TY - JOUR
T1 - A novel SCARB2 mutation in progressive myoclonus epilepsy indicated by reduced β-glucocerebrosidase activity
AU - Zeigler, Marsha
AU - Meiner, Vardiella
AU - Newman, J. P.
AU - Steiner-Birmanns, Bettina
AU - Bargal, Ruth
AU - Sury, Vivi
AU - Mengistu, Getu
AU - Kakhlon, Or
AU - Leykin, Ina
AU - Argov, Zohar
AU - Abramsky, Oded
AU - Lossos, Alexander
PY - 2014/4/15
Y1 - 2014/4/15
N2 - Action myoclonus renal failure (AMRF) syndrome is a rare form of progressive myoclonus epilepsy with renal dysfunction related to mutations in the SCARB2 gene. This gene is involved in lysosomal mannose-6-phosphate- independent trafficking of β-glucocerebrosidase (GC), an enzyme deficient in Gaucher disease. We report a family with myoclonic epilepsy, ataxia and skeletal muscle atrophy but without cognitive impairment or overt renal disease. A novel SCARB2 mutation was indicated by a striking discrepancy between lymphocyte and fibroblast GC activity in the proband evaluated for possible Gaucher disease. Our findings expand the genetic and phenotypic diversity of AMRF and suggest that low GC activity may present an important biochemical clue to the diagnosis of AMRF.
AB - Action myoclonus renal failure (AMRF) syndrome is a rare form of progressive myoclonus epilepsy with renal dysfunction related to mutations in the SCARB2 gene. This gene is involved in lysosomal mannose-6-phosphate- independent trafficking of β-glucocerebrosidase (GC), an enzyme deficient in Gaucher disease. We report a family with myoclonic epilepsy, ataxia and skeletal muscle atrophy but without cognitive impairment or overt renal disease. A novel SCARB2 mutation was indicated by a striking discrepancy between lymphocyte and fibroblast GC activity in the proband evaluated for possible Gaucher disease. Our findings expand the genetic and phenotypic diversity of AMRF and suggest that low GC activity may present an important biochemical clue to the diagnosis of AMRF.
KW - Action myoclonus renal failure syndrome
KW - Ataxia
KW - Gaucher disease
KW - LIMP2
KW - Progressive myoclonus epilepsy
KW - SCARB2
UR - http://www.scopus.com/inward/record.url?scp=84898058580&partnerID=8YFLogxK
U2 - 10.1016/j.jns.2014.01.022
DO - 10.1016/j.jns.2014.01.022
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 24485911
AN - SCOPUS:84898058580
SN - 0022-510X
VL - 339
SP - 210
EP - 213
JO - Journal of the Neurological Sciences
JF - Journal of the Neurological Sciences
IS - 1-2
ER -