Pure adult-onset Spastic Paraplegia caused by a novel mutation in the KIAA0196 (SPG8) gene

Susanne T. de Bot, Sascha Vermeer, Wendy Buijsman, Angelien Heister, Marsha Voorendt, Aad Verrips, Hans Scheffer, Hubertus P. H. Kremer, Bart P. C. van de Warrenburg, Erik-Jan Kamsteeg*

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    32 Citations (Scopus)

    Abstract

    SPG8 is a rare autosomal dominant hereditary spastic paraplegia (AD-HSP), with only six SPG8 families described so far. Our purpose was to screen for KIAA0196 (SPG8) mutations in AD-HSP patients and to investigate their phenotype. Extensive family investigation was performed after positive KIAA0196 mutation analysis, which was part of an on-going mutation screening effort in AD-HSP patients. A novel pathogenic KIAA0196 mutation p.(Gly696Ala) was identified in two AD-HSP patients, who subsequently were shown to belong to a single large Dutch pedigree with more than 10 affected family members. The phenotype consisted of a pure HSP with ages at onset between 20 and 60 years, distally reduced vibration sense in the legs in all, and urinary urgency in seven out of 10 patients. Frequent features were exercise- or emotion-induced increase of spasticity and gait problems and chronic nonspecific lower back and joint pains. We have identified a fourth pathogenic KIAA0196 mutation in a Dutch HSP-family, the seventh family worldwide, with a less severe clinical course than described before.

    Original languageEnglish
    Pages (from-to)1765-1769
    Number of pages5
    JournalJournal of Neurology
    Volume260
    Issue number7
    DOIs
    Publication statusPublished - Jul-2013

    Keywords

    • Hereditary spastic paraplegia
    • SPG8
    • Strumpellin
    • KIAA0196-gene
    • FAMILY
    • LOCUS
    • 8Q

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