Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)

Abstract Background Schaaf‐Yang syndrome (SYS) is a rare hereditary disease caused by truncating point mutations of the paternal allele of melanoma antigen L2 (MAGEL2), one of five protein‐coding genes within the Prader‐Willi syndrome (PWS) critical domain. SYS shares many clinical and molecular cha...

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Main Authors: Shinsuke Mizuno, Koji Yokoyama, Atsushi Yokoyama, Takayuki Nukata, Yuka Ikeda, Shigeto Hara
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Molecular Genetics & Genomic Medicine
Subjects:
Online Access:https://doi.org/10.1002/mgg3.1932
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author Shinsuke Mizuno
Koji Yokoyama
Atsushi Yokoyama
Takayuki Nukata
Yuka Ikeda
Shigeto Hara
author_facet Shinsuke Mizuno
Koji Yokoyama
Atsushi Yokoyama
Takayuki Nukata
Yuka Ikeda
Shigeto Hara
author_sort Shinsuke Mizuno
collection DOAJ
description Abstract Background Schaaf‐Yang syndrome (SYS) is a rare hereditary disease caused by truncating point mutations of the paternal allele of melanoma antigen L2 (MAGEL2), one of five protein‐coding genes within the Prader‐Willi syndrome (PWS) critical domain. SYS shares many clinical and molecular characteristics with PWS but has some distinct features, such as joint contractures and autism. Patients with PWS show abnormal electroencephalography (EEG) patterns. However, there are very few reports on EEG findings in patients with SYS. Methods A SYS patient was included in this study. Detailed neurological examinations and EEG were performed from neonate to infant ages. Sanger sequencing was performed. Results Our patient presented abnormal EEG findings and had diffuse brain dysfunction symptoms including a reduced level of consciousness, diminished spontaneous movements, hypotonia, feeding difficulties, and hypoventilation from early after birth. As she grew older and her background activity of EEG normalized, her neurodevelopmental symptoms remained but improved. Sanger sequencing of this patient revealed a novel, heterozygous c.2005C > T, truncating mutation in the MEGAL2 gene. Conclusions We described an SYS‐associated, time‐dependent, EEG pattern in a patient with SYS. Our findings of longitudinal EEG changes in a patient with SYS revealed a specific pattern of how affected individuals develop brain function.
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spelling doaj.art-51955a8ec7494325ba1fbed920e0f7fa2022-12-22T00:29:21ZengWileyMolecular Genetics & Genomic Medicine2324-92692022-06-01106n/an/a10.1002/mgg3.1932Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)Shinsuke Mizuno0Koji Yokoyama1Atsushi Yokoyama2Takayuki Nukata3Yuka Ikeda4Shigeto Hara5Department of Pediatrics Japanese Red Cross Society Wakayama Medical Center Wakayama City JapanDepartment of Pediatrics Japanese Red Cross Society Wakayama Medical Center Wakayama City JapanDepartment of Pediatrics Kyoto University Graduate School of Medicine Kyoto JapanDepartment of Pediatrics Japanese Red Cross Society Wakayama Medical Center Wakayama City JapanDepartment of Pediatrics Japanese Red Cross Society Wakayama Medical Center Wakayama City JapanDepartment of Pediatrics Japanese Red Cross Society Wakayama Medical Center Wakayama City JapanAbstract Background Schaaf‐Yang syndrome (SYS) is a rare hereditary disease caused by truncating point mutations of the paternal allele of melanoma antigen L2 (MAGEL2), one of five protein‐coding genes within the Prader‐Willi syndrome (PWS) critical domain. SYS shares many clinical and molecular characteristics with PWS but has some distinct features, such as joint contractures and autism. Patients with PWS show abnormal electroencephalography (EEG) patterns. However, there are very few reports on EEG findings in patients with SYS. Methods A SYS patient was included in this study. Detailed neurological examinations and EEG were performed from neonate to infant ages. Sanger sequencing was performed. Results Our patient presented abnormal EEG findings and had diffuse brain dysfunction symptoms including a reduced level of consciousness, diminished spontaneous movements, hypotonia, feeding difficulties, and hypoventilation from early after birth. As she grew older and her background activity of EEG normalized, her neurodevelopmental symptoms remained but improved. Sanger sequencing of this patient revealed a novel, heterozygous c.2005C > T, truncating mutation in the MEGAL2 gene. Conclusions We described an SYS‐associated, time‐dependent, EEG pattern in a patient with SYS. Our findings of longitudinal EEG changes in a patient with SYS revealed a specific pattern of how affected individuals develop brain function.https://doi.org/10.1002/mgg3.1932electroencephalographyMAGEL2neurodevelopmental disordersSchaaf‐Yang syndrome
spellingShingle Shinsuke Mizuno
Koji Yokoyama
Atsushi Yokoyama
Takayuki Nukata
Yuka Ikeda
Shigeto Hara
Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
Molecular Genetics & Genomic Medicine
electroencephalography
MAGEL2
neurodevelopmental disorders
Schaaf‐Yang syndrome
title Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
title_full Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
title_fullStr Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
title_full_unstemmed Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
title_short Longitudinal analysis of electroencephalography pattern changes in an infant with Schaaf‐Yang syndrome and a novel mutation in melanoma antigen L2 (MAGEL2)
title_sort longitudinal analysis of electroencephalography pattern changes in an infant with schaaf yang syndrome and a novel mutation in melanoma antigen l2 magel2
topic electroencephalography
MAGEL2
neurodevelopmental disorders
Schaaf‐Yang syndrome
url https://doi.org/10.1002/mgg3.1932
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