2004
DOI: 10.1212/01.wnl.0000137044.06573.46
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Aprataxin gene mutations in Tunisian families

Abstract: The authors report clinical and genetic study of 13 patients from three unrelated Tunisian families with an early onset cerebellar ataxia associated with oculomotor apraxia. Cerebellar ataxia with oculomotor apraxia 1 (AOA1) represents a clinically heterogeneous disease caused by mutations in the aprataxin gene. Two novel mutations were identified, the complete deletion of the gene, which seems to not correlate with an increased severity of the disease, and a splice mutation on the acceptor splice site of exon… Show more

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Cited by 43 publications
(30 citation statements)
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“…The deletion mutant, 840delT (2), introduces a frameshift immediately after the W279R missense codon (30), which is also the site of truncation in W279X, the Portuguese founder allele (3,29,30) that has been more recently identified in an American family with coenzyme Q deficiency and cerebellar ataxia (4). The Tunisian splice site alteration, IVS7 ϩ 1, is also expected to truncate the protein NH 2 -terminal to the zinc finger (31). Thus, the 689insT allele is a Hint domain truncation, while the 840delT, W279X, and IVS7 ϩ 1 alleles are zinc finger domain truncation mutants.…”
Section: Resultsmentioning
confidence: 99%
“…The deletion mutant, 840delT (2), introduces a frameshift immediately after the W279R missense codon (30), which is also the site of truncation in W279X, the Portuguese founder allele (3,29,30) that has been more recently identified in an American family with coenzyme Q deficiency and cerebellar ataxia (4). The Tunisian splice site alteration, IVS7 ϩ 1, is also expected to truncate the protein NH 2 -terminal to the zinc finger (31). Thus, the 689insT allele is a Hint domain truncation, while the 840delT, W279X, and IVS7 ϩ 1 alleles are zinc finger domain truncation mutants.…”
Section: Resultsmentioning
confidence: 99%
“…Deletion of the APTX gene has been previously reported in a single family with two affected members; however, these patients were described as having no cognitive deficit, and the neurological symptoms were not assessed as being more severe compared with the classical phenotype 3. Although ataxia is the presenting symptom in the vast majority of reported cases, our patient presented with behavioural changes (withdrawal from previously normal social contact) and difficulties with language acquisition.…”
Section: Discussionmentioning
confidence: 67%
“…The proband showed shortrapid movements in her fingers, but was able to control them, challenging their choreic origin. Third, mental retardation or cognitive impairment are common in Japanese and French patients [2,3] manifesting a dysexecutive syndrome related to dysfunction of the front-cerebellar pathways [3]; the proband did not disclosed mental retardation or cognitive impairment similarly to Portuguese and Tunisian patients [12,13]. Fourth, some authors consider the presence of Babinski sign a distinctive trait of FRDA as to AOA [3].…”
Section: Discussionmentioning
confidence: 99%