An autosomal dominant ERLIN2 mutation leads to a pure HSP phenotype distinct from the autosomal recessive ERLIN2 mutations (SPG18)

Sci Rep. 2020 Feb 24;10(1):3295. doi: 10.1038/s41598-020-60374-y.

Abstract

Hereditary spastic paraplegia (HSP) is a heterogeneous inherited disorder that manifests with lower extremity weakness and spasticity. HSP can be inherited by autosomal dominant, autosomal recessive, and X-linked inheritance patterns. Recent studies have shown that, although rare, mutations in a single gene can lead to multiple patterns of inheritance of HSP. We enrolled the HSP family showing autosomal dominant inheritance and performed genetic study to find the cause of phenotype in this family. We recruited five members of a Korean family as study participants. Four of the five family members had pure HSP. Part of the family members underwent whole-exome sequencing (WES) to identify the causative mutation. As the result of WES and Sanger sequencing analysis, a novel missense mutation (c.452 C > T, p.Ala151Val) of ERLIN2 gene was identified as the cause of the autosomal dominant HSP in the family. Our study suggests that the ERLIN2 gene leads to both autosomal recessive and autosomal dominant patterns of inheritance in HSP. Moreover, autosomal dominant HSP caused by ERLIN2 appears to cause pure HSP in contrast to autosomal recessive ERLIN2 related complicated HSP (SPG18).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Exome
  • Exome Sequencing
  • Female
  • Gait Disorders, Neurologic / genetics
  • Genes, Dominant
  • Genes, Recessive
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Membrane Proteins / genetics*
  • Middle Aged
  • Motor Neuron Disease / genetics
  • Mutation*
  • Mutation, Missense
  • Pedigree
  • Phenotype
  • Republic of Korea
  • Sequence Analysis, DNA
  • Spastic Paraplegia, Hereditary / genetics*

Substances

  • ERLIN2 protein, human
  • Membrane Proteins