Dominant KPNA3 Mutations Cause Infantile Onset Hereditary Spastic Paraplegia
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Dominant KPNA3 Mutations Cause Infantile Onset Hereditary Spastic Paraplegia. / Schob, Claudia; Hempel, Maja; Brozkova, Dana Safka; Jiang, Huafang; Kim, Soo Yeon; Batzir, Nurit Assia; Orenstein, Naama; Bierhals, Tatjana; Johannsen, Jessika; Meszarosova, Anna Uhrova; Chae, Jong-Hee; Seeman, Pavel; Woidy, Mathias; Fang, Fang; Kubisch, Christian; Kindler, Stefan; Denecke, Jonas.
In: ANN NEUROL, Vol. 90, No. 5, 11.2021, p. 738-750.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Dominant KPNA3 Mutations Cause Infantile Onset Hereditary Spastic Paraplegia
AU - Schob, Claudia
AU - Hempel, Maja
AU - Brozkova, Dana Safka
AU - Jiang, Huafang
AU - Kim, Soo Yeon
AU - Batzir, Nurit Assia
AU - Orenstein, Naama
AU - Bierhals, Tatjana
AU - Johannsen, Jessika
AU - Meszarosova, Anna Uhrova
AU - Chae, Jong-Hee
AU - Seeman, Pavel
AU - Woidy, Mathias
AU - Fang, Fang
AU - Kubisch, Christian
AU - Kindler, Stefan
AU - Denecke, Jonas
N1 - This article is protected by copyright. All rights reserved.
PY - 2021/11
Y1 - 2021/11
N2 - OBJECTIVE: Hereditary spastic paraplegia (HSP) is a highly heterogeneous neurologic disorder characterized by lower-extremity spasticity. Here, we set out to determine the genetic basis of an autosomal dominant, pure, and infantile-onset form of HSP in a cohort of 8 patients with a uniform clinical presentation.METHODS: Trio whole-exome sequencing was used in 5 index patients with infantile-onset pure HSP to determine the genetic cause of disease. The functional impact of identified genetic variants was verified using bioinformatics and complementary cellular and biochemical assays.RESULTS: Distinct heterozygous KPNA3 missense variants were found to segregate with the clinical phenotype in 8 patients; in 4 of them KPNA3 variants had occurred de novo. Mutant karyopherin-α3 proteins exhibited a variable pattern of altered expression level, subcellular distribution, and protein interaction.INTERPRETATION: Our genetic findings implicate heterozygous variants in KPNA3 as a novel cause for autosomal dominant, early-onset, and pure HSP. Mutant karyopherin-α3 proteins display varying deficits in molecular and cellular functions, thus, for the first time, implicating dysfunctional nucleocytoplasmic shuttling as a novel pathomechanism causing HSP. ANN NEUROL 2021;90:738-750.
AB - OBJECTIVE: Hereditary spastic paraplegia (HSP) is a highly heterogeneous neurologic disorder characterized by lower-extremity spasticity. Here, we set out to determine the genetic basis of an autosomal dominant, pure, and infantile-onset form of HSP in a cohort of 8 patients with a uniform clinical presentation.METHODS: Trio whole-exome sequencing was used in 5 index patients with infantile-onset pure HSP to determine the genetic cause of disease. The functional impact of identified genetic variants was verified using bioinformatics and complementary cellular and biochemical assays.RESULTS: Distinct heterozygous KPNA3 missense variants were found to segregate with the clinical phenotype in 8 patients; in 4 of them KPNA3 variants had occurred de novo. Mutant karyopherin-α3 proteins exhibited a variable pattern of altered expression level, subcellular distribution, and protein interaction.INTERPRETATION: Our genetic findings implicate heterozygous variants in KPNA3 as a novel cause for autosomal dominant, early-onset, and pure HSP. Mutant karyopherin-α3 proteins display varying deficits in molecular and cellular functions, thus, for the first time, implicating dysfunctional nucleocytoplasmic shuttling as a novel pathomechanism causing HSP. ANN NEUROL 2021;90:738-750.
U2 - 10.1002/ana.26228
DO - 10.1002/ana.26228
M3 - SCORING: Journal article
C2 - 34564892
VL - 90
SP - 738
EP - 750
JO - ANN NEUROL
JF - ANN NEUROL
SN - 0364-5134
IS - 5
ER -