A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report

Dynamin 2 mutations are associated with Charcot-Marie-Tooth neuropathy. We report two siblings with a novel missense heterozygous point mutation (c.1609 G>A) in the highly conserved pleckstrin homology domain in exon 15 of Dynamin 2 presenting with progressive length-dependent sensorimotor polyne...

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Main Authors: Carmela V. San Luis MD, Coreen Schwartzlow MD, Kenkichi Nozaki MD, PhD, Eroboghene E. Ubogu MD
Format: Article
Language:English
Published: SAGE Publishing 2022-08-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096221117801
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author Carmela V. San Luis MD
Coreen Schwartzlow MD
Kenkichi Nozaki MD, PhD
Eroboghene E. Ubogu MD
author_facet Carmela V. San Luis MD
Coreen Schwartzlow MD
Kenkichi Nozaki MD, PhD
Eroboghene E. Ubogu MD
author_sort Carmela V. San Luis MD
collection DOAJ
description Dynamin 2 mutations are associated with Charcot-Marie-Tooth neuropathy. We report two siblings with a novel missense heterozygous point mutation (c.1609 G>A) in the highly conserved pleckstrin homology domain in exon 15 of Dynamin 2 presenting with progressive length-dependent sensorimotor polyneuropathy with mixed demyelinating and axonal features on electrodiagnostic studies. The previously unrecognized missense point mutation, which was inherited from their symptomatic but previously undiagnosed mother, was determined to be likely pathogenic based on a non-conservative amino acid substitution (p.Gly537Ser) that is predicted to damage secondary protein structure or function. This report emphasizes the importance of recognizing inherited neuropathies in clinical practice and evaluating suspected pathogenic gene variants initially classified to be of undetermined clinical significance in family cohorts. These cases add to the spectrum of pathogenic Dynamin 2 mutations associated with dominant-intermediate Charcot-Marie-Tooth neuropathy.
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spelling doaj.art-398329859ded4f039c7597b4fc5a44dc2022-12-22T02:15:44ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962022-08-011010.1177/23247096221117801A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case ReportCarmela V. San Luis MD0Coreen Schwartzlow MD1Kenkichi Nozaki MD, PhD2Eroboghene E. Ubogu MD3The University of Alabama at Birmingham, USAThe University of Alabama at Birmingham, USAThe University of Alabama at Birmingham, USAThe University of Alabama at Birmingham, USADynamin 2 mutations are associated with Charcot-Marie-Tooth neuropathy. We report two siblings with a novel missense heterozygous point mutation (c.1609 G>A) in the highly conserved pleckstrin homology domain in exon 15 of Dynamin 2 presenting with progressive length-dependent sensorimotor polyneuropathy with mixed demyelinating and axonal features on electrodiagnostic studies. The previously unrecognized missense point mutation, which was inherited from their symptomatic but previously undiagnosed mother, was determined to be likely pathogenic based on a non-conservative amino acid substitution (p.Gly537Ser) that is predicted to damage secondary protein structure or function. This report emphasizes the importance of recognizing inherited neuropathies in clinical practice and evaluating suspected pathogenic gene variants initially classified to be of undetermined clinical significance in family cohorts. These cases add to the spectrum of pathogenic Dynamin 2 mutations associated with dominant-intermediate Charcot-Marie-Tooth neuropathy.https://doi.org/10.1177/23247096221117801
spellingShingle Carmela V. San Luis MD
Coreen Schwartzlow MD
Kenkichi Nozaki MD, PhD
Eroboghene E. Ubogu MD
A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
Journal of Investigative Medicine High Impact Case Reports
title A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
title_full A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
title_fullStr A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
title_full_unstemmed A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
title_short A Novel Dynamin 2 Mutation Causing Dominant Intermediate Charcot-Marie-Tooth Neuropathy: Case Report
title_sort novel dynamin 2 mutation causing dominant intermediate charcot marie tooth neuropathy case report
url https://doi.org/10.1177/23247096221117801
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