2009
DOI: 10.1093/brain/awp073
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CYP7B1 mutations in pure and complex forms of hereditary spastic paraplegia type 5

Abstract: Thirty-four different loci for hereditary spastic paraplegias have been mapped, and 16 responsible genes have been identified. Autosomal recessive forms of spastic paraplegias usually have clinically complex phenotypes but the SPG5, SPG24 and SPG28 loci are considered to be associated with 'pure' forms of the disease. Very recently, five mutations in the CYP7B1 gene, encoding a cytochrome P450 oxysterol 7-alpha hydroxylase and expressed in brain and liver, have been found in SPG5 families. We analysed the codi… Show more

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Cited by 96 publications
(96 citation statements)
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“…There are several reports in the literature of white matter hyperintensities (diffuse or patchy) and corpus callosum abnormalities in association with HSP. 9,10,17,19,20,[26][27][28][29][30] Thinning of the cervical and thoracic spinal cord has been noted in HSP. 31 Volume loss is an expected finding as there is a degeneration of the longer corticospinal tracts to the spinal cord (mainly to the lower limbs) and dorsal column pathway within the spinal cord.…”
Section: Discussionmentioning
confidence: 99%
“…There are several reports in the literature of white matter hyperintensities (diffuse or patchy) and corpus callosum abnormalities in association with HSP. 9,10,17,19,20,[26][27][28][29][30] Thinning of the cervical and thoracic spinal cord has been noted in HSP. 31 Volume loss is an expected finding as there is a degeneration of the longer corticospinal tracts to the spinal cord (mainly to the lower limbs) and dorsal column pathway within the spinal cord.…”
Section: Discussionmentioning
confidence: 99%
“…Age at onset varied from 2 to 39 years old (mean, 13.6 ± 11.4 years) but very early ages at onset were exclusively observed in the family published by Erlich et al 4 The coexistence of pure and complicated profiles within one form of HSP is well known in SPG4, SPG5, SPG7, SPG10, SPG27 and SPG31 patients. 13,[16][17][18][19][20][21] Several recently discovered ARHSP forms were initially thought to be pure ARHSP without any cerebellar signs or cerebellar atrophy on brain imaging, a view that was subsequently revised after more families were identified. This was the case for SPG7 (paraplegin) and SPG5 (CYB7B1).…”
Section: Spg30 Phenotypementioning
confidence: 99%
“…The proband had definite HSP with disease onset at the age of seven, and some sensory involvement and seizures. A homozygous c.1450G>A mutation was previously reported in a Tunisian consanguineous family 2 and as a compound heterozygous state in a French sporadic case 4 . The second case was an unrelated French Canadian family (Figure, Family B), both the HSP proband and her affected brother had compound heterozygous mutations in CYP7B1.…”
Section: Resultsmentioning
confidence: 76%
“…Both the proband and her brother had an allele with a c.825T>A change that translates to a protein truncating nonsense mutation (p.Y275X). Homozygous c.825T>A mutations were previously reported in a Portuguese sporadic HSP case in whom additional features of optic atrophy were noted 4 . The second mutated allele of CYP7B1 was found to be a c.1456C>T change that creates a missense mutation p.R486C in the last exon.…”
Section: Resultsmentioning
confidence: 76%