Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations

Mutations in the gene encoding amyloid precursor protein (APP) cause autosomal dominant inherited Alzheimer’s disease (AD). We present a case of a 68-year-old female who presented with epileptic seizures, neuropsychiatric symptoms and progressive memory decline and was found to carry a novel APP var...

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Autores principales: Stefania Kalampokini, Despoina Georgouli, Eleni Patrikiou, Antonios Provatas, Varvara Valotassiou, Panagiotis Georgoulias, Cleanthe Spanaki, Georgios M. Hadjigeorgiou, Georgia Xiromerisiou
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/3669acedba894b228f0d6b2682ad7211
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spelling oai:doaj.org-article:3669acedba894b228f0d6b2682ad72112021-11-25T17:55:39ZΤhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations10.3390/ijms2222123551422-00671661-6596https://doaj.org/article/3669acedba894b228f0d6b2682ad72112021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12355https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Mutations in the gene encoding amyloid precursor protein (APP) cause autosomal dominant inherited Alzheimer’s disease (AD). We present a case of a 68-year-old female who presented with epileptic seizures, neuropsychiatric symptoms and progressive memory decline and was found to carry a novel APP variant, c.2062T>G pLeu688Val. A comprehensive literature review of all reported cases of AD due to APP mutations was performed in PubMed and Web of Science databases. We reviewed 98 studies with a total of 385 cases. The mean age of disease onset was 51.3 ± 8.3 (31–80 years). Mutations were most often located in exons 17 (80.8%) and 16 (12.2%). The most common symptoms were dementia, visuospatial symptoms, aphasia, epilepsy and psychiatric symptoms. Mutations in the β-amyloid region, and specifically exon 17, were associated with high pathogenicity and a younger age of disease onset. We describe the second reported APP mutation in the Greek population. APP mutations may act variably on disease expression and their phenotype is heterogeneous.Stefania KalampokiniDespoina GeorgouliEleni PatrikiouAntonios ProvatasVarvara ValotassiouPanagiotis GeorgouliasCleanthe SpanakiGeorgios M. HadjigeorgiouGeorgia XiromerisiouMDPI AGarticleamyloid precursor proteinmutationduplicationphenotypeBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12355, p 12355 (2021)
institution DOAJ
collection DOAJ
language EN
topic amyloid precursor protein
mutation
duplication
phenotype
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle amyloid precursor protein
mutation
duplication
phenotype
Biology (General)
QH301-705.5
Chemistry
QD1-999
Stefania Kalampokini
Despoina Georgouli
Eleni Patrikiou
Antonios Provatas
Varvara Valotassiou
Panagiotis Georgoulias
Cleanthe Spanaki
Georgios M. Hadjigeorgiou
Georgia Xiromerisiou
Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
description Mutations in the gene encoding amyloid precursor protein (APP) cause autosomal dominant inherited Alzheimer’s disease (AD). We present a case of a 68-year-old female who presented with epileptic seizures, neuropsychiatric symptoms and progressive memory decline and was found to carry a novel APP variant, c.2062T>G pLeu688Val. A comprehensive literature review of all reported cases of AD due to APP mutations was performed in PubMed and Web of Science databases. We reviewed 98 studies with a total of 385 cases. The mean age of disease onset was 51.3 ± 8.3 (31–80 years). Mutations were most often located in exons 17 (80.8%) and 16 (12.2%). The most common symptoms were dementia, visuospatial symptoms, aphasia, epilepsy and psychiatric symptoms. Mutations in the β-amyloid region, and specifically exon 17, were associated with high pathogenicity and a younger age of disease onset. We describe the second reported APP mutation in the Greek population. APP mutations may act variably on disease expression and their phenotype is heterogeneous.
format article
author Stefania Kalampokini
Despoina Georgouli
Eleni Patrikiou
Antonios Provatas
Varvara Valotassiou
Panagiotis Georgoulias
Cleanthe Spanaki
Georgios M. Hadjigeorgiou
Georgia Xiromerisiou
author_facet Stefania Kalampokini
Despoina Georgouli
Eleni Patrikiou
Antonios Provatas
Varvara Valotassiou
Panagiotis Georgoulias
Cleanthe Spanaki
Georgios M. Hadjigeorgiou
Georgia Xiromerisiou
author_sort Stefania Kalampokini
title Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
title_short Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
title_full Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
title_fullStr Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
title_full_unstemmed Τhe Greek Variant in APP Gene: The Phenotypic Spectrum of APP Mutations
title_sort τhe greek variant in app gene: the phenotypic spectrum of app mutations
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/3669acedba894b228f0d6b2682ad7211
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