NOVEL MUTATIONS AND FINDINGS IN A COHORT OF MCLEOD NEUROACANTHOCYTOSIS, AN X-LINKED HD PHENOCOPY

Peikert K, Schlotter-Weigel B, Montagnese F, Reilich P, Saft C, Marxreiter F, Kohl Z, Evers S, Von Kalckreuth W, Buhmann C, Mayer B, Walther E, Orth A, Hoenig M, Nedeltchev K, Loscher WN, Jung HH, Mattle-Greminger M, Frey BM, Hermann A, Danek A (2021)


Publication Type: Conference contribution

Publication year: 2021

Journal

Publisher: BMJ PUBLISHING GROUP

City/Town: LONDON

Pages Range: A30-A30

Conference Proceedings Title: JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY

DOI: 10.1136/jnnp-2021-EHDN.71

Abstract

Background McLeod syndrome (MLS) is an ultra-rare neurodegenerative X-linked disease caused by mutations in the XK gene, classified as one of the core neuroacanthocytosis syndromes. Together with the clinically very similar chorea-acanthocytosis it belongs to the heterogeneous group of ‘Huntington’s disease (HD) phenocopies’.


Aims To characterize a cohort of HD phenocopies with the genetically confirmed diagnosis of McLeod syndrome.


Methods This is a retrospective and prospective analysis of genotype and phenotype of sixteen McLeod cases.


Results We longitudinally characterized the second largest cohort known to date. We identified novel XK mutations as well as deletions that extend into the PRRG1 gene (novel) and describe two contiguous gene deletion cases of MLS with X-linked chronic granulomatous disease (deletion also effecting the CYBB gene). This study confirms core features of MLS such as late onset hyperkinetic movements in association with neuro/myopathy, neuropsychiatric impairment, cardiac involvement, hyperCKemia. Novel aspects in this MLS series seem obstructive sleep apnea and epileptic seizure onset in childhood.


Conclusions Our study expands the limited knowledge on the variable course, the various clinical manifestations and the genetic spectrum of a hereditary HD phenocopy syndrome.

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How to cite

APA:

Peikert, K., Schlotter-Weigel, B., Montagnese, F., Reilich, P., Saft, C., Marxreiter, F.,... Danek, A. (2021). NOVEL MUTATIONS AND FINDINGS IN A COHORT OF MCLEOD NEUROACANTHOCYTOSIS, AN X-LINKED HD PHENOCOPY. In JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY (pp. A30-A30). LONDON: BMJ PUBLISHING GROUP.

MLA:

Peikert, Kevin, et al. "NOVEL MUTATIONS AND FINDINGS IN A COHORT OF MCLEOD NEUROACANTHOCYTOSIS, AN X-LINKED HD PHENOCOPY." Proceedings of the JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY LONDON: BMJ PUBLISHING GROUP, 2021. A30-A30.

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