Novel Compound Heterozygous Variants in TBCD Gene Associated with Infantile Neurodegenerative Encephalopathy

Chih-Ling Chen1,2, Chien-Nan Lee1,2, Yin-Hsiu Chien1,3

  • 1Department of Medical Genetics, National Taiwan University Hospital, Taipei 100226, Taiwan.

Insights

Two novel mutations in the tubulin-specific chaperone D (TBCD) gene were identified in siblings with early-onset neurodegeneration. These TBCD variants disrupt microtubule dynamics, causing a severe progressive neurodegenerative disorder.

Area of Science:

  • Genetics and Molecular Biology
  • Neuroscience
  • Cell Biology

Background:

  • Mutations in tubulin-specific chaperone D (TBCD) are linked to neurodegenerative disorders.
  • TBCD is crucial for the assembly and disassembly of α/β-tubulin heterodimers, impacting microtubule dynamics.

Observation:

  • Two novel TBCD variants (c.1340C>T and c.817+2T>C) were identified in compound heterozygotes in two affected siblings.
  • The siblings presented with early-onset neurodegeneration, failure to thrive, respiratory failure, hypotonia, muscle weakness, atrophy, and seizures.

Findings:

  • The identified TBCD variants are pathogenic and segregate with the disease in the affected family.
  • These variants likely perturb microtubule dynamics, contributing to the observed neurodegenerative phenotype.

Implications:

  • Establishes a genotype-phenotype correlation for these novel TBCD variants.
  • Provides insights into the structural alterations in TBCD that lead to chaperone-associated tubulinopathy.
  • Highlights the critical role of TBCD in maintaining neuronal integrity and function.