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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

邮发代号 80-967

2019 Impact Factor: 3.421

Frontiers of Medicine  2024, Vol. 18 Issue (1): 68-80   https://doi.org/10.1007/s11684-023-1005-y
  本期目录
Association of TRMT2B gene variants with juvenile amyotrophic lateral sclerosis
Yanling Liu1,2, Xi He3, Yanchun Yuan4, Bin Li4,5,6, Zhen Liu4, Wanzhen Li4, Kaixuan Li2, Shuo Tan2, Quan Zhu2, Zhengyan Tang2, Feng Han2, Ziqiang Wu2, Lu Shen4,5,6,7,8,9, Hong Jiang4,5,6,7, Beisha Tang4,5,6,7, Jian Qiu5,6,7,10, Zhengmao Hu7(), Junling Wang1,4,5,6,7,8,9()
1. Department of Neurology, Xiangya Hospital, Central South University, Jiangxi, National Regional Center for Neurological Diseases, Nanchang 330038, China
2. Provincial Laboratory for Diagnosis and Treatment of Genitourinary System Disease, Department of Urology, Xiangya Hospital, Central South University, Changsha 410078, China
3. Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310002, China
4. Department of Neurology, Xiangya Hospital, Central South University, Changsha 410078, China
5. National Clinical Research Center for Geriatric Diseases, Xiangya Hospital, Central South University, Changsha 410008, China
6. Key Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha 410008, China
7. Center for Medical Genetics, School of Life Sciences, Central South University, Changsha 410008, China
8. Engineering Research Center of Hunan Province in Cognitive Impairment Disorders, Central South University, Changsha 410078, China
9. Hunan International Scientific and Technological Cooperation Base of Neurodegenerative and Neurogenetic Diseases, Changsha 410078, China
10. Hunan Key Laboratory of Molecular Precision Medicine, Xiangya Hospital, Central South University, Changsha 410078, China
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Abstract

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by progressive degeneration of motor neurons, and it demonstrates high clinical heterogeneity and complex genetic architecture. A variation within TRMT2B (c.1356G>T; p.K452N) was identified to be associated with ALS in a family comprising two patients with juvenile ALS (JALS). Two missense variations and one splicing variation were identified in 10 patients with ALS in a cohort with 910 patients with ALS, and three more variants were identified in a public ALS database including 3317 patients with ALS. A decreased number of mitochondria, swollen mitochondria, lower expression of ND1, decreased mitochondrial complex I activities, lower mitochondrial aerobic respiration, and a high level of ROS were observed functionally in patient-originated lymphoblastoid cell lines and TRMT2B interfering HEK293 cells. Further, TRMT2B variations overexpression cells also displayed decreased ND1. In conclusion, a novel JALS-associated gene called TRMT2B was identified, thus broadening the clinical and genetic spectrum of ALS.

Key wordsTRMT2B    amyotrophic lateral sclerosis    mitochondrial complex I    tRNA methylation    reactive oxygen species
收稿日期: 2022-12-04      出版日期: 2024-04-22
Corresponding Author(s): Zhengmao Hu,Junling Wang   
 引用本文:   
. [J]. Frontiers of Medicine, 2024, 18(1): 68-80.
Yanling Liu, Xi He, Yanchun Yuan, Bin Li, Zhen Liu, Wanzhen Li, Kaixuan Li, Shuo Tan, Quan Zhu, Zhengyan Tang, Feng Han, Ziqiang Wu, Lu Shen, Hong Jiang, Beisha Tang, Jian Qiu, Zhengmao Hu, Junling Wang. Association of TRMT2B gene variants with juvenile amyotrophic lateral sclerosis. Front. Med., 2024, 18(1): 68-80.
 链接本文:  
https://academic.hep.com.cn/fmd/CN/10.1007/s11684-023-1005-y
https://academic.hep.com.cn/fmd/CN/Y2024/V18/I1/68
Fig.1  
ALS cohort
No. of patients with ALS 910
Juvenile ALS 14
Family history (number) 68
Male (number, rate%) 597, 65.5%
Age at onset (years) 53.75 ± 11.28
Tab.1  
Clinical feature Patient 1 Patient 2
ID in family XY003 XY003
Amino acid change K452N K452N
Sex Male Male
Age at onset (year) < 5 < 5
Age at evaluation (year) 30s 20s
BMI 22.89 16.65
Hand deformities Flexion contracture deformity Flexion contracture deformity
Foot deformities Pes cavus, hallux valgus, and ankle stiffness Pes cavus and hallux valgus
Walking Abnormal Normal
Atrophy Four extremities Four extremities
Weakness Generalized Generalized
Reflexes Normal Normal
UMN signs Ankle clonus and hypertonia Hypertonia
Tongue Fasciculations NA
Jaw jerk Present Present
Dysarthria Normal Normal
Dysphagia Normal Normal
Respiratory Normal Normal
Cognition
MMSE score 27/30 NA
ECAS score 68/136 NA
Sensory Normal Normal
Additional features Visual damage Visual damage and scapular winging
Neurophysiology
Motor Reduced CMAP, chronic neurogenic reinnervation, and ongoing denervation Reduced CMAP, chronic neurogenic reinnervation, and ongoing denervation
Sensory Normal Normal
Tab.2  
Sample ID Sex Age of onset Gene Chr Position Location cDNA change AA alteration Mutation type rsID MAF in gnomAD P value b Functional predictions: pathogenic (total) c Sequencing depth
XY003.P1 a M 1 TRMT2B X 100273992 Exon12 c.1356G>T p.K452N missense / / / 2/11 79
XY003.P2 a M 1 TRMT2B X 100273992 Exon12 c.1356G>T p.K452N missense / / / 2/11 86
M6783 M 66 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 9
M7966 F 63 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 8
S001433 F 65 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 17
S003418 F 42 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 11
S003943 M 50 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 16
S004576 M 56 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 5
S004913 M 50 TRMT2B X 100296359 Exon3 c.250C>G p.L84V missense rs201296426 0.0006019(119/197698) < 0.0001 5/11 8
M36116 F 58 TRMT2B X 100290675 Exon7 c.539-3T>C / splicing / / / 39
S003640 M 65 TRMT2B X 100274004 Exon12 c.1344T>G p.F448L missense rs374183741 0.00007793(16/205319) 0.0961 6/11 61
/d F / TRMT2B X 100276156 Exon9 c.1000C>T p.R334W missense rs145089500 0.00001637(3/183278) / 6/11 /
/d / / TRMT2B X 100276212 Exon9 c.944G>T p.R315L missense rs145912589 0.0001268(26/205046) / 4/11 /
/d / / TRMT2B X 100292017 Exon5 c.484C>G p.R162G missense rs141694732 0.00002923(6/205301) / 3/11 /
Tab.3  
Fig.2  
Fig.3  
Fig.4  
Fig.5  
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