1. Biallelic PTRHD1 Frameshift Variants Associated with Intellectual Disability, Spasticity, and Parkinsonism
- Author
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Tariq Al-Jabry, Abeer Al-Saegh, Ghalia Al-Kasbi, Almundher Al-Maawali, Fahad Zadjali, Ahmed Al-Qassabi, and Said Al-Yahyaee
- Subjects
Sanger sequencing ,Genetics ,Messenger RNA ,Parkinsonism ,Brief Report ,Biology ,medicine.disease ,Frameshift mutation ,Reverse transcription polymerase chain reaction ,symbols.namesake ,Exon ,Neurology ,Intellectual disability ,medicine ,symbols ,Neurology (clinical) ,Gene - Abstract
BACKGROUND: PTRHD1 was proposed as a disease‐causing gene of intellectual disability, spasticity, and parkinsonism. OBJECTIVES: To characterize the clinical phenotype and the molecular cause of intellectual disability in four affected individuals of a consanguineous family. METHODS: Clinical evaluation, whole‐exome sequencing, Sanger sequencing, reverse transcription polymerase chain reaction (PCR), real‐time PCR, immunoblot, and isoelectric focusing. RESULTS: A homozygous 28‐nucleotide frameshift deletion introducing a premature stop codon in the PTRHD1 exon 1 was identified in the four affected members. We further confirmed the apparent transcript escape of the nonsense‐mediated messenger RNA (mRNA) decay pathway. Real‐time PCR showed that mRNA expression of the mutant PTRHD1 is higher compared to the wild‐type. Western blotting and isoelectric focusing identified a truncated, but stable mutant PTRHD1 protein expressed in the patient's primary cells. CONCLUSIONS: We provide further evidence that PTRHD1 mutations are associated with autosomal‐recessive childhood‐onset intellectual disability associated with spasticity and parkinsonism.
- Published
- 2021