Details

Autor(en) / Beteiligte

• Vodopiutz, Julia
• Seidl, Rainer
• Prayer, Daniela
• Khan, M. Imran
• Mayr, Johannes A.
• Streubel, Berthold
• Steiß, Jens-Oliver
• Hahn, Andreas
• Csaicsich, Dagmar
• Castro, Christel
• Assoum, Mirna
• Müller, Thomas
• Wieczorek, Dagmar
• Mancini, Grazia M. S.
• Sadowski, Carolin E.
• Lévy, Nicolas
• Mégarbané, André
• Godbole, Koumudi
• Schanze, Denny
• Hildebrandt, Friedhelm
• Delague, Valérie
• Janecke, Andreas R.
• Zenker, Martin

Titel

WDR73 Mutations Cause Infantile Neurodegeneration and Variable Glomerular Kidney Disease

Ist Teil von

• Human mutation, 2015-11, Vol.36 (11), p.1021-1028

Ort / Verlag

United States: Blackwell Publishing Ltd

Erscheinungsjahr

2015

Link zum Volltext

Quelle

Wiley Online Library - AutoHoldings Journals

Beschreibungen/Notizen

• ABSTRACT Infantile‐onset cerebellar atrophy (CA) is a clinically and genetically heterogeneous trait. Galloway–Mowat syndrome (GMS) is a rare autosomal recessive disease, characterized by microcephaly with brain anomalies including CA in some cases, intellectual disability, and early‐infantile‐onset nephrotic syndrome. Very recently, WDR73 deficiency was identified as the cause of GMS in five individuals. To evaluate the role of WDR73 mutations as a cause of GMS and other forms of syndromic CA, we performed Sanger or exome sequencing in 51 unrelated patients with CA and variable brain anomalies and in 40 unrelated patients with a diagnosis of GMS. We identified 10 patients from three CA and from two GMS families with WDR73 mutations including the original family described with CA, mental retardation, optic atrophy, and skin abnormalities (CAMOS). There were five novel mutations, of which two were truncating and three were missense mutations affecting highly conserved residues. Individuals carrying homozygous WDR73 mutations mainly presented with a pattern of neurological and neuroimaging findings as well as intellectual disability, while kidney involvement was variable. We document postnatal onset of CA, a retinopathy, basal ganglia degeneration, and short stature as novel features of WDR73‐related disease, and define WDR73‐related disease as a new entity of infantile neurodegeneration. Homozygous WDR73 mutations result in infantile‐onset neurodegeneration with striking cerebellar atrophy and basal ganglia alterations. Some patients also develop nephrotic syndrome.