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Smith, Katherine R.; Damiano, John; Franceschetti, Silvana; Carpenter, Stirling; Canafoglia, Laura; Morbin, Michela; Rossi, Giacomina; Pareyson, Davide; Mole, Sara E.; Staropoli, John F.; Sims, Katherine B.; Lewis, Jada; Lin, Wen-Lang; Dickson, Dennis W.; Dahl, Hans-Henrik; Bahlo, Melanie; Berkovic, Samuel F.
American journal of human genetics, 06/2012, Letnik: 90, Številka: 6Journal Article
We performed hypothesis-free linkage analysis and exome sequencing in a family with two siblings who had neuronal ceroid lipofuscinosis (NCL). Two linkage peaks with maximum LOD scores of 3.07 and 2.97 were found on chromosomes 7 and 17, respectively. Unexpectedly, we found these siblings to be homozygous for a c.813_816del (p.Thr272Serfs∗10) mutation in the progranulin gene (GRN, granulin precursor) in the latter peak. Heterozygous mutations in GRN are a major cause of frontotemporal lobar degeneration with TDP-43 inclusions (FTLD-TDP), the second most common early-onset dementia. Reexamination of progranulin-deficient mice revealed rectilinear profiles typical of NCL. The age-at-onset and neuropathology of FTLD-TDP and NCL are markedly different. Our findings reveal an unanticipated link between a rare and a common neurological disorder and illustrate pleiotropic effects of a mutation in the heterozygous or homozygous states.
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