An empirical pipeline for personalized diagnosis of Lafora disease mutations
Summary: Lafora disease (LD) is a fatal childhood dementia characterized by progressive myoclonic epilepsy manifesting in the teenage years, rapid neurological decline, and death typically within ten years of onset. Mutations in either EPM2A, encoding the glycogen phosphatase laforin, or EPM2B, enco...
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2021
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oai:doaj.org-article:08a505503d644df58c43dc58bd8a29372021-11-20T05:09:12ZAn empirical pipeline for personalized diagnosis of Lafora disease mutations2589-004210.1016/j.isci.2021.103276https://doaj.org/article/08a505503d644df58c43dc58bd8a29372021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589004221012451https://doaj.org/toc/2589-0042Summary: Lafora disease (LD) is a fatal childhood dementia characterized by progressive myoclonic epilepsy manifesting in the teenage years, rapid neurological decline, and death typically within ten years of onset. Mutations in either EPM2A, encoding the glycogen phosphatase laforin, or EPM2B, encoding the E3 ligase malin, cause LD. Whole exome sequencing has revealed many EPM2A variants associated with late-onset or slower disease progression. We established an empirical pipeline for characterizing the functional consequences of laforin missense mutations in vitro using complementary biochemical approaches. Analysis of 26 mutations revealed distinct functional classes associated with different outcomes that were supported by clinical cases. For example, F321C and G279C mutations have attenuated functional defects and are associated with slow progression. This pipeline enabled rapid characterization and classification of newly identified EPM2A mutations, providing clinicians and researchers genetic information to guide treatment of LD patients.M. Kathryn BrewerMaria Machio-CastelloRosa VianaJeremiah L. WayneAndrea KuchtováZoe R. SimmonsSarah SternbachSheng LiMaria Adelaida García-GimenoJose M. SerratosaPascual SanzCraig W. Vander KooiMatthew S. GentryElsevierarticleDiseaseBiochemistryStructural biologyBiophysicsScienceQENiScience, Vol 24, Iss 11, Pp 103276- (2021) |
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Disease Biochemistry Structural biology Biophysics Science Q |
spellingShingle |
Disease Biochemistry Structural biology Biophysics Science Q M. Kathryn Brewer Maria Machio-Castello Rosa Viana Jeremiah L. Wayne Andrea Kuchtová Zoe R. Simmons Sarah Sternbach Sheng Li Maria Adelaida García-Gimeno Jose M. Serratosa Pascual Sanz Craig W. Vander Kooi Matthew S. Gentry An empirical pipeline for personalized diagnosis of Lafora disease mutations |
description |
Summary: Lafora disease (LD) is a fatal childhood dementia characterized by progressive myoclonic epilepsy manifesting in the teenage years, rapid neurological decline, and death typically within ten years of onset. Mutations in either EPM2A, encoding the glycogen phosphatase laforin, or EPM2B, encoding the E3 ligase malin, cause LD. Whole exome sequencing has revealed many EPM2A variants associated with late-onset or slower disease progression. We established an empirical pipeline for characterizing the functional consequences of laforin missense mutations in vitro using complementary biochemical approaches. Analysis of 26 mutations revealed distinct functional classes associated with different outcomes that were supported by clinical cases. For example, F321C and G279C mutations have attenuated functional defects and are associated with slow progression. This pipeline enabled rapid characterization and classification of newly identified EPM2A mutations, providing clinicians and researchers genetic information to guide treatment of LD patients. |
format |
article |
author |
M. Kathryn Brewer Maria Machio-Castello Rosa Viana Jeremiah L. Wayne Andrea Kuchtová Zoe R. Simmons Sarah Sternbach Sheng Li Maria Adelaida García-Gimeno Jose M. Serratosa Pascual Sanz Craig W. Vander Kooi Matthew S. Gentry |
author_facet |
M. Kathryn Brewer Maria Machio-Castello Rosa Viana Jeremiah L. Wayne Andrea Kuchtová Zoe R. Simmons Sarah Sternbach Sheng Li Maria Adelaida García-Gimeno Jose M. Serratosa Pascual Sanz Craig W. Vander Kooi Matthew S. Gentry |
author_sort |
M. Kathryn Brewer |
title |
An empirical pipeline for personalized diagnosis of Lafora disease mutations |
title_short |
An empirical pipeline for personalized diagnosis of Lafora disease mutations |
title_full |
An empirical pipeline for personalized diagnosis of Lafora disease mutations |
title_fullStr |
An empirical pipeline for personalized diagnosis of Lafora disease mutations |
title_full_unstemmed |
An empirical pipeline for personalized diagnosis of Lafora disease mutations |
title_sort |
empirical pipeline for personalized diagnosis of lafora disease mutations |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/08a505503d644df58c43dc58bd8a2937 |
work_keys_str_mv |
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