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http://purl.uniprot.org/citations/35775650http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/35775650http://www.w3.org/2000/01/rdf-schema#comment"Childhood-onset forms of hereditary spastic paraplegia are ultra-rare diseases and often present with complex features. Next-generation-sequencing allows for an accurate diagnosis in many cases but the interpretation of novel variants remains challenging, particularly for missense mutations. Where sufficient knowledge of the protein function and/or downstream pathways exists, functional studies in patient-derived cells can aid the interpretation of molecular findings. We here illustrate the case of a 13-year-old female who presented with global developmental delay and later mild intellectual disability, progressive spastic diplegia, spastic-ataxic gait, dysarthria, urinary urgency, and loss of deep tendon reflexes of the lower extremities. Exome sequencing showed a novel splice-site variant in trans with a novel missense variant in B4GALNT1 [NM_001478.5: c.532-1G>C/c.1556G>C (p.Arg519Pro)]. Functional studies in patient-derived fibroblasts and cell models of GM2 synthase deficiency confirmed a loss of B4GALNT1 function with no synthesis of GM2 and other downstream gangliosides. Collectively these results established the diagnosis of B4GALNT1-associated HSP (SPG26). Our approach illustrates the importance of careful phenotyping and functional characterization of novel gene variants, particularly in the setting of ultra-rare diseases, and expands the clinical and molecular spectrum of SPG26, a disorder of complex ganglioside biosynthesis."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.org/dc/terms/identifier"doi:10.1002/ajmg.a.62880"xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Furukawa K."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Ohno S."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Yamaguchi Y."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Sharma N."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Sahin M."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Nitta T."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Ziegler M."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Inamori K.I."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Manabe N."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Ebrahimi-Fakhari D."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"de Gusmao C.M."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Kambe M."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Inokuchi J.I."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Ohmi Y."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Saffari A."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Bhuiyan R.H."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Alecu J.E."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Jumo H."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/author"Furakawa K."xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/date"2022"xsd:gYear
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/name"Am J Med Genet A"xsd:string
http://purl.uniprot.org/citations/35775650http://purl.uniprot.org/core/pages"2590-2598"xsd:string