2003
DOI: 10.1212/01.wnl.0000048562.88536.a4
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Phenotypic variability of aprataxin gene mutations

Abstract: The clinical and genetic features of three non-Portuguese and non-Japanese patients with aprataxin gene mutations are reported. Patient 1 came from Italy and presented with typical ataxia with ocular motor apraxia (OMA). She was homozygous for the W279X nonsense mutation, which is associated with the Portuguese founding haplotype. Patients 2 and 3 were French siblings and did not present with either OMA or hypoalbuminemia. They were compound heterozygous for the nonsense W279X mutation and a missense K197Q mut… Show more

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Cited by 73 publications
(64 citation statements)
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“…AOA1 should therefore be considered as a possible diagnosis in all patients with early-onset cerebellar ataxia with or without familial histories, after exclusion of Friedreich's ataxia. The most frequent AOA1 phenotype associates cerebellar ataxia with cerebellar atrophy visualized by MRI, chorea, axonal sensorimotor neuropathy and deep sensory loss as previously described (Shimazaki et al, 2002;Tranchant et al, 2003). OMA, which is the hallmark of the disease, is present in most (86%), but not all patients.…”
Section: Discussionmentioning
confidence: 73%
“…AOA1 should therefore be considered as a possible diagnosis in all patients with early-onset cerebellar ataxia with or without familial histories, after exclusion of Friedreich's ataxia. The most frequent AOA1 phenotype associates cerebellar ataxia with cerebellar atrophy visualized by MRI, chorea, axonal sensorimotor neuropathy and deep sensory loss as previously described (Shimazaki et al, 2002;Tranchant et al, 2003). OMA, which is the hallmark of the disease, is present in most (86%), but not all patients.…”
Section: Discussionmentioning
confidence: 73%
“…This evidence stems from its interaction with a number of proteins involved in DNA break repair, including poly(ADP- FIGURE 7. A, the effect of the 21-bp duplex DNA on the catalytic activity of Aprataxin (1 mM) using Ap 4 A as a substrate. The velocity of the reaction is expressed as a percent of the control reaction, that has no DNA and is plotted against increasing DNA concentration in the presence of 500 M Ap 4 A.…”
Section: Discussionmentioning
confidence: 99%
“…Two different size transcripts were identified for Aprataxin by Northern blot analysis and sequencing and were predicted to encode short (19 kDa) and long (39 kDa) forms of the protein. A series of mutations has been described in APTX, primarily localizing to the histidine triad (HIT) domain centrally located in the molecule (1,4). Aprataxin also contains an N-terminal Forkhead-associated (FHA) domain that binds phosphoproteins and a C-terminal putative zinc finger DNA binding domain (2,3,5,6).…”
mentioning
confidence: 99%
“…Aprataxin is a member of the histidine triad (HIT) superfamily of nucleotide hydrolases and transferases, and it removes 5′-AMP groups that arise from aborted DNA ligation reactions (3)(4)(5)(6). The clinical symptoms of AOA1 include global cerebellar atrophy characterized by loss of Purkinje cells, ocular motor apraxia, and motor and sensory neuropathy (7)(8)(9)(10)(11)(12)(13). The pathophysiology of AOA1 overlaps with both Friedreich's ataxia (FA) and Ataxia-Telangiectasia (A-T), rare disorders that present with similar neurological symptoms but different underlying genetic mutations (14).…”
mentioning
confidence: 99%