PRRT2 c.649dupC mutation derived from de novo in paroxysmal kinesigenic dyskinesia

Hong-Fu Li1, Wang Ni, Zhi-Qi Xiong

  • 1Department of Neurology, Huashan Hospital, Institutes of Brain Science, Shanghai Medical College, Fudan University, China.

Abstract

Insights

Genetic analysis of the PRRT2 gene in paroxysmal kinesigenic dyskinesia (PKD) cases suggests de novo mutations may contribute to disease development. This highlights potential genetic instability in the PRRT2 region.

Area of Science:

  • Genetics
  • Neurology

Background:

  • The proline-rich transmembrane protein 2 (PRRT2) gene is a known cause of paroxysmal kinesigenic dyskinesia (PKD).
  • The c.649dupC mutation in PRRT2 is frequent in sporadic PKD cases, but incomplete penetrance or de novo origin are possible explanations.

Purpose of the Study:

  • To investigate the potential for de novo mutagenesis of PRRT2 mutations in sporadic cases of paroxysmal kinesigenic dyskinesia (PKD).

Main Methods:

  • Direct sequencing of the PRRT2 gene in nine sporadic Chinese PKD patients and their parents.
  • Haplotype analysis to confirm familial relationships.

Main Results:

  • A novel mutation (c.133_136delCCAG) was found in one patient and his unaffected mother.
  • The c.649dupC mutation was identified in another patient and his unaffected father, and also in a Mongolian patient whose parents were negative for the mutation.
  • No mutations were found in six other patients.

Conclusions:

  • The study demonstrates genetic heterogeneity in PKD.
  • De novo mutagenesis of the PRRT2 gene is suggested, indicating potential genetic instability in this region.

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