Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene

Spinocerebellar ataxia (SCA) 40 is an extremely rare subtype of the phenotypically and genetically diverse autosomal dominant ataxias caused by mutations of the <i>CCDC88C</i> gene. Most reported cases of SCA40 are characterized by late-onset cerebellar ataxia and variable extrapyramidal...

Full description

Bibliographic Details
Main Authors: Fanni Annamária Boros, László Szpisjak, Renáta Bozó, Evelyn Kelemen, Dénes Zádori, András Salamon, Judit Danis, Tibor Kalmár, Zoltán Maróti, Mária Judit Molnár, Péter Klivényi, Márta Széll, Éva Ádám
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/3/2617
_version_ 1797624366558609408
author Fanni Annamária Boros
László Szpisjak
Renáta Bozó
Evelyn Kelemen
Dénes Zádori
András Salamon
Judit Danis
Tibor Kalmár
Zoltán Maróti
Mária Judit Molnár
Péter Klivényi
Márta Széll
Éva Ádám
author_facet Fanni Annamária Boros
László Szpisjak
Renáta Bozó
Evelyn Kelemen
Dénes Zádori
András Salamon
Judit Danis
Tibor Kalmár
Zoltán Maróti
Mária Judit Molnár
Péter Klivényi
Márta Széll
Éva Ádám
author_sort Fanni Annamária Boros
collection DOAJ
description Spinocerebellar ataxia (SCA) 40 is an extremely rare subtype of the phenotypically and genetically diverse autosomal dominant ataxias caused by mutations of the <i>CCDC88C</i> gene. Most reported cases of SCA40 are characterized by late-onset cerebellar ataxia and variable extrapyramidal features; however, there is a report of a patient with early-onset spastic paraparesis as well. Here, we describe a novel missense <i>CCDC88C</i> mutation (p.R203W) in the hook domain of the DAPLE protein encoded by the <i>CCDC88C</i> gene that was identified in a female patient who developed late-onset ataxia, dysmetria and intention tremor. To explore the molecular consequences of the newly identified and previously described <i>CCDC88C</i> mutations, we carried out in vitro functional tests. The <i>CCDC88C</i> alleles were expressed in HEK293 cells, and the impact of the mutant DAPLE protein variants on JNK pathway activation and apoptosis was assessed. Our results revealed only a small-scale activation of the JNK pathway by mutant DAPLE proteins; however, increased JNK1 phosphorylation could not be detected. Additionally, none of the examined mutations triggered proapoptotic effect. In conclusion, we identified a novel mutation of the <i>CCDC88C</i> gene from a patient with spinocerebellar ataxia. Our results are not in accord with previous observations and do not support the primary role of the <i>CCDC88C</i> mutations in induction of JNK pathway activation in ataxia. Therefore, we propose that <i>CCDC88C</i> mutations may exert their effects through different and possibly in much broader, yet unexplored, biological processes.
first_indexed 2024-03-11T09:41:23Z
format Article
id doaj.art-ecbd44b5778e4e0581cb4815948338e9
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-11T09:41:23Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-ecbd44b5778e4e0581cb4815948338e92023-11-16T16:59:51ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-01243261710.3390/ijms24032617Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> GeneFanni Annamária Boros0László Szpisjak1Renáta Bozó2Evelyn Kelemen3Dénes Zádori4András Salamon5Judit Danis6Tibor Kalmár7Zoltán Maróti8Mária Judit Molnár9Péter Klivényi10Márta Széll11Éva Ádám12Department of Neurology, University of Szeged, 6720 Szeged, HungaryDepartment of Neurology, University of Szeged, 6720 Szeged, HungaryDepartment of Dermatology and Allergology, University of Szeged, 6720 Szeged, HungaryDepartment of Dermatology and Allergology, University of Szeged, 6720 Szeged, HungaryDepartment of Neurology, University of Szeged, 6720 Szeged, HungaryDepartment of Neurology, University of Szeged, 6720 Szeged, HungaryELKH-SZTE Dermatological Research Group, Eötvös Loránd Research Network, 6720 Szeged, HungaryGenetic Diagnostic Laboratory, Department of Pediatrics and Pediatric Healthy Care Center, University of Szeged, 6720 Szeged, HungaryGenetic Diagnostic Laboratory, Department of Pediatrics and Pediatric Healthy Care Center, University of Szeged, 6720 Szeged, HungaryInstitute of Genomic Medicine and Rare Disorders, Semmelweis University, 1082 Budapest, HungaryDepartment of Neurology, University of Szeged, 6720 Szeged, HungaryDepartment of Medical Genetics, University of Szeged, 6720 Szeged, HungaryDepartment of Medical Genetics, University of Szeged, 6720 Szeged, HungarySpinocerebellar ataxia (SCA) 40 is an extremely rare subtype of the phenotypically and genetically diverse autosomal dominant ataxias caused by mutations of the <i>CCDC88C</i> gene. Most reported cases of SCA40 are characterized by late-onset cerebellar ataxia and variable extrapyramidal features; however, there is a report of a patient with early-onset spastic paraparesis as well. Here, we describe a novel missense <i>CCDC88C</i> mutation (p.R203W) in the hook domain of the DAPLE protein encoded by the <i>CCDC88C</i> gene that was identified in a female patient who developed late-onset ataxia, dysmetria and intention tremor. To explore the molecular consequences of the newly identified and previously described <i>CCDC88C</i> mutations, we carried out in vitro functional tests. The <i>CCDC88C</i> alleles were expressed in HEK293 cells, and the impact of the mutant DAPLE protein variants on JNK pathway activation and apoptosis was assessed. Our results revealed only a small-scale activation of the JNK pathway by mutant DAPLE proteins; however, increased JNK1 phosphorylation could not be detected. Additionally, none of the examined mutations triggered proapoptotic effect. In conclusion, we identified a novel mutation of the <i>CCDC88C</i> gene from a patient with spinocerebellar ataxia. Our results are not in accord with previous observations and do not support the primary role of the <i>CCDC88C</i> mutations in induction of JNK pathway activation in ataxia. Therefore, we propose that <i>CCDC88C</i> mutations may exert their effects through different and possibly in much broader, yet unexplored, biological processes.https://www.mdpi.com/1422-0067/24/3/2617SCA40CCDC88C mutationJNK pathwayapoptosisataxia
spellingShingle Fanni Annamária Boros
László Szpisjak
Renáta Bozó
Evelyn Kelemen
Dénes Zádori
András Salamon
Judit Danis
Tibor Kalmár
Zoltán Maróti
Mária Judit Molnár
Péter Klivényi
Márta Széll
Éva Ádám
Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
International Journal of Molecular Sciences
SCA40
CCDC88C mutation
JNK pathway
apoptosis
ataxia
title Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
title_full Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
title_fullStr Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
title_full_unstemmed Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
title_short Spinocerebellar Ataxia in a Hungarian Female Patient with a Novel Variant of Unknown Significance in the <i>CCDC88C</i> Gene
title_sort spinocerebellar ataxia in a hungarian female patient with a novel variant of unknown significance in the i ccdc88c i gene
topic SCA40
CCDC88C mutation
JNK pathway
apoptosis
ataxia
url https://www.mdpi.com/1422-0067/24/3/2617
work_keys_str_mv AT fanniannamariaboros spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT laszloszpisjak spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT renatabozo spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT evelynkelemen spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT deneszadori spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT andrassalamon spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT juditdanis spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT tiborkalmar spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT zoltanmaroti spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT mariajuditmolnar spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT peterklivenyi spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT martaszell spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene
AT evaadam spinocerebellarataxiainahungarianfemalepatientwithanovelvariantofunknownsignificanceintheiccdc88cigene