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      Variants in the genes DCTN2, DNAH10, LRIG3, and MYO1A are associated with intermediate Charcot–Marie–Tooth disease in a Norwegian family

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          Abstract

          Introduction

          Charcot–Marie–Tooth disease ( CMT) is a heterogeneous inherited neuropathy. The number of known CMT genes is rapidly increasing mainly due to next‐generation sequencing technology, at present more than 70 CMT‐associated genes are known. We investigated whether variants in the DCTN2 could cause CMT.

          Material and methods

          Fifty‐nine Norwegian CMT families from the general population with unknown genotype were tested by targeted next‐generation sequencing ( NGS) for variants in DCTN2 along with 32 CMT genes and 19 other genes causing other inherited neuropathies or neuronopathies, due to phenotypic overlap. In the family with the DCTN2 variant, exome sequencing was then carried out on all available eight family members to rule out the presence of more potential variants.

          Results

          Targeted NGS identified in one family a variant of DCTN2 , c.337C>T, segregating with the phenotype in five affected members, while it was not present in the three unaffected members. The DCTN2 variant c.337C>T; p.(His113Tyr) was neither found in in‐house controls nor in SNP databases. Exome sequencing revealed a singular heterozygous shared haplotype containing four genes, DCTN2 , DNAH10 , LRIG3, and MYO1A , with novel sequence variants. The haplotype was shared by all the affected members, while the unaffected members did not have it.

          Conclusions

          This is the first time a haplotype on chromosome 12 containing sequence variants in the genes DCTN2 , DNAH10 , LRIG3, and MYO1A has been linked to an inherited neuropathy in humans.

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          Most cited references23

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          Mutations in dynein link motor neuron degeneration to defects in retrograde transport.

          Degenerative disorders of motor neurons include a range of progressive fatal diseases such as amyotrophic lateral sclerosis (ALS), spinal-bulbar muscular atrophy (SBMA), and spinal muscular atrophy (SMA). Although the causative genetic alterations are known for some cases, the molecular basis of many SMA and SBMA-like syndromes and most ALS cases is unknown. Here we show that missense point mutations in the cytoplasmic dynein heavy chain result in progressive motor neuron degeneration in heterozygous mice, and in homozygotes this is accompanied by the formation of Lewy-like inclusion bodies, thus resembling key features of human pathology. These mutations exclusively perturb neuron-specific functions of dynein.
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            Charcot-Marie-Tooth disease subtypes and genetic testing strategies.

            Charcot-Marie-Tooth disease (CMT) affects 1 in 2,500 people and is caused by mutations in more than 30 genes. Identifying the genetic cause of CMT is often necessary for family planning, natural history studies, and for entry into clinical trials. However genetic testing can be both expensive and confusing to patients and physicians. We analyzed data from 1,024 of our patients to determine the percentage and features of each CMT subtype within this clinic population. We identified distinguishing clinical and physiological features of the subtypes that could be used to direct genetic testing for patients with CMT. Of 1,024 patients evaluated, 787 received CMT diagnoses. A total of 527 patients with CMT (67%) received a genetic subtype, while 260 did not have a mutation identified. The most common CMT subtypes were CMT1A, CMT1X, hereditary neuropathy with liability to pressure palsies (HNPP), CMT1B, and CMT2A. All other subtypes accounted for less than 1% each. Eleven patients had >1 genetically identified subtype of CMT. Patients with genetically identified CMT were separable into specific groups based on age of onset and the degree of slowing of motor nerve conduction velocities. Combining features of the phenotypic and physiology groups allowed us to identify patients who were highly likely to have specific subtypes of CMT. Based on these results, we propose a strategy of focused genetic testing for CMT, illustrated in a series of flow diagrams created as testing guides. Copyright © 2010 American Neurological Association.
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              Point mutations of the p150 subunit of dynactin (DCTN1) gene in ALS.

              The authors report mutation screening of the p150 subunit of dynactin (DCTN1) and the cytoplasmic dynein heavy chain (DNCHC1) genes in 250 patients with ALS and 150 unrelated control subjects. Heterozygous missense mutations of the DCTN1 gene were detected in one apparently sporadic case of ALS (T1249I), one individual with familial ALS (M571T), two patients with familial ALS, and two unaffected relatives in the same kindred (R785W). The allelic variants of the DCTN1 gene may represent a previously unknown genomic risk factor for ALS.
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                Author and article information

                Journal
                Acta Neurol Scand
                Acta Neurol. Scand
                10.1111/(ISSN)1600-0404
                ANE
                Acta Neurologica Scandinavica
                John Wiley and Sons Inc. (Hoboken )
                0001-6314
                1600-0404
                12 October 2015
                July 2016
                : 134
                : 1 ( doiID: 10.1111/ane.2016.134.issue-1 )
                : 67-75
                Affiliations
                [ 1 ] Head and Neck Research Group Research CentreAkershus University Hospital Lørenskog OsloNorway
                [ 2 ] Institute of Clinical Medicine Campus Akershus University HospitalUniversity of Oslo Nordbyhagen OsloNorway
                [ 3 ] Section of Medical Genetics Department of Laboratory MedicineTelemark Hospital SkienNorway
                Author notes
                [*] [* ] G. J. Braathen, Head and Neck Research Group, Research Centre, Akershus University Hospital, Sykehusveien 25, 1478 Lørenskog, Norway

                Tel.: +4791502900

                Fax: +4767968861

                e‐mail: g.j.braathen@ 123456medisin.uio.no

                Article
                ANE12515
                10.1111/ane.12515
                5057358
                26517670
                533e8a1a-a853-4674-9f24-d0a406dfd3f0
                © 2015 The Authors. Acta Neurologica Scandinavica Published by John Wiley & Sons Ltd

                This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 11 September 2015
                Page count
                Pages: 9
                Funding
                Funded by: South‐Eastern Norway Regional Health Authority
                Funded by: Akershus University Hospital HF
                Funded by: Telemark Hospital HF
                Funded by: Nansen Foundation
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                ane12515
                July 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.4 mode:remove_FC converted:12.10.2016

                charcot–marie–tooth disease,inherited neuropathy,dctn2,targeted next‐generation sequencing,exome sequencing

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