Diagnosing Late-Onset Tay-Sachs Through Next Generation Sequencing and Functional Enzyme Testing: From Genes to Enzymes.

IF 3 3区 医学 Q2 CLINICAL NEUROLOGY Neurology-Genetics Pub Date : 2024-10-23 eCollection Date: 2024-12-01 DOI:10.1212/NXG.0000000000200205
Ajay R Tupil, Warwick Rivlin, Pamela A Mccombe, Robert D Henderson, Jonathan Rodgers, Lata Vadlamudi
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Abstract

Tay-Sachs disease is a neurodegenerative disorder characterized by progressive neurologic impairment due to pathogenic variants in the HEXA gene that codes for the alpha subunit of β-hexosaminidase. We report 2 cases of adult-onset progressive weakness, ataxia, and neuropsychiatric symptoms in a 30-year-old man and 37-year-old woman. Both patients had compound heterozygosity in the HEXA gene with 4 distinct variants. The first patient had subsequent confirmatory functional enzyme testing displaying reduced hexosaminidase concentration, and the second patient had functional enzyme testing before genetic testing, exemplifying alternative avenues for the diagnosis of late-onset Tay-Sachs (LOTS) disease.

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通过下一代测序和功能酶检测诊断迟发性Tay-Sachs:从基因到酶。
Tay-Sachs病是一种神经退行性疾病,其特征是由于编码β-己糖氨酸酶α亚基的HEXA基因的致病性变异而导致的进行性神经功能损害。我们报告2例成人发病的进行性虚弱、共济失调和神经精神症状,患者分别为30岁男性和37岁女性。两例患者均具有HEXA基因的复合杂合性,有4种不同的变异。第一位患者随后进行了功能性酶检测,结果显示己糖胺酶浓度降低,第二位患者在进行基因检测之前进行了功能性酶检测,这为诊断迟发性泰-萨克斯病(lot)提供了替代途径。
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来源期刊
Neurology-Genetics
Neurology-Genetics Medicine-Neurology (clinical)
CiteScore
6.30
自引率
3.20%
发文量
107
审稿时长
15 weeks
期刊介绍: Neurology: Genetics is an online open access journal publishing peer-reviewed reports in the field of neurogenetics. Original articles in all areas of neurogenetics will be published including rare and common genetic variation, genotype-phenotype correlations, outlier phenotypes as a result of mutations in known disease-genes, and genetic variations with a putative link to diseases. This will include studies reporting on genetic disease risk and pharmacogenomics. In addition, Neurology: Genetics will publish results of gene-based clinical trials (viral, ASO, etc.). Genetically engineered model systems are not a primary focus of Neurology: Genetics, but studies using model systems for treatment trials are welcome, including well-powered studies reporting negative results.
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