PMID- 37503585 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230731 IS - 0253-9772 (Print) IS - 0253-9772 (Linking) VI - 45 IP - 7 DP - 2023 Jul 20 TI - Diagnosis, treatment and genetic analysis of a child with infantile neuroaxonal dystrophy. PG - 617-623 LID - 10.16288/j.yczz.23-034 [doi] AB - Infantile neuroaxonal dystrophy (INAD) is a rare autosomal recessive neurodegenerative disease characterized by early hypotonia, and rapid progression to psychomotor development regression, pyramidal tract positivity, and spastic quadriplegia. In this report, we describe a Chinese patient with INAD who presented with hypotonia, delayed motor and language development, and subsequently improved with rehabilitation training. Genetic testing revealed that the patient had compound heterozygous PLA2G6 gene variants, with the heterozygous c.496dupG (p.Glu166fsTer32) variant inherited from her father and the heterozygous c.2189T>G (p.Met730Arg) variant inherited from her mother. The p.Met730Arg was a novel variant. The protein structure predicts that the structural stability of the mutant protein may change, and the in vivo experimental results show that the expression of the mutant protein decrease. This study enriches the PLA2G6 gene mutation spectrum, and improves the clinicians' diagnostic awareness of INAD. FAU - Gong, Wei-da AU - Gong WD AD - Department of Rehabilitation, Wuhu No.1 People's Hospotal of Anhui Province, Wuhu 241060. FAU - Tao, Gang AU - Tao G AD - Department of Rehabilitation, Wuhu No.1 People's Hospotal of Anhui Province, Wuhu 241060. FAU - Zhao, Tian-Tian AU - Zhao TT AD - Department of Rehabilitation, Wuhu No.1 People's Hospotal of Anhui Province, Wuhu 241060. FAU - Yang, Yue AU - Yang Y AD - Department of Rehabilitation, Wuhu No.1 People's Hospotal of Anhui Province, Wuhu 241060. FAU - Ji, Hong AU - Ji H AD - Department of Rehabilitation, Wuhu No.1 People's Hospotal of Anhui Province, Wuhu 241060. LA - eng PT - Journal Article PL - China TA - Yi Chuan JT - Yi chuan = Hereditas JID - 9436478 SB - IM MH - Humans MH - Child MH - Female MH - *Neurodegenerative Diseases/genetics MH - Muscle Hypotonia/genetics MH - Genetic Testing MH - Mutation MH - *Neuroaxonal Dystrophies/genetics OTO - NOTNLM OT - PLA2G6 OT - infantile neuroaxonal dystrophy (INAD) EDAT- 2023/07/28 06:42 MHDA- 2023/07/31 06:42 CRDT- 2023/07/28 04:43 PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/28 06:42 [pubmed] PHST- 2023/07/28 04:43 [entrez] AID - 23-034 [pii] AID - 10.16288/j.yczz.23-034 [doi] PST - ppublish SO - Yi Chuan. 2023 Jul 20;45(7):617-623. doi: 10.16288/j.yczz.23-034.