2016
DOI: 10.1212/nxg.0000000000000098
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Complicated spastic paraplegia in patients with AP5Z1 mutations (SPG48)

Abstract: Objective:Biallelic mutations in the AP5Z1 gene encoding the AP-5 ζ subunit have been described in a small number of patients with hereditary spastic paraplegia (HSP) (SPG48); we sought to define genotype–phenotype correlations in patients with homozygous or compound heterozygous sequence variants predicted to be deleterious.Methods:We performed clinical, radiologic, and pathologic studies in 6 patients with biallelic mutations in AP5Z1.Results:In 4 of the 6 patients, there was complete loss of AP-5 ζ protein.… Show more

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Cited by 36 publications
(30 citation statements)
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“…For example, the levels of bis-monoacylglycerol-phosphate (BMP), which facilitates the degradation of GM2 ganglioside (Anheuser et al, 2015), were reduced in fibroblasts of patients with SERAC1 mutations compared to controls (Wortmann et al, 2012). Importantly, mutations in SPG11, SPG15, SPG48, ATP13A2, and SERAC1 have been associated with parkinsonism in some patients (Ramirez et al, 2006;Anheim et al, 2009;Schicks et al, 2011;Hirst et al, 2016;Ma et al, 2018). The clinical overlap between these patients, as well as the similarities observed in the lysosomal dysfunction suggest that these HSP entities may share some physiopathological pathways, although some differences may exist between them (Vantaggiato et al, 2019).…”
Section: Lysosomal Dysfunctionmentioning
confidence: 99%
“…For example, the levels of bis-monoacylglycerol-phosphate (BMP), which facilitates the degradation of GM2 ganglioside (Anheuser et al, 2015), were reduced in fibroblasts of patients with SERAC1 mutations compared to controls (Wortmann et al, 2012). Importantly, mutations in SPG11, SPG15, SPG48, ATP13A2, and SERAC1 have been associated with parkinsonism in some patients (Ramirez et al, 2006;Anheim et al, 2009;Schicks et al, 2011;Hirst et al, 2016;Ma et al, 2018). The clinical overlap between these patients, as well as the similarities observed in the lysosomal dysfunction suggest that these HSP entities may share some physiopathological pathways, although some differences may exist between them (Vantaggiato et al, 2019).…”
Section: Lysosomal Dysfunctionmentioning
confidence: 99%
“…Thereafter, clinical features included not only prominent spastic paraparesis but also sensory and motor neuropathy, ataxia, dystonia, parkinsonism, and myoclonus. Skin fibroblasts from SPG48 patients tested positive for periodic acid Schiff (PAS) and intrinsic fluorescence material, while electron microscopic analysis indicated lamellar material concordant with abnormal storage of lysosomal material [17].…”
Section: Spg48mentioning
confidence: 99%
“…In the article "Complicated spastic paraplegia in patients with AP5Z1 mutations (SPG48)" by J. Hirst et al, 1 there is an error in the second sentence of the introduction. The third subunit should read only "z" (zeta) rather than "zz5" as originally published.…”
Section: Complicated Spastic Paraplegia In Patients With Ap5z1 Mutatimentioning
confidence: 99%