2014
DOI: 10.1212/wnl.0000000000000491
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Partial deletion of AFG3L2 causing spinocerebellar ataxia type 28

Abstract: Our study expands the phenotypic characterization of SCA28 by means of brain pathology and diffusion tensor imaging/voxel-based morphometry MRIs. The identification of a partial AFG3L2 deletion and the subsequent functional studies reveal loss of function as the most likely disease mechanism. Specific testing for deletions in AFG3L2 is warranted because these escape standard sequencing.

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Cited by 27 publications
(21 citation statements)
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“…The identified c.2011G>C nucleotide change is a novel variant determining the p.Gly671Arg alteration, which is pathogenic [8]. Table 2 demonstrates that the clinical phenotype of our patients is similar to that of the 82 earlier published SCA28 patients [6][7][8][10][11][12][13][14][15][16][17][18]. The lack of ophthalmoparesis, ptosis and slowing of saccades in our patients are the main differences, but these symptoms usually appear later in the course of the disease.…”
Section: Discussionsupporting
confidence: 69%
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“…The identified c.2011G>C nucleotide change is a novel variant determining the p.Gly671Arg alteration, which is pathogenic [8]. Table 2 demonstrates that the clinical phenotype of our patients is similar to that of the 82 earlier published SCA28 patients [6][7][8][10][11][12][13][14][15][16][17][18]. The lack of ophthalmoparesis, ptosis and slowing of saccades in our patients are the main differences, but these symptoms usually appear later in the course of the disease.…”
Section: Discussionsupporting
confidence: 69%
“…Reviewing the available data from the scientific literature, only 9 out of 82 were described to had some kind of cognitive abnormality, without further specification [6][7][8][10][11][12][13][14][15][16][17][18]. Despite some limitations, including low case number and the fact that neuropsychological tests are poor localizers of brain pathology, the cognitive investigation performed in this study revealed slight abnormalities which may indicate the importance of integrity of cerebellar functioning in intact prefrontal activity [42].…”
Section: Discussionmentioning
confidence: 98%
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“…However, the coexpression of WT and mutant AFG3L2 is able to correct the respiratory defect for most of the mutations, indicating that haploinsufficiency is the disease-causing mechanism (2). Remarkably, a partial AFG3L2 deletion (exons [14][15][16] has been recently identified as the cause of SCA28 in 2 large Belgian families, and functional studies revealed a reduced number of m-AAA complexes in these patients, demonstrating that SCA28 is due to haploinsufficiency (15). Indeed, the Afg3l2-haploinsufficient mouse resembles the phenotype of SCA28 patients, showing a progressive decline in motor performance caused by dark degeneration of Purkinje cells (PC-DCD) (16).…”
Section: Introductionmentioning
confidence: 99%
“…In SCA28, missense mutations were traditionally described in exon 15 and 16 of AFG3L2 [49]. Recently, reports mentioned a deletion of exons 14-16 in two families with classical presentation [50], a deletion encompassing the entire gene in a patient with infancyonset global developmental delay [51], and a frameshift mutation leading to a premature stop codon associated with late-onset HCA and cognitive decline [52]. AFG3L2 was also recently involved in an AR syndrome comprised of spastic ataxia and neuropathy, SPAX5 [53].…”
Section: Novel Types Of Mutations/transmission In Previously Describementioning
confidence: 99%