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Mutations01:39

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Mutations are changes in the sequence of DNA. These changes can occur spontaneously or they can be induced by exposure to environmental factors. Mutations can be characterized in a number of different ways: whether and how they alter the amino acid sequence of the protein, whether they occur over a small or large area of DNA, and whether they occur in somatic cells or germline cells.
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A mutation is a change in the sequence of bases of DNA or RNA in a genome. Some mutations occur during replication of the genome due to errors made by the polymerase enzymes that replicate DNA or RNA. Unlike DNA polymerase, RNA polymerase is prone to errors because it is not capable of “proofreading” its work. Viruses with RNA-based genomes, like HIV, therefore accrue mutations faster than viruses with DNA-based genomes. Because mutation and recombination provide the raw material...
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In a population that is not at Hardy-Weinberg equilibrium, the frequency of alleles changes over time. Therefore, any deviations from the five conditions of Hardy-Weinberg equilibrium can alter the genetic variation of a given population. Conditions that change the genetic variability of a population include mutations, natural selection, non-random mating, gene flow, and genetic drift (small population size).
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The autonomic nervous system (ANS) is a critical component of the peripheral nervous system, primarily responsible for regulating involuntary bodily functions and maintaining homeostasis. It functions in tandem with the central nervous system (CNS) to seamlessly coordinate various physiological processes without the need for conscious control.
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IGHMBP2 mutation associated with organ-specific autonomic dysfunction.

Pedro J Tomaselli1, Alejandro Horga2, Alexander M Rossor2

  • 1MRC Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery and UCL Institute of Neurology, Queen Square, London WC1N 3AR, UK; Department of Neuromuscular Disorders, Clinical Hospital of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP 14640-900, Brazil.

Neuromuscular Disorders : NMD
|November 3, 2018
PubMed
Summary
This summary is machine-generated.

IGHMBP2 gene mutations cause severe neuromuscular disorders. This case highlights a novel mutation leading to progressive muscle weakness, respiratory failure, and gastrointestinal autonomic dysfunction.

Keywords:
CMTIGHMBP2 geneNext generation sequencingSMARD1Target multigene panel

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Area of Science:

  • Genetics and Molecular Biology
  • Neurology
  • Rare Diseases

Background:

  • Biallelic mutations in the IGHMBP2 gene are linked to distinct neuromuscular disorders, including spinal muscular atrophy with respiratory distress type 1 (SMARD1) and Charcot-Marie-Tooth disease type 2S (CMT2S).
  • Understanding the full spectrum of IGHMBP2-related phenotypes is crucial for accurate diagnosis and management.

Observation:

  • A patient presented with infantile-onset progressive muscle weakness and wasting in all limbs.
  • Respiratory involvement emerged at age 9, necessitating continuous non-invasive ventilation, alongside severe gastrointestinal autonomic dysfunction.
  • Late-stage neurophysiological studies showed absent sensory/motor responses and severe denervation in proximal upper limb muscles.

Findings:

  • Targeted sequencing identified a novel homozygous missense variant (c.1325A>G; p.Tyr442Cys) in the IGHMBP2 gene.
  • Sanger sequencing and co-segregation analysis confirmed the variant's novelty and parental carrier status.

Implications:

  • This case expands the known clinical spectrum of IGHMBP2-related disorders.
  • It underscores the potential for severe peripheral neuropathy and significant gastrointestinal autonomic dysfunction, possibly requiring parenteral nutrition, in patients with IGHMBP2 mutations.