Bervoets, Sven

Bichev, Stoyan

Chamova, Teodora

De Jonghe, Peter

De Vriendt, Els

Jordanova, Albena

Kancheva, Daliya

Kennerson, Marina

Litvinenko, Ivan

MacMillan, John

Mitev, Vanyo

Peeters, Kristien

Timmerman, Vincent

Tournev, Ivailo

Abstract: The heavy chain 1 of cytoplasmic dynein (DYNC1H1) is responsible for movement of the motor complex along microtubules and recruitment of dynein components. Mutations in DYNC1H1 are associated with spinal muscular atrophy (SMA), hereditary motor and sensory neuropathy (HMSN), cortical malformations, or a combination of these. Combining linkage analysis and whole-exome sequencing, we identified a novel dominant defect in the DYNC1H1 tail domain (c.1792C>T, p.Arg598Cys) causing axonal HMSN. Mutation analysis of the tail region in 355 patients identified a de novo mutation (c.791G>T, p.Arg264Leu) in an isolated SMA patient. Her phenotype was more severe than previously described, characterized by multiple congenital contractures and delayed motor milestones, without brain malformations. The mutations in DYNC1H1 increase the interaction with its adaptor BICD2. This relates to previous studies on BICD2 mutations causing a highly similar phenotype. Our findings broaden the genetic heterogeneity and refine the clinical spectrum of DYNC1H1, and have implications for molecular diagnostics of motor neuron diseases

Institutional Repository Universiteit Antwerpen

Novel mutations in the DYNC1H1 tail domain refine the genetic and clinical spectrum of dyneinopathies

Novel mutations in the DYNC1H1 tail domain refine the genetic and clinical spectrum of dyneinopathies

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Institutional Repository Universiteit Antwerpen