive neurodevelopmental disorder with spasticity and transient opisthotonus. / Wagner, Matias; Lévy, Jonathan; Jung-Klawitter, Sabine; Bakhtiari, Somayeh; Monteiro, Fabiola; Maroofian, Reza; Bierhals, Tatjana; Hempel, Maja; Elmaleh-Bergès, Monique; Kitajima, Joao P; Kim, Chong A; Salomao, Julia G; Amor, David J; Cooper, Monica S; Perrin, Laurence; Pipiras, Eva; Neu, Axel; Doosti, Mohammad; Karimiani, Ehsan G; Toosi, Mehran B; Houlden, Henry; Jin, Sheng Chih; Si, Yue C; Rodan, Lance H; Venselaar, Hanka; Kruer, Michael C; Kok, Fernando; Hoffmann, Georg F; Strom, Tim M; Wortmann, Saskia B; Tabet, Anne-Claude; Opladen, Thomas.
in: GENET MED, Jahrgang 22, Nr. 6, 06.2020, S. 1061-1068.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Loss of TNR causes a nonprogressive neurodevelopmental disorder with spasticity and transient opisthotonus
AU - Wagner, Matias
AU - Lévy, Jonathan
AU - Jung-Klawitter, Sabine
AU - Bakhtiari, Somayeh
AU - Monteiro, Fabiola
AU - Maroofian, Reza
AU - Bierhals, Tatjana
AU - Hempel, Maja
AU - Elmaleh-Bergès, Monique
AU - Kitajima, Joao P
AU - Kim, Chong A
AU - Salomao, Julia G
AU - Amor, David J
AU - Cooper, Monica S
AU - Perrin, Laurence
AU - Pipiras, Eva
AU - Neu, Axel
AU - Doosti, Mohammad
AU - Karimiani, Ehsan G
AU - Toosi, Mehran B
AU - Houlden, Henry
AU - Jin, Sheng Chih
AU - Si, Yue C
AU - Rodan, Lance H
AU - Venselaar, Hanka
AU - Kruer, Michael C
AU - Kok, Fernando
AU - Hoffmann, Georg F
AU - Strom, Tim M
AU - Wortmann, Saskia B
AU - Tabet, Anne-Claude
AU - Opladen, Thomas
PY - 2020/6
Y1 - 2020/6
N2 - PURPOSE: TNR, encoding Tenascin-R, is an extracellular matrix glycoprotein involved in neurite outgrowth and neural cell adhesion, proliferation and migration, axonal guidance, myelination, and synaptic plasticity. Tenascin-R is exclusively expressed in the central nervous system with highest expression after birth. The protein is crucial in the formation of perineuronal nets that ensheath interneurons. However, the role of Tenascin-R in human pathology is largely unknown. We aimed to establish TNR as a human disease gene and unravel the associated clinical spectrum.METHODS: Exome sequencing and an online matchmaking tool were used to identify patients with biallelic variants in TNR.RESULTS: We identified 13 individuals from 8 unrelated families with biallelic variants in TNR sharing a phenotype consisting of spastic para- or tetraparesis, axial muscular hypotonia, developmental delay, and transient opisthotonus. Four homozygous loss-of-function and four different missense variants were identified.CONCLUSION: We establish TNR as a disease gene for an autosomal recessive nonprogressive neurodevelopmental disorder with spasticity and transient opisthotonus and highlight the role of central nervous system extracellular matrix proteins in the pathogenicity of spastic disorders.
AB - PURPOSE: TNR, encoding Tenascin-R, is an extracellular matrix glycoprotein involved in neurite outgrowth and neural cell adhesion, proliferation and migration, axonal guidance, myelination, and synaptic plasticity. Tenascin-R is exclusively expressed in the central nervous system with highest expression after birth. The protein is crucial in the formation of perineuronal nets that ensheath interneurons. However, the role of Tenascin-R in human pathology is largely unknown. We aimed to establish TNR as a human disease gene and unravel the associated clinical spectrum.METHODS: Exome sequencing and an online matchmaking tool were used to identify patients with biallelic variants in TNR.RESULTS: We identified 13 individuals from 8 unrelated families with biallelic variants in TNR sharing a phenotype consisting of spastic para- or tetraparesis, axial muscular hypotonia, developmental delay, and transient opisthotonus. Four homozygous loss-of-function and four different missense variants were identified.CONCLUSION: We establish TNR as a disease gene for an autosomal recessive nonprogressive neurodevelopmental disorder with spasticity and transient opisthotonus and highlight the role of central nervous system extracellular matrix proteins in the pathogenicity of spastic disorders.
U2 - 10.1038/s41436-020-0768-7
DO - 10.1038/s41436-020-0768-7
M3 - SCORING: Journal article
C2 - 32099069
VL - 22
SP - 1061
EP - 1068
JO - GENET MED
JF - GENET MED
SN - 1098-3600
IS - 6
ER -