PMID- 35911906 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220802 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 13 DP - 2022 TI - Novel PLA2G6 Pathogenic Variants in Chinese Patients With PLA2G6-Associated Neurodegeneration. PG - 922528 LID - 10.3389/fneur.2022.922528 [doi] LID - 922528 AB - BACKGROUND: PLA2G6-associated neurodegeneration (PLAN) is a heterogeneous group of neurodegenerative diseases caused by biallelic PLA2G6 mutations, covering diseases such as infantile neuroaxonal dystrophy (INAD), atypical neuroaxonal dystrophy (ANAD), dystonia parkinsonism (DP), and autosomal recessive early-onset parkinsonism (AREP). The study aims to report the clinical and genetic features of a series of PLAN patients. METHODS: The clinical and radiological findings of five Chinese patients from three families were collected. Whole-exome next generation sequencing (NGS) was applied to identify the genetic causes. Co-segregation analysis of the detected candidate variants were performed in their families. The pathogenicity of identified novel variants was predicted by in silico analysis. RESULTS: NGS revealed compound heterozygous variants of PLA2G6 gene in all five patients. There were six PLA2G6 variants identified, including two known variants (c.116G>A, c.238G>A) and four novel variants (c.2120dupA, c.2071C>G, c.967G>A, c1534T>A). ACMG predicts c.2120dupA to be pathogenic, c.2071C>G and c.1534T>A to be likely pathogenic, and c1534T>A to be of uncertain significance. Clinically, four patients fell into the diagnosis of ANAD, and 1 into the diagnosis of AREP. Brain imaging revealed cerebellar atrophy, iron deposition in bilateral globus pallidus, and substantia nigra in three cases. CONCLUSIONS: Four novel pathogenic variants were discovered and the pathogenic variant spectrum of the PLA2G6 gene was expanded. CI - Copyright (c) 2022 Wan, Jiang, Xie, Ling, Du, Li, Yuan, Wang, Sun and Jin. FAU - Wan, Yalan AU - Wan Y AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Jiang, Yanyan AU - Jiang Y AD - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Xie, Zhiying AU - Xie Z AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Ling, Chen AU - Ling C AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Du, Kang AU - Du K AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Li, Ran AU - Li R AD - Department of Neurology, Huoguosi TCM Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China. FAU - Yuan, Yun AU - Yuan Y AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Wang, Zhaoxia AU - Wang Z AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Sun, Wei AU - Sun W AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Jin, Haiqiang AU - Jin H AD - Department of Neurology, Peking University First Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20220713 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC9327523 OTO - NOTNLM OT - PLA2G6 gene OT - atypical neuroaxonal dystrophy OT - iron deposition OT - neurogenetic OT - parkinsonism COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/08/02 06:00 MHDA- 2022/08/02 06:01 PMCR- 2022/07/13 CRDT- 2022/08/01 03:53 PHST- 2022/04/18 00:00 [received] PHST- 2022/06/20 00:00 [accepted] PHST- 2022/08/01 03:53 [entrez] PHST- 2022/08/02 06:00 [pubmed] PHST- 2022/08/02 06:01 [medline] PHST- 2022/07/13 00:00 [pmc-release] AID - 10.3389/fneur.2022.922528 [doi] PST - epublish SO - Front Neurol. 2022 Jul 13;13:922528. doi: 10.3389/fneur.2022.922528. eCollection 2022.