1993
DOI: 10.1159/000154164
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Assessment of Nonallelic Genetic Heterogeneity of Chronic (Type II and III) Spinal Muscular Atrophy

Abstract: We have previously reported the mapping of the chronic (type II/intermediate and type III/mild/Kugelberg-Welander) form of the childhood-onset spinal muscular atrophies (SMA) to chromosome 5q11.2–13.3, with evidence for nonallelic genetic heterogeneity within a small sample of seven families [Brzustowicz et al., Nature 1990;344:540–541]. We now report the results of linkage analysis and heterogeneity testing on a set of 38 families with chronic SMA. Significant evidence for nonallelic heterogeneity was detecte… Show more

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Cited by 16 publications
(4 citation statements)
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“…Of the clinical variables assessed, only a significantly higher rate of social affairs phobia distinguished single and comorbid social phobia cases; but half of the comorbid probands also reported this phobia. The observation of considerable transmissional heterogeneity within clinically (phenomenologically) defined groups is consistent with recent studies in other areas of medicine (Coyle and Puttfarcken, 1993;Kmg et al, 1992;Brzustowicz et al, 1993). Nevertheless, further investigation of possible overlap between our family study findings and other previously studied indicators of heterogeneity within social phobia (e.g., generalized vs. non-generalized) (Heimberg et al, 1990;Levin et al, 1993;Mannuzza et al, 1995;Liebowitz, 1993) would be an interesting next step.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…Of the clinical variables assessed, only a significantly higher rate of social affairs phobia distinguished single and comorbid social phobia cases; but half of the comorbid probands also reported this phobia. The observation of considerable transmissional heterogeneity within clinically (phenomenologically) defined groups is consistent with recent studies in other areas of medicine (Coyle and Puttfarcken, 1993;Kmg et al, 1992;Brzustowicz et al, 1993). Nevertheless, further investigation of possible overlap between our family study findings and other previously studied indicators of heterogeneity within social phobia (e.g., generalized vs. non-generalized) (Heimberg et al, 1990;Levin et al, 1993;Mannuzza et al, 1995;Liebowitz, 1993) would be an interesting next step.…”
Section: Discussionsupporting
confidence: 88%
“…G e n e t i c studies indicate considerable causal heterogeneity within descriptively defined diagnostic categories (Hall et al, 1990;Motulsky and Brunzell, 1992;King et al, 1992;Brzustowicz et al, 1993). In some cases several different genotypes result in the same clinical syndrome (e.g., amyotrophic lateral sclerosis, diabetes) (Coyle and Puttfarcken, 1993;Hashimoto et al, 1994).…”
Section: Introductionmentioning
confidence: 99%
“…SMA is caused by mutations or deletions in the SMN1 gene (Lefebvre et al, 1995). Due to a second, partially functionally copy, named SMN2 , SMA is a disease of low SMN levels, rather than no SMN (Brzustowicz et al, 1993; Rochette et al, 2001). The clinical severity of SMA is categorized into 4 main types, which vary in their time of onset and expected prognosis (reviewed in Boyer et al, 2010).…”
Section: Spinal Muscular Atrophymentioning
confidence: 99%
“…Type I (Werdnig-Hoffmann disease) is the most severe form of SMA, with onset at birth or within the first few months of life, and death usually before age 2. Type II is an intermediate form and Type III (Kugelberg-Welander disease) is the mildest form and usually presents after age 24 months.All three types of SMA have been mapped, using linkage analysis, to chromosome region 5q11.2-13.3 [Gilliam et al, 1990;Melki et al, 1990aMelki et al, , 1990bBrzustowicz et al, 1993;Merette et al, 1994]. The search for an SMA-determining gene was complicated by the instability and complexity of the region-a 500-kb inverted duplication-containing repetitive sequence elements, retrotransposon-like sequences, and expressed pseudogenes [Francis et al, 1995;Lewin, 1995;Selig et al, 1995;Rodrigues et al, 1996;Burglen et al, 1997].…”
mentioning
confidence: 99%