Ontology highlight
ABSTRACT: Objective
We aimed to decipher the molecular genetic basis of disease in a cohort of children with a uniform clinical presentation of neonatal irritability, spastic or dystonic quadriplegia, virtually absent psychomotor development, axonal neuropathy, and elevated blood/CSF lactate.Methods
We performed whole-exome sequencing of blood DNA from the index patients. Detected compound heterozygous mutations were confirmed by Sanger sequencing. Structural predictions and a bacterial activity assay were performed to evaluate the functional consequences of the mutations. Mass spectrometry, Western blotting, and protein oxidation detection were used to analyze the effects of selenoprotein deficiency.Results
Neuropathology indicated laminar necrosis and severe loss of myelin, with neuron loss and astrogliosis. In 3 families, we identified a missense (p.Thr325Ser) and a nonsense (p.Tyr429*) mutation in SEPSECS, encoding the O-phosphoseryl-tRNA:selenocysteinyl-tRNA synthase, which was previously associated with progressive cerebellocerebral atrophy. We show that the mutations do not completely abolish the activity of SEPSECS, but lead to decreased selenoprotein levels, with demonstrated increase in oxidative protein damage in the patient brain.Conclusions
These results extend the phenotypes caused by defective selenocysteine biosynthesis, and suggest SEPSECS as a candidate gene for progressive encephalopathies with lactate elevation.
SUBMITTER: Anttonen AK
PROVIDER: S-EPMC4520820 | biostudies-literature | 2015 Jul
REPOSITORIES: biostudies-literature
Anttonen Anna-Kaisa AK Hilander Taru T Linnankivi Tarja T Isohanni Pirjo P French Rachel L RL Liu Yuchen Y Simonović Miljan M Söll Dieter D Somer Mirja M Muth-Pawlak Dorota D Corthals Garry L GL Laari Anni A Ylikallio Emil E Lähde Marja M Valanne Leena L Lönnqvist Tuula T Pihko Helena H Paetau Anders A Lehesjoki Anna-Elina AE Suomalainen Anu A Tyynismaa Henna H
Neurology 20150626 4
<h4>Objective</h4>We aimed to decipher the molecular genetic basis of disease in a cohort of children with a uniform clinical presentation of neonatal irritability, spastic or dystonic quadriplegia, virtually absent psychomotor development, axonal neuropathy, and elevated blood/CSF lactate.<h4>Methods</h4>We performed whole-exome sequencing of blood DNA from the index patients. Detected compound heterozygous mutations were confirmed by Sanger sequencing. Structural predictions and a bacterial ac ...[more]