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JUNCTOPHILIN 3 (JPH3) EXPANSION MUTATIONS CAUSING HUNTINGTON DISEASE LIKE 2 (HDL2) ARE COMMON IN SOUTH AFRICAN PATIENTS WITH AFRICAN ANCESTRY AND A HUNTINGTON DISEASE PHENOTYPE

Identifieur interne : 002C07 ( Main/Exploration ); précédent : 002C06; suivant : 002C08

JUNCTOPHILIN 3 (JPH3) EXPANSION MUTATIONS CAUSING HUNTINGTON DISEASE LIKE 2 (HDL2) ARE COMMON IN SOUTH AFRICAN PATIENTS WITH AFRICAN ANCESTRY AND A HUNTINGTON DISEASE PHENOTYPE

Auteurs : A. Krause [Afrique du Sud] ; Cl Mitchell ; F. Essop [Afrique du Sud] ; S. Tager [Afrique du Sud] ; J. Temlett [Afrique du Sud, Australie] ; G. Stevanin [France] ; Ca Ross [États-Unis] ; Dd Rudnicki [États-Unis] ; Rl Margolis [États-Unis]

Source :

RBID : PMC:4565761

Descripteurs français

English descriptors

Abstract

Huntington disease (HD) is a progressive autosomal dominant neurodegenerative disorder, characterized by abnormal movements, cognitive decline and psychiatric symptoms, caused by a CAG repeat expansion in the huntingtin (HTT) gene on chromosome 4p. A CAG/CTG repeat expansion in the junctophilin-3 (JPH3) gene on chromosome 16q24.2 causes a Huntington disease-like phenotype (HDL2). All patients to date with HDL2 have some African ancestry. The present study aimed to characterize the genetic basis of the Huntington disease phenotype in South Africans and to investigate the possible origin of the JPH3 mutation. In a sample of unrelated South African individuals referred for diagnostic HD testing, 62% (106/171) of white patients compared to only 36% (47/130) of black patients had an expansion in HTT. However, 15% (20/130) of black South African patients and no white patients (0/171) had an expansion in JPH3, confirming the diagnosis of Huntington disease like 2 (HDL2). Individuals with HDL2 share many clinical features with individuals with HD and are clinically indistinguishable in many cases, although the average age of onset and diagnosis in HDL2 is 5 years later than HD and individual clinical features may be more prominent. HDL2 mutations contribute significantly to the HD phenotype in South Africans with African ancestry. JPH3 haplotype studies in 31 families, mainly from South Africa and North America, provide evidence for a founder mutation and support a common African origin for all HDL2 patients. Molecular testing in individuals with an HD phenotype and African ancestry should include testing routinely for JPH3 mutations.


Url:
DOI: 10.1002/ajmg.b.32332
PubMed: 26079385
PubMed Central: 4565761


Affiliations:


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Le document en format XML

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<term>Chorea (genetics)</term>
<term>Chorea (pathology)</term>
<term>Cognition Disorders (ethnology)</term>
<term>Cognition Disorders (genetics)</term>
<term>Cognition Disorders (pathology)</term>
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<term>Dementia (genetics)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Humains</term>
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<term>Maladies neurodégénératives héréditaires (génétique)</term>
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<term>Chorée</term>
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<term>Maladie de Huntington</term>
<term>Maladies neurodégénératives héréditaires</term>
<term>Population d'origine africaine</term>
<term>Population d'origine européenne</term>
<term>Protéines membranaires</term>
<term>Troubles de la cognition</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Chorea</term>
<term>Cognition Disorders</term>
<term>Dementia</term>
<term>Heredodegenerative Disorders, Nervous System</term>
<term>Huntington Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Female</term>
<term>Genetic Association Studies</term>
<term>Haplotypes</term>
<term>Humans</term>
<term>Male</term>
<term>Microsatellite Repeats</term>
<term>Middle Aged</term>
<term>Mutation</term>
<term>Polymorphism, Single Nucleotide</term>
<term>Trinucleotide Repeats</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Haplotypes</term>
<term>Humains</term>
<term>Mutation</term>
<term>Mâle</term>
<term>Polymorphisme de nucléotide simple</term>
<term>République d'Afrique du Sud</term>
<term>Répétitions de trinucléotides</term>
<term>Répétitions microsatellites</term>
<term>Études d'associations génétiques</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Afrique du Sud</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">Huntington disease (HD) is a progressive autosomal dominant neurodegenerative disorder, characterized by abnormal movements, cognitive decline and psychiatric symptoms, caused by a CAG repeat expansion in the
<italic>huntingtin</italic>
(
<italic>HTT</italic>
) gene on chromosome 4p. A CAG/CTG repeat expansion in the
<italic>junctophilin-3</italic>
(
<italic>JPH3</italic>
) gene on chromosome 16q24.2 causes a Huntington disease-like phenotype (HDL2). All patients to date with HDL2 have some African ancestry. The present study aimed to characterize the genetic basis of the Huntington disease phenotype in South Africans and to investigate the possible origin of the
<italic>JPH3</italic>
mutation. In a sample of unrelated South African individuals referred for diagnostic HD testing, 62% (106/171) of white patients compared to only 36% (47/130) of black patients had an expansion in
<italic>HTT</italic>
. However, 15% (20/130) of black South African patients and no white patients (0/171) had an expansion in
<italic>JPH3</italic>
, confirming the diagnosis of Huntington disease like 2 (HDL2). Individuals with HDL2 share many clinical features with individuals with HD and are clinically indistinguishable in many cases, although the average age of onset and diagnosis in HDL2 is 5 years later than HD and individual clinical features may be more prominent. HDL2 mutations contribute significantly to the HD phenotype in South Africans with African ancestry.
<italic>JPH3</italic>
haplotype studies in 31 families, mainly from South Africa and North America, provide evidence for a founder mutation and support a common African origin for all HDL2 patients. Molecular testing in individuals with an HD phenotype and African ancestry should include testing routinely for
<italic>JPH3</italic>
mutations.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Australie</li>
<li>France</li>
<li>États-Unis</li>
</country>
<region>
<li>Gauteng</li>
<li>Maryland</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Johannesbourg</li>
<li>Paris</li>
</settlement>
<orgName>
<li>Université du Witwatersrand</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Mitchell, Cl" sort="Mitchell, Cl" uniqKey="Mitchell C" first="Cl" last="Mitchell">Cl Mitchell</name>
</noCountry>
<country name="Afrique du Sud">
<region name="Gauteng">
<name sortKey="Krause, A" sort="Krause, A" uniqKey="Krause A" first="A" last="Krause">A. Krause</name>
</region>
<name sortKey="Essop, F" sort="Essop, F" uniqKey="Essop F" first="F" last="Essop">F. Essop</name>
<name sortKey="Tager, S" sort="Tager, S" uniqKey="Tager S" first="S" last="Tager">S. Tager</name>
<name sortKey="Temlett, J" sort="Temlett, J" uniqKey="Temlett J" first="J" last="Temlett">J. Temlett</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Temlett, J" sort="Temlett, J" uniqKey="Temlett J" first="J" last="Temlett">J. Temlett</name>
</noRegion>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Stevanin, G" sort="Stevanin, G" uniqKey="Stevanin G" first="G" last="Stevanin">G. Stevanin</name>
</region>
<name sortKey="Stevanin, G" sort="Stevanin, G" uniqKey="Stevanin G" first="G" last="Stevanin">G. Stevanin</name>
</country>
<country name="États-Unis">
<region name="Maryland">
<name sortKey="Ross, Ca" sort="Ross, Ca" uniqKey="Ross C" first="Ca" last="Ross">Ca Ross</name>
</region>
<name sortKey="Margolis, Rl" sort="Margolis, Rl" uniqKey="Margolis R" first="Rl" last="Margolis">Rl Margolis</name>
<name sortKey="Rudnicki, Dd" sort="Rudnicki, Dd" uniqKey="Rudnicki D" first="Dd" last="Rudnicki">Dd Rudnicki</name>
</country>
</tree>
</affiliations>
</record>

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