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Expanding the genotype-phenotype spectrum of ISCA2-related multiple mitochondrial dysfunction syndrome-cavitating leukoencephalopathy and prolonged survival.

Identifieur interne : 000133 ( Main/Exploration ); précédent : 000132; suivant : 000134

Expanding the genotype-phenotype spectrum of ISCA2-related multiple mitochondrial dysfunction syndrome-cavitating leukoencephalopathy and prolonged survival.

Auteurs : Tamar Gur Hartman [Israël] ; Keren Yosovich [Israël] ; Hila Gur Michaeli [Israël] ; Lubov Blumkin [Israël] ; Liat Ben-Sira [Israël] ; Dorit Lev [Israël] ; Tally Lerman-Sagie [Israël] ; Ayelet Zerem [Israël]

Source :

RBID : pubmed:32424628

Abstract

Iron-sulfur cluster assembly 2 (ISCA2)-related multiple mitochondrial dysfunction syndrome 4 (MMDS4) is a fatal autosomal recessive mitochondrial leukoencephalopathy. The disease typically manifests with rapid neurodevelopmental deterioration during the first months of life leading to a vegetative state and early death. MRI demonstrates a demyelinating leukodystrophy. We describe an eleven-year-old boy with a milder phenotype of ISCA2 related disorder manifesting as: normal early development, acute infantile neurologic deterioration leading to stable spastic quadriparesis, optic atrophy and mild cognitive impairment. The first MRI demonstrated a diffuse demyelinating leukodystrophy. A sequential MRI revealed white matter rarefaction with well-delineated cysts. The patient harbors two novel bi-allelic variants (p.Ala2Asp and p.Pro138Arg) in ISCA2 inherited from heterozygous carrier parents. This report expands the clinical spectrum of ISCA2-related disorders to include a milder phenotype with a longer life span and better psychomotor function and cavitating leukodystrophy on MRI. We discuss the possible genetic explanation for the different presentation.

DOI: 10.1007/s10048-020-00611-8
PubMed: 32424628


Affiliations:


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<div type="abstract" xml:lang="en">Iron-sulfur cluster assembly 2 (ISCA2)-related multiple mitochondrial dysfunction syndrome 4 (MMDS4) is a fatal autosomal recessive mitochondrial leukoencephalopathy. The disease typically manifests with rapid neurodevelopmental deterioration during the first months of life leading to a vegetative state and early death. MRI demonstrates a demyelinating leukodystrophy. We describe an eleven-year-old boy with a milder phenotype of ISCA2 related disorder manifesting as: normal early development, acute infantile neurologic deterioration leading to stable spastic quadriparesis, optic atrophy and mild cognitive impairment. The first MRI demonstrated a diffuse demyelinating leukodystrophy. A sequential MRI revealed white matter rarefaction with well-delineated cysts. The patient harbors two novel bi-allelic variants (p.Ala2Asp and p.Pro138Arg) in ISCA2 inherited from heterozygous carrier parents. This report expands the clinical spectrum of ISCA2-related disorders to include a milder phenotype with a longer life span and better psychomotor function and cavitating leukodystrophy on MRI. We discuss the possible genetic explanation for the different presentation.</div>
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<ArticleId IdType="pii">10.1007/s10048-020-00611-8</ArticleId>
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<li>Israël</li>
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<name sortKey="Blumkin, Lubov" sort="Blumkin, Lubov" uniqKey="Blumkin L" first="Lubov" last="Blumkin">Lubov Blumkin</name>
<name sortKey="Blumkin, Lubov" sort="Blumkin, Lubov" uniqKey="Blumkin L" first="Lubov" last="Blumkin">Lubov Blumkin</name>
<name sortKey="Hartman, Tamar Gur" sort="Hartman, Tamar Gur" uniqKey="Hartman T" first="Tamar Gur" last="Hartman">Tamar Gur Hartman</name>
<name sortKey="Lerman Sagie, Tally" sort="Lerman Sagie, Tally" uniqKey="Lerman Sagie T" first="Tally" last="Lerman-Sagie">Tally Lerman-Sagie</name>
<name sortKey="Lerman Sagie, Tally" sort="Lerman Sagie, Tally" uniqKey="Lerman Sagie T" first="Tally" last="Lerman-Sagie">Tally Lerman-Sagie</name>
<name sortKey="Lev, Dorit" sort="Lev, Dorit" uniqKey="Lev D" first="Dorit" last="Lev">Dorit Lev</name>
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<name sortKey="Zerem, Ayelet" sort="Zerem, Ayelet" uniqKey="Zerem A" first="Ayelet" last="Zerem">Ayelet Zerem</name>
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