Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement

Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare type of vacuolating leukodystrophy. Approximately 75% of MLC patients have variants in MLC1, while the rest in GLIALCAM, GPRC5B and AQP4. From the GLIALCAM patients, a classical and a benign phenotype can be distinguished, in...

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Main Authors: Clara Mayayo-Vallverdú, Laura Ferigle, Marta Vecino-Pérez, Julián Lara, Virginia Nunes, Raúl Estévez
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Brain Disorders
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666459323000161
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author Clara Mayayo-Vallverdú
Laura Ferigle
Marta Vecino-Pérez
Julián Lara
Virginia Nunes
Raúl Estévez
author_facet Clara Mayayo-Vallverdú
Laura Ferigle
Marta Vecino-Pérez
Julián Lara
Virginia Nunes
Raúl Estévez
author_sort Clara Mayayo-Vallverdú
collection DOAJ
description Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare type of vacuolating leukodystrophy. Approximately 75% of MLC patients have variants in MLC1, while the rest in GLIALCAM, GPRC5B and AQP4. From the GLIALCAM patients, a classical and a benign phenotype can be distinguished, in which a recessive and dominant inheritance is observed, respectively. Here, we report a new MLC patient harboring two variants in MLC1 with radiological improvement. The patient is heterozygous for the variants c.597+37C>G and c.895–1G>T affecting both mRNA splicing, and the latest causes the deletion p.Pro299_Glu353del. By analyzing mRNA and protein obtained from patient's peripheral blood leukocytes, we could demonstrate the expression of a small amount of wild-type MLC1 mRNA and protein in the patient. Thus, we suggest that the improvement of clinical and radiological abnormalities observed in all remitting MLC patients might be due to the presence of residual amounts of MLC1 protein.
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spelling doaj.art-ee0bb518887d403fa2a6e96bbe1c4b8d2023-11-05T04:05:32ZengElsevierBrain Disorders2666-45932023-09-0111100079Characterization of an MLC patient carrying two MLC1 variants showing radiological improvementClara Mayayo-Vallverdú0Laura Ferigle1Marta Vecino-Pérez2Julián Lara3Virginia Nunes4Raúl Estévez5Genes, Disease and Therapy Program, Molecular Genetics Laboratory-Genes, Disease and Therapy Program-IDIBELL, Genetics Section, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, SpainPhysiology Unit, Department of Physiological Sciences, School of Medicine and Health Sciences, Genes, Disease and Therapy Program, Physiology and Pathology of the Functional Relationship Between Glia and Neurons-IDIBELL, Institute of Neurosciences, University of Barcelona, L'Hospitalet de Llobregat 08907, SpainGenes, Disease and Therapy Program, Molecular Genetics Laboratory-Genes, Disease and Therapy Program-IDIBELL, Genetics Section, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, SpainHospital Universitario Puerta de Hierro, Madrid, SpainGenes, Disease and Therapy Program, Molecular Genetics Laboratory-Genes, Disease and Therapy Program-IDIBELL, Genetics Section, Department of Physiological Sciences, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain; Corresponding author.Physiology Unit, Department of Physiological Sciences, School of Medicine and Health Sciences, Genes, Disease and Therapy Program, Physiology and Pathology of the Functional Relationship Between Glia and Neurons-IDIBELL, Institute of Neurosciences, University of Barcelona, L'Hospitalet de Llobregat 08907, Spain; Centro de Investigación en red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain; Corresponding author at: Centro de Investigación en red de Enfermedades Raras (CIBERER), Instituto de Salud Carlos III, Madrid, Spain.Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a rare type of vacuolating leukodystrophy. Approximately 75% of MLC patients have variants in MLC1, while the rest in GLIALCAM, GPRC5B and AQP4. From the GLIALCAM patients, a classical and a benign phenotype can be distinguished, in which a recessive and dominant inheritance is observed, respectively. Here, we report a new MLC patient harboring two variants in MLC1 with radiological improvement. The patient is heterozygous for the variants c.597+37C>G and c.895–1G>T affecting both mRNA splicing, and the latest causes the deletion p.Pro299_Glu353del. By analyzing mRNA and protein obtained from patient's peripheral blood leukocytes, we could demonstrate the expression of a small amount of wild-type MLC1 mRNA and protein in the patient. Thus, we suggest that the improvement of clinical and radiological abnormalities observed in all remitting MLC patients might be due to the presence of residual amounts of MLC1 protein.http://www.sciencedirect.com/science/article/pii/S2666459323000161Megalencephalic leukoencephalopathy with subcortical cystsMyelinReverting phenotypeMutationsMLC1
spellingShingle Clara Mayayo-Vallverdú
Laura Ferigle
Marta Vecino-Pérez
Julián Lara
Virginia Nunes
Raúl Estévez
Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
Brain Disorders
Megalencephalic leukoencephalopathy with subcortical cysts
Myelin
Reverting phenotype
Mutations
MLC1
title Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
title_full Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
title_fullStr Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
title_full_unstemmed Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
title_short Characterization of an MLC patient carrying two MLC1 variants showing radiological improvement
title_sort characterization of an mlc patient carrying two mlc1 variants showing radiological improvement
topic Megalencephalic leukoencephalopathy with subcortical cysts
Myelin
Reverting phenotype
Mutations
MLC1
url http://www.sciencedirect.com/science/article/pii/S2666459323000161
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