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[PRRT2 gene-related paroxysmal disorders]
Jin Li1, Xiao Mao, Junling Wang
1Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R.China. bstang7398@163.com.
Insights
Proline-rich transmembrane protein 2 (PRRT2) gene mutations cause various neurological disorders like paroxysmal kinesigenic dyskinesias. We propose naming these PRRT2-related paroxysmal disorders (PRPDs) for better diagnosis and treatment.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Context:
- Proline-rich transmembrane protein 2 (PRRT2) is implicated in several neurological disorders.
- Existing classifications for PRRT2-related conditions lack uniformity.
- Understanding the genetic basis of these disorders is crucial for clinical management.
Purpose:
- To propose a unified nomenclature for disorders caused by PRRT2 gene defects.
- To review the clinical phenotypes, common features, and pathogenesis of these disorders.
- To facilitate improved clinical diagnosis, treatment, and prognosis.
Summary:
- PRRT2 mutations are the underlying cause of paroxysmal kinesigenic dyskinesias (PKD), benign familial infantile seizures (BFIS), and infantile convulsions with paroxysmal choreoathetosis (ICCA).
- These distinct clinical entities share common characteristics suggesting a shared genetic etiology.
- The proposed term PRRT2-related paroxysmal disorders (PRPDs) encompasses these conditions.
Impact:
- Establishing a unified name (PRPDs) aids in clinical recognition and diagnosis.
- This review consolidates knowledge on PRRT2-related disorders, aiding treatment strategies.
- Understanding the pathogenesis of PRRT2 mutations offers insights into neuronal function and dysfunction.
Abstract:
Proline-rich transmembrane protein 2 (PRRT2), the causative gene of paroxysmal kinesigenic dyskinesias (PKD), benign familial infantile seizures (BFIS) and infantile convulsions with paroxysmal choreoathetosis (ICCA), also causes a variety of neurological paroxysmal disorders. These diseases share the same characteristics which may be due to the same genetic defect. We therefore propose to name them as PRRT2-related paroxysmal disorders (PRPDs) in order to assist clinical diagnosis, treatment and prognosis. This paper has reviewed the clinical phenotype, common features and pathogenesis of the PRPDs.
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