PMID- 26846731 OWN - NLM STAT- MEDLINE DCOM- 20170112 LR - 20181202 IS - 1872-7131 (Electronic) IS - 0387-7604 (Linking) VI - 38 IP - 7 DP - 2016 Aug TI - A girl with infantile neuronal ceroid lipofuscinosis caused by novel PPT1 mutation and paternal uniparental isodisomy of chromosome 1. PG - 674-7 LID - S0387-7604(16)00006-1 [pii] LID - 10.1016/j.braindev.2016.01.004 [doi] AB - BACKGROUND: Infantile neuronal ceroid lipofuscinosis (INCL) is an autosomal recessive disorder starting in infancy as early as 12-month-old, caused by PPT1 (palmitoyl-protein thioesterase 1) mutations, and characterized by progressive psychomotor deterioration, brain atrophy, myoclonic jerk and visual impairment. INCL can be diagnosed by brain magnetic resonance image (MRI) prior to rapid deterioration stage. To date, there is no INCL patient whose manifestation was caused by uniparental isodisomy (UPiD). PATIENT: We reported a girl diagnosed with INCL. Genetic analysis revealed a novel PPT1 mutation c.20_47del28:p.Leu7Hisfs*21. Only the father of the patient was found as a carrier of this mutation. SNP array showed the mutation became homozygous by paternal UPiD of chromosome 1. DISCUSSION: Although ICNL is a rare disease except in Finland, it is not difficult to diagnose it since the clinical symptoms and MRI findings are characteristic. Genetic testing is useful for definitive diagnosis, and distinction of UPiD is essential for genetic counseling. CI - Copyright (c) 2016 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved. FAU - Niida, Yo AU - Niida Y AD - Center for Medical Genetics, Kanazawa Medical University Hospital, Ishikawa, Japan. Electronic address: niida@kanazawa-med.ac.jp. FAU - Yokoi, Ayano AU - Yokoi A AD - Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Sciences, School of Medicine, Kanazawa University, Ishikawa, Japan. FAU - Kuroda, Mondo AU - Kuroda M AD - Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Sciences, School of Medicine, Kanazawa University, Ishikawa, Japan. FAU - Mitani, Yusuke AU - Mitani Y AD - Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Sciences, School of Medicine, Kanazawa University, Ishikawa, Japan. FAU - Nakagawa, Hiroyasu AU - Nakagawa H AD - Department of Pediatrics, Institute of Medical, Pharmaceutical and Health Sciences, School of Medicine, Kanazawa University, Ishikawa, Japan. FAU - Ozaki, Mamoru AU - Ozaki M AD - Division of Genomic Medicine, Department of Advanced Medicine, Medical Research Institute, Kanazawa Medical University, Ishikawa, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20160201 PL - Netherlands TA - Brain Dev JT - Brain & development JID - 7909235 RN - 0 (Membrane Proteins) RN - EC 3.1.2.- (Thiolester Hydrolases) RN - EC 3.1.2.22 (PPT1 protein, human) SB - IM CIN - Brain Dev. 2017 Feb;39(2):184-185. PMID: 27616753 MH - Brain/diagnostic imaging MH - Child, Preschool MH - *Chromosomes, Human, Pair 1 MH - Diagnosis, Differential MH - Female MH - Frameshift Mutation MH - Humans MH - Infant MH - Magnetic Resonance Imaging MH - Membrane Proteins/*genetics MH - Neuronal Ceroid-Lipofuscinoses/diagnosis/*genetics/*physiopathology MH - Oligonucleotide Array Sequence Analysis MH - Polymorphism, Single Nucleotide MH - Thiolester Hydrolases MH - Uniparental Disomy/diagnosis/*genetics/*physiopathology OTO - NOTNLM OT - CLN1 OT - DNA microarray OT - Infantile neuronal ceroid lipofuscinosis OT - PPT1 OT - SNP array OT - Uniparental isodisomy EDAT- 2016/02/06 06:00 MHDA- 2017/01/14 06:00 CRDT- 2016/02/06 06:00 PHST- 2015/12/08 00:00 [received] PHST- 2016/01/07 00:00 [revised] PHST- 2016/01/13 00:00 [accepted] PHST- 2016/02/06 06:00 [entrez] PHST- 2016/02/06 06:00 [pubmed] PHST- 2017/01/14 06:00 [medline] AID - S0387-7604(16)00006-1 [pii] AID - 10.1016/j.braindev.2016.01.004 [doi] PST - ppublish SO - Brain Dev. 2016 Aug;38(7):674-7. doi: 10.1016/j.braindev.2016.01.004. Epub 2016 Feb 1.