PMID- 21225301 OWN - NLM STAT- MEDLINE DCOM- 20110506 LR - 20231213 IS - 1364-6753 (Electronic) IS - 1364-6745 (Linking) VI - 12 IP - 1 DP - 2011 Feb TI - Genomic duplications mediate overexpression of lamin B1 in adult-onset autosomal dominant leukodystrophy (ADLD) with autonomic symptoms. PG - 65-72 LID - 10.1007/s10048-010-0269-y [doi] AB - Adult-onset autosomal dominant leukodystrophy (ADLD) with autonomic symptoms features micturition urgency, constipation, erectile dysfunction, and orthostatic hypotension, usually followed by pyramidal signs and ataxia. Peripheral nerve conduction is normal. The disease is often mistaken for multiple sclerosis in the initial phase. There is a characteristic pattern of white matter changes in the brain and spinal cord on magnetic resonance imaging (MRI), mild atrophy of the brain, and a more marked atrophy of the spinal cord. ADLD is associated with duplications of the lamin B1 (LMNB1) gene but the mechanism by which the rearrangement conveys the phenotype is not fully defined. We analyzed four unrelated families segregating ADLD with autonomic symptoms for duplications of the LMNB1 gene. A single nucleotide polymorphism (SNP) array analysis revealed novel duplications spanning the entire LMNB1 gene in probands from each of the four families. We then analyzed the expression of lamin B1 in peripheral leukocytes by Western blot analysis in five patients from two available families. The protein levels of lamin B1 were found significantly increased. These results indicate that the ADLD phenotype associated with LMNB1 duplications is mediated by increased levels of the lamin B1 protein. Furthermore, we show that a molecular diagnosis for ADLD with autonomic symptoms can be obtained by a direct analysis of lamin B1 in peripheral leukocytes. FAU - Schuster, Jens AU - Schuster J AD - Department of Genetics and Pathology, The Rudbeck Laboratory and Science for Life Laboratory, Uppsala University and University Hospital, SE-751 85, Uppsala, Sweden. FAU - Sundblom, Jimmy AU - Sundblom J FAU - Thuresson, Ann-Charlotte AU - Thuresson AC FAU - Hassin-Baer, Sharon AU - Hassin-Baer S FAU - Klopstock, Thomas AU - Klopstock T FAU - Dichgans, Martin AU - Dichgans M FAU - Cohen, Oren S AU - Cohen OS FAU - Raininko, Raili AU - Raininko R FAU - Melberg, Atle AU - Melberg A FAU - Dahl, Niklas AU - Dahl N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110112 PL - United States TA - Neurogenetics JT - Neurogenetics JID - 9709714 RN - 0 (Lamin Type B) RN - 0 (RNA, Messenger) SB - IM MH - Adult MH - Autonomic Nervous System Diseases/blood/*genetics/pathology MH - Brain/pathology MH - Case-Control Studies MH - Chromosomes, Human, Pair 5/genetics MH - Female MH - *Gene Duplication MH - Gene Expression MH - Genes, Dominant MH - Hereditary Central Nervous System Demyelinating Diseases/blood/*genetics/pathology MH - Humans MH - Lamin Type B/blood/*genetics MH - Leukocytes/metabolism MH - Magnetic Resonance Imaging MH - Male MH - Middle Aged MH - Pedigree MH - Phenotype MH - Polymorphism, Single Nucleotide MH - RNA, Messenger/blood/genetics EDAT- 2011/01/13 06:00 MHDA- 2011/05/07 06:00 CRDT- 2011/01/13 06:00 PHST- 2010/08/11 00:00 [received] PHST- 2010/11/30 00:00 [accepted] PHST- 2011/01/13 06:00 [entrez] PHST- 2011/01/13 06:00 [pubmed] PHST- 2011/05/07 06:00 [medline] AID - 10.1007/s10048-010-0269-y [doi] PST - ppublish SO - Neurogenetics. 2011 Feb;12(1):65-72. doi: 10.1007/s10048-010-0269-y. Epub 2011 Jan 12.