Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26

Hereditary spastic paraplegia (HSP) is a group of neurodegenerative diseases with genetic and clinical heterogeneity characterized by spasticity and weakness of the lower limbs. It includes four genetic inheritance forms: autosomal dominant inheritance (AD), autosomal recessive inheritance (AR), X-l...

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Main Authors: Ze-hua Lai, Xiao-ying Liu, Yuan-yue Song, Hai-yan Zhou, Li-li Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1160110/full
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author Ze-hua Lai
Ze-hua Lai
Xiao-ying Liu
Yuan-yue Song
Hai-yan Zhou
Li-li Zeng
author_facet Ze-hua Lai
Ze-hua Lai
Xiao-ying Liu
Yuan-yue Song
Hai-yan Zhou
Li-li Zeng
author_sort Ze-hua Lai
collection DOAJ
description Hereditary spastic paraplegia (HSP) is a group of neurodegenerative diseases with genetic and clinical heterogeneity characterized by spasticity and weakness of the lower limbs. It includes four genetic inheritance forms: autosomal dominant inheritance (AD), autosomal recessive inheritance (AR), X-linked inheritance, and mitochondrial inheritance. To date, more than 82 gene loci have been found to cause HSP, and SPG15 (ZFYVE26) is one of the most common autosomal recessive hereditary spastic paraplegias (ARHSPs) with a thin corpus callosum (TCC), presents with early cognitive impairment and slowly progressive leg weakness. Here, we reported a homozygous pathogenic variant in ZFYVE26. A 19-year-old Chinese girl was admitted to our hospital presenting with a 2-year progressive bilateral leg spasticity and weakness; early cognitive impairment; corpus callosum dysplasia; chronic neurogenic injury of the medulla oblongata supplied muscles; and bilateral upper and lower limbs on electromyogram (EMG). Based on these clinical and electrophysiological features, HSP was suspected. Exome sequencing of the family was performed by high-throughput sequencing, and an analysis of the patient showed a ZFYVE26 NM_015346: c.7111dupA p.(M2371Nfs*51) homozygous mutation. This case reported a new ZFYVE26 pathogenic variant, which was different from the SPG15 gene mutation reported earlier.
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spelling doaj.art-337daccfdf8c41e5a11655221a12a1ab2023-08-23T19:41:33ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-08-011410.3389/fneur.2023.11601101160110Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26Ze-hua Lai0Ze-hua Lai1Xiao-ying Liu2Yuan-yue Song3Hai-yan Zhou4Li-li Zeng5Department of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Neurology, Yangpu Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Neurology and Institute of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaHereditary spastic paraplegia (HSP) is a group of neurodegenerative diseases with genetic and clinical heterogeneity characterized by spasticity and weakness of the lower limbs. It includes four genetic inheritance forms: autosomal dominant inheritance (AD), autosomal recessive inheritance (AR), X-linked inheritance, and mitochondrial inheritance. To date, more than 82 gene loci have been found to cause HSP, and SPG15 (ZFYVE26) is one of the most common autosomal recessive hereditary spastic paraplegias (ARHSPs) with a thin corpus callosum (TCC), presents with early cognitive impairment and slowly progressive leg weakness. Here, we reported a homozygous pathogenic variant in ZFYVE26. A 19-year-old Chinese girl was admitted to our hospital presenting with a 2-year progressive bilateral leg spasticity and weakness; early cognitive impairment; corpus callosum dysplasia; chronic neurogenic injury of the medulla oblongata supplied muscles; and bilateral upper and lower limbs on electromyogram (EMG). Based on these clinical and electrophysiological features, HSP was suspected. Exome sequencing of the family was performed by high-throughput sequencing, and an analysis of the patient showed a ZFYVE26 NM_015346: c.7111dupA p.(M2371Nfs*51) homozygous mutation. This case reported a new ZFYVE26 pathogenic variant, which was different from the SPG15 gene mutation reported earlier.https://www.frontiersin.org/articles/10.3389/fneur.2023.1160110/fullhereditary spastic paraplegiaZFYVE26case reportnovel homozygous mutationSPG15
spellingShingle Ze-hua Lai
Ze-hua Lai
Xiao-ying Liu
Yuan-yue Song
Hai-yan Zhou
Li-li Zeng
Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
Frontiers in Neurology
hereditary spastic paraplegia
ZFYVE26
case report
novel homozygous mutation
SPG15
title Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
title_full Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
title_fullStr Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
title_full_unstemmed Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
title_short Case report: Hereditary spastic paraplegia with a novel homozygous mutation in ZFYVE26
title_sort case report hereditary spastic paraplegia with a novel homozygous mutation in zfyve26
topic hereditary spastic paraplegia
ZFYVE26
case report
novel homozygous mutation
SPG15
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1160110/full
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