Molecular analysis of SMN2, NAIP, and GTF2H2 gene deletions and relationships with clinical subtypes of spinal muscular atrophy

被引:0
作者
Karasu, Nilgun [1 ,2 ]
Acer, Hamit [3 ]
Akalin, Hilal [1 ]
Turkgenc, Burcu [4 ]
Demir, Mikail [1 ]
Sahin, Izem Olcay [1 ]
Gokce, Nuriye [1 ]
Gulec, Ayten [5 ]
Ciplakligil, Asli [6 ]
Sarilar, Ayse Caglar [6 ]
Cuce, Isa [7 ]
Gumus, Hakan [5 ]
Per, Huseyin [5 ]
Canpolat, Mehmet [5 ]
Dundar, Munis [1 ]
机构
[1] Erciyes Univ, Fac Med, Dept Med Genet, Kayseri, Turkiye
[2] Uskudar Univ, Fac Med, Dept Med Genet, Istanbul, Turkiye
[3] Denizli State Hosp, Dept Pediat Neurol, Denizli, Turkiye
[4] Uskudar Univ, Fac Med, Dept Med Biol, Istanbul, Turkiye
[5] Erciyes Univ, Fac Med, Dept Pediat Neurol, Kayseri, Turkiye
[6] Erciyes Univ, Fac Med, Dept Neurol, Kayseri, Turkiye
[7] Erciyes Univ, Fac Med, Dept Phys Med & Rehabil, Kayseri, Turkiye
关键词
CNVs; SMN modifier genes; spinal muscular atrophy; GTF2H2; NAIP; COPY NUMBER; PHENOTYPE; SURVIVAL; CHILDREN; REGION;
D O I
10.1080/01677063.2024.2407332
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
SMA (spinal muscular atrophy) is an autosomal recessive neuromuscular disease that causes muscle atrophy and weakness. SMA is diagnosed by a homozygous deletion in exon 7 of the SMN1 gene. However, mutations in genes located in the SMA region, such as SMN2, NAIP, SERF1, and GTF2H2, may also contribute to the severity of the disease. Within our study's scope, 58 SMA patients who applied in 2018-2021 and 40 healthy controls were analyzed. The study retrospectively included the SMN1 and SMN2 copy numbers previously determined by the MLPA method. Then, NAIP gene analyses with the multiplex PCR method and GTF2H2 gene analyses with the RFLP method were performed. There was a significant correlation (p = 0.00001) between SMN2 copy numbers and SMA subtypes. Also, the NAIP gene (p = 0.01) and the GTF2H2 gene (p = 0.0049) revealed a significant difference between healthy and SMA subjects, whereas the SMA subtypes indicated no significant differences. We detected a significant correlation between clinical subtypes and HFMSE scores in 32 pediatric SMA patients compared (p = 0.01). While pediatric patients with GTF2H2 deletions demonstrated higher motor functions, and those with NAIP deletions demonstrated lower motor functions. In this study, we examined the relationship between NAIP and GTF2H2, called SMN region modifier genes, and the clinical severity of the disease in Turkish SMA patients. Despite its small scale, this research will benefit future investigations into the pathogenesis of SMA disease.
引用
收藏
页码:102 / 111
页数:10
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