PMID- 31402623 OWN - NLM STAT- MEDLINE DCOM- 20200529 LR - 20210616 IS - 2328-9503 (Electronic) IS - 2328-9503 (Linking) VI - 6 IP - 8 DP - 2019 Aug TI - P5CS expression study in a new family with ALDH18A1-associated hereditary spastic paraplegia SPG9. PG - 1533-1540 LID - 10.1002/acn3.50821 [doi] AB - In 2015-2016, we and others reported ALDH18A1 mutations causing dominant (SPG9A) or recessive (SPG9B) spastic paraplegia. In vitro production of the ALDH18A1 product, Delta(1) -pyrroline-5-carboxylate synthetase (P5CS), appeared necessary for cracking SPG9 disease-causing mechanisms. We now describe a baculovirus-insect cell system that yields mgs of pure human P5CS and that has proven highly valuable with two novel P5CS mutations reported here in new SPG9B patients. We conclude that both mutations are disease-causing, that SPG9B associates with partial P5CS deficiency and that it is clinically more severe than SPG9A, as reflected in onset age, disability, cognitive status, growth, and dysmorphic traits. CI - (c) 2019 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. FAU - Magini, Pamela AU - Magini P AD - Medical Genetics Unit, S. Orsola-Malpighi Hospital, Bologna, Italy. FAU - Marco-Marin, Clara AU - Marco-Marin C AUID- ORCID: 0000-0002-8813-3515 AD - Instituto de Biomedicina de Valencia of the CSIC, Valencia, Spain. AD - Centro para Investigacion Biomedica en Red sobre Enfermedades Raras CIBERER-ISCIII, Valencia, Spain. FAU - Escamilla-Honrubia, Juan M AU - Escamilla-Honrubia JM AD - Instituto de Biomedicina de Valencia of the CSIC, Valencia, Spain. AD - Centro para Investigacion Biomedica en Red sobre Enfermedades Raras CIBERER-ISCIII, Valencia, Spain. FAU - Martinelli, Diego AU - Martinelli D AD - Division of Metabolism, Bambino Gesu Children's Research Hospital, Rome, Italy. FAU - Dionisi-Vici, Carlo AU - Dionisi-Vici C AD - Division of Metabolism, Bambino Gesu Children's Research Hospital, Rome, Italy. FAU - Faravelli, Francesca AU - Faravelli F AD - Clinical Genetics, NE Thames Regional Genetics Service, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, United Kingdom. FAU - Forzano, Francesca AU - Forzano F AD - Clinical Genetics Department, SE Thames Regional Genetics Service, Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom. FAU - Seri, Marco AU - Seri M AD - Medical Genetics Unit, S. Orsola-Malpighi Hospital, Bologna, Italy. AD - Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. FAU - Rubio, Vicente AU - Rubio V AUID- ORCID: 0000-0001-8124-1196 AD - Instituto de Biomedicina de Valencia of the CSIC, Valencia, Spain. AD - Centro para Investigacion Biomedica en Red sobre Enfermedades Raras CIBERER-ISCIII, Valencia, Spain. FAU - Panza, Emanuele AU - Panza E AUID- ORCID: 0000-0002-2338-1139 AD - Medical Genetics Unit, S. Orsola-Malpighi Hospital, Bologna, Italy. AD - Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. LA - eng GR - FDM/6360/Fondazione del Monte di Bologna e Ravenna/International GR - Fundacion Inocente Inocente/International GR - MINECO BFU2017-84264-P/Spanish Government/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190719 PL - United States TA - Ann Clin Transl Neurol JT - Annals of clinical and translational neurology JID - 101623278 RN - EC 1.2.1.3 (ALDH18A1 protein, human) RN - EC 1.2.1.3 (Aldehyde Dehydrogenase) RN - Spastic paraplegia 9, autosomal dominant SB - IM MH - Adult MH - Aldehyde Dehydrogenase/*genetics MH - Animals MH - Bone and Bones/*abnormalities MH - Cataract/*genetics MH - Growth Disorders/*genetics MH - Humans MH - Male MH - Mutation MH - Pedigree MH - Sf9 Cells MH - Spastic Paraplegia, Hereditary/*genetics PMC - PMC6689680 COIS- The authors declare that they do not have any commercial or financial conflict of interests. EDAT- 2019/08/14 06:00 MHDA- 2020/05/30 06:00 PMCR- 2019/07/19 CRDT- 2019/08/13 06:00 PHST- 2019/03/02 00:00 [received] PHST- 2019/05/14 00:00 [revised] PHST- 2019/05/28 00:00 [accepted] PHST- 2019/08/13 06:00 [entrez] PHST- 2019/08/14 06:00 [pubmed] PHST- 2020/05/30 06:00 [medline] PHST- 2019/07/19 00:00 [pmc-release] AID - ACN350821 [pii] AID - 10.1002/acn3.50821 [doi] PST - ppublish SO - Ann Clin Transl Neurol. 2019 Aug;6(8):1533-1540. doi: 10.1002/acn3.50821. Epub 2019 Jul 19.