PMID- 36816038 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230224 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 14 DP - 2023 TI - Case Report: A novel mutation in WFS1 gene (c.1756G>A p.A586T) is responsible for early clinical features of cognitive impairment and recurrent ischemic stroke. PG - 1072978 LID - 10.3389/fgene.2023.1072978 [doi] LID - 1072978 AB - Wolfram syndrome 1 (WFS1) gene mutations can be dominantly or recessively inherited, and the onset of the clinical picture is highly heterogeneity in both appearance and degree of severity. Different types of WFS1 mutations have been identified. Autosomal recessive mutations in the WFS1 gene will underlie Wolfram syndrome 1 (WS1), a rare and severe neurodegenerative disease characterized by diabetes insipidus, diabetes mellitus, optic atrophy, deafness, and other neurological, urological and psychiatric abnormalities. Other WFS1-related disorders such as low-frequency sensorineural hearing impairment (LFSNHI) and Wolfram syndrome-like disease with autosomal dominant transmission have been described. It is difficult to establish genotype-phenotype correlations because of the molecular complexity of wolframin protein. In this report, we presented a case of WSF1 gene mutation-related disease with cognitive impairment as the initial symptom and recurrent cerebral infarction in the course of the disease. Brain structural imaging results suggested decreased intracranial volume, dramatically reduced in cerebral cortex and cerebellum regions. Multimodal molecular imaging results suggested Tau protein deposition in the corresponding brain regions without Abeta pathology changes. These pathological changes may indicate a role of WFS1 in neuronal vulnerability to tau pathology associated with neurodegeneration and ischemia-induced damage. CI - Copyright (c) 2023 Chen, Zhang, Zhou and Li. FAU - Chen, Yuan AU - Chen Y AD - Department of Neurology, Tianjin Huanhu Hospital, Clinical College of Neurology, Neurosurgery, and Neurorehabilitation, Tianjin Medical University, Tianjin, China. AD - Department of Neurology, Tianjin Huanhu Hospital affiliated to Nankai University, Tianjin University Huanhu Hospital, Tianjin, China. AD - Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Neurosurgery Institute, Tianjin Huanhu Hospital, Tianjin, China. FAU - Zhang, Miao AU - Zhang M AD - Department of Neurology, Tianjin Huanhu Hospital, Clinical College of Neurology, Neurosurgery, and Neurorehabilitation, Tianjin Medical University, Tianjin, China. AD - Department of Neurology, Tianjin Huanhu Hospital affiliated to Nankai University, Tianjin University Huanhu Hospital, Tianjin, China. AD - Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Neurosurgery Institute, Tianjin Huanhu Hospital, Tianjin, China. FAU - Zhou, Yuying AU - Zhou Y AD - Department of Neurology, Tianjin Huanhu Hospital, Clinical College of Neurology, Neurosurgery, and Neurorehabilitation, Tianjin Medical University, Tianjin, China. AD - Department of Neurology, Tianjin Huanhu Hospital affiliated to Nankai University, Tianjin University Huanhu Hospital, Tianjin, China. AD - Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Neurosurgery Institute, Tianjin Huanhu Hospital, Tianjin, China. FAU - Li, Pan AU - Li P AD - Department of Neurology, Tianjin Huanhu Hospital, Clinical College of Neurology, Neurosurgery, and Neurorehabilitation, Tianjin Medical University, Tianjin, China. AD - Department of Neurology, Tianjin Huanhu Hospital affiliated to Nankai University, Tianjin University Huanhu Hospital, Tianjin, China. AD - Tianjin Key Laboratory of Cerebral Vascular and Neurodegenerative Diseases, Tianjin Neurosurgery Institute, Tianjin Huanhu Hospital, Tianjin, China. LA - eng PT - Case Reports DEP - 20230202 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC9932685 OTO - NOTNLM OT - WFS1 gene mutation OT - cognitive impairment (CI) OT - ischemic cerebral infarction OT - neurodegeneration OT - wolframin protein 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- 2023/02/24 06:00 MHDA- 2023/02/24 06:01 PMCR- 2023/02/02 CRDT- 2023/02/23 09:17 PHST- 2022/10/18 00:00 [received] PHST- 2023/01/06 00:00 [accepted] PHST- 2023/02/23 09:17 [entrez] PHST- 2023/02/24 06:00 [pubmed] PHST- 2023/02/24 06:01 [medline] PHST- 2023/02/02 00:00 [pmc-release] AID - 1072978 [pii] AID - 10.3389/fgene.2023.1072978 [doi] PST - epublish SO - Front Genet. 2023 Feb 2;14:1072978. doi: 10.3389/fgene.2023.1072978. eCollection 2023.