PMID- 29971521 OWN - NLM STAT- MEDLINE DCOM- 20190926 LR - 20190926 IS - 1364-6753 (Electronic) IS - 1364-6745 (Linking) VI - 19 IP - 3 DP - 2018 Aug TI - R106C TFG variant causes infantile neuroaxonal dystrophy "plus" syndrome. PG - 179-187 LID - 10.1007/s10048-018-0552-x [doi] AB - TFG (tropomyosin-receptor kinase fused gene) encodes an essential protein in the regulation of vesicular trafficking between endoplasmic reticulum and Golgi apparatus. The homozygous variant c.316C > T within TFG has been previously associated with a complicated hereditary spastic paraplegia (HSP) phenotype in two unrelated Indian families. Here, we describe the first Italian family with two affected siblings harboring the same variant, who in childhood were classified as infantile neuroaxonal dystrophy (INAD) based on clinical and neuropathological findings. Twenty years after the first diagnosis, exome sequencing was instrumental to identify the genetic cause of this disorder and clinical follow-up of patients allowed us to reconstruct the natural history of this clinical entity. Investigations on patient's fibroblasts demonstrate the presence of altered mitochondrial network and inner membrane potential, associated with metabolic impairment. Our study highlights phenotypic heterogeneity characterizing individuals carrying the same pathogenic variant in TFG and provides an insight on tight connection linking mitochondrial efficiency and neuronal health to vesicular trafficking. FAU - Catania, A AU - Catania A AD - Molecular Neurogenetics Unit, IRCCS Foundation, C. Besta Neurological Institute, Via L. Temolo n. 4, 20126, Milan, Italy. AD - Department of Medicine and Surgery, PhD Programme in Molecular and Translational Medicine, Milan Bicocca University, Via Cadore 48, 20900, Monza, Italy. FAU - Battini, R AU - Battini R AD - IRCCS Fondazione Stella Maris, Calambrone, Pisa, Italy. AD - Department of Experimental Medicine, University of Pisa, Pisa, Italy. FAU - Pippucci, T AU - Pippucci T AD - Medical Genetics Unit, San'Orsola-Malpighi University Hospital, Via Giuseppe Massarenti 9, 40138, Bologna, Italy. FAU - Pasquariello, R AU - Pasquariello R AD - IRCCS Fondazione Stella Maris, Calambrone, Pisa, Italy. FAU - Chiapparini, M L AU - Chiapparini ML AD - Neuroradiology, Foundation IRCCS, Neurological Institute "C. Besta", Milan, Italy. FAU - Seri, M AU - Seri M AD - Medical Genetics Unit, Sant'Orsola-Malpighi University Hospital, Department of Medical and Surgical Sciences, University of Bologna, Via Giuseppe Massarenti 9, 40138, Bologna, Italy. FAU - Garavaglia, B AU - Garavaglia B AD - Molecular Neurogenetics Unit, IRCCS Foundation, C. Besta Neurological Institute, Via L. Temolo n. 4, 20126, Milan, Italy. FAU - Zorzi, G AU - Zorzi G AD - Child Neurology Unit, Foundation IRCCS, Neurological Institute C. Besta, Milan, Italy. FAU - Nardocci, N AU - Nardocci N AD - Child Neurology Unit, Foundation IRCCS, Neurological Institute C. Besta, Milan, Italy. FAU - Ghezzi, D AU - Ghezzi D AD - Molecular Neurogenetics Unit, IRCCS Foundation, C. Besta Neurological Institute, Via L. Temolo n. 4, 20126, Milan, Italy. AD - Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy. FAU - Tiranti, V AU - Tiranti V AUID- ORCID: 0000-0002-3584-7338 AD - Molecular Neurogenetics Unit, IRCCS Foundation, C. Besta Neurological Institute, Via L. Temolo n. 4, 20126, Milan, Italy. valeria.tiranti@istituto-besta.it. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180703 PL - United States TA - Neurogenetics JT - Neurogenetics JID - 9709714 RN - 0 (Proteins) RN - 0 (TFG protein, human) RN - 94ZLA3W45F (Arginine) RN - K848JZ4886 (Cysteine) SB - IM MH - Adult MH - Amino Acid Substitution/genetics MH - Arginine/genetics MH - Case-Control Studies MH - Cells, Cultured MH - Child MH - Child, Preschool MH - Consanguinity MH - Cysteine/genetics MH - Female MH - Follow-Up Studies MH - Genetic Predisposition to Disease MH - Humans MH - Male MH - Middle Aged MH - *Mutation, Missense MH - Neuroaxonal Dystrophies/*genetics MH - Pedigree MH - Proteins/*genetics MH - Siblings MH - Spastic Paraplegia, Hereditary/genetics OTO - NOTNLM OT - Axonal spheroids OT - Endoplasmic reticulum OT - INAD- TFG OT - Mitochondria EDAT- 2018/07/05 06:00 MHDA- 2019/09/27 06:00 CRDT- 2018/07/05 06:00 PHST- 2018/05/24 00:00 [received] PHST- 2018/06/15 00:00 [accepted] PHST- 2018/07/05 06:00 [pubmed] PHST- 2019/09/27 06:00 [medline] PHST- 2018/07/05 06:00 [entrez] AID - 10.1007/s10048-018-0552-x [pii] AID - 10.1007/s10048-018-0552-x [doi] PST - ppublish SO - Neurogenetics. 2018 Aug;19(3):179-187. doi: 10.1007/s10048-018-0552-x. Epub 2018 Jul 3.