Whole Exome Sequencing in a Pakistani Family Affected with Demyelinating Hereditary Sensorimotor Polyneuropathy with Spinocerebellar Degeneration
摘要
Demyelinating sensorimotor polyneuropathy is a complex neurological disorder characterized by progressive peripheral nerve damage and sensory loss. The frequency of spinocerebellar degeneration occurring with this phenotype is not well-documented in the literature.
ObjectiveThis study aimed to identify genetic variants associated underlying this syndromic condition in a consanguineous family from Southern Punjab Province, Pakistan, using whole exome sequencing.
MethodsWhole exome sequencing was performed on the proband, followed by Sanger sequencing validation of identified variants in affected family members. Clinical evaluations included electroneurophysiological and magnetic resolution imaging-based assessment.
ResultsWhole exome sequencing revealed four potential causative variants: two frameshift mutations in HADHA (c.874_875insGA and c.871_872delCG) and missense mutations in SLC6A6 (c.2062 C > T) and TTN (c.63917G > A) genes. However, none fully cosegregated with the disease phenotype upon validation. Notably, the patients showed clinical signs of spinocerebellar degeneration without apparent structural alterations in the brain and cervical spine MRI.
ConclusionThis study highlights the genetic complexity of demyelinating sensorimotor polyneuropathy and emphasizes the need for comprehensive diagnostic approaches integrating clinical assessments with advanced genetic testing.