PMID- 18981035 OWN - NLM STAT- MEDLINE DCOM- 20090317 LR - 20220419 IS - 1468-6244 (Electronic) IS - 0022-2593 (Print) IS - 0022-2593 (Linking) VI - 46 IP - 2 DP - 2009 Feb TI - Clinical and genetic delineation of neurodegeneration with brain iron accumulation. PG - 73-80 LID - 10.1136/jmg.2008.061929 [doi] AB - Neurodegeneration with brain iron accumulation (NBIA) describes a group of progressive neurodegenerative disorders characterised by high brain iron and the presence of axonal spheroids, usually limited to the central nervous system. Mutations in the PANK2 gene account for the majority of NBIA cases and cause an autosomal recessive inborn error of coenzyme A metabolism called pantothenate kinase associated neurodegeneration (PKAN). More recently, it was found that mutations in the PLA2G6 gene cause both infantile neuroaxonal dystrophy (INAD) and, more rarely, an atypical neuroaxonal dystrophy that overlaps clinically with other forms of NBIA. High brain iron is also present in a portion of these cases. Clinical assessment, neuroimaging, and molecular genetic testing all play a role in guiding the diagnostic evaluation and treatment of NBIA. FAU - Gregory, A AU - Gregory A AD - Molecular and Medical Genetics, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. gregorya@ohsu.edu FAU - Polster, B J AU - Polster BJ FAU - Hayflick, S J AU - Hayflick SJ LA - eng GR - R01 HD050832-02/HD/NICHD NIH HHS/United States GR - R01 HD 050832/HD/NICHD NIH HHS/United States GR - M01 RR000334/RR/NCRR NIH HHS/United States GR - R01 EY012353/EY/NEI NIH HHS/United States GR - R01 EY 12353/EY/NEI NIH HHS/United States GR - M01 RR 000334/RR/NCRR NIH HHS/United States GR - R01 EY012353-09/EY/NEI NIH HHS/United States GR - R01 HD050832/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20081103 PL - England TA - J Med Genet JT - Journal of medical genetics JID - 2985087R RN - E1UOL152H7 (Iron) RN - EC 2.7.1.- (Phosphotransferases (Alcohol Group Acceptor)) RN - EC 2.7.1.33 (pantothenate kinase) SB - IM MH - Brain/*metabolism/pathology MH - Humans MH - Iron/*metabolism MH - Neuroaxonal Dystrophies/genetics/metabolism/pathology MH - Neurodegenerative Diseases/*diagnosis/*genetics/pathology MH - Phenotype MH - Phosphotransferases (Alcohol Group Acceptor)/metabolism PMC - PMC2675558 MID - NIHMS107481 EDAT- 2008/11/05 09:00 MHDA- 2009/03/18 09:00 PMCR- 2009/04/30 CRDT- 2008/11/05 09:00 PHST- 2008/11/05 09:00 [pubmed] PHST- 2009/03/18 09:00 [medline] PHST- 2008/11/05 09:00 [entrez] PHST- 2009/04/30 00:00 [pmc-release] AID - jmg.2008.061929 [pii] AID - 10.1136/jmg.2008.061929 [doi] PST - ppublish SO - J Med Genet. 2009 Feb;46(2):73-80. doi: 10.1136/jmg.2008.061929. Epub 2008 Nov 3.