Skip to main content
Top
Published in: neurogenetics 2/2016

01-04-2016 | Short Communication

Mutations in GALC cause late-onset Krabbe disease with predominant cerebellar ataxia

Authors: Yi-Hong Shao, Karine Choquet, Roberta La Piana, Martine Tétreault, Marie-Josée Dicaire, Kym M. Boycott, Jacek Majewski, Bernard Brais, Care4Rare Canada Consortium

Published in: Neurogenetics | Issue 2/2016

Login to get access

Abstract

Mutations in GALC cause Krabbe disease. This autosomal recessive leukodystrophy generally presents in early infancy as a severe disorder, but sometimes manifests as a milder adult-onset disease with spastic paraplegia as the main symptom. We recruited a family with five affected individuals presenting with adult-onset predominant cerebellar ataxia with mild spasticity. Whole exome sequencing (WES) revealed one novel and one previously reported compound heterozygous variants in GALC. Magnetic resonance imaging (MRI) confirmed the presence of typical Krabbe features. Our findings expand the phenotypic spectrum of adult-onset Krabbe disease and demonstrate the usefulness of combining WES and pattern-specific MRI for the diagnosis of neurodegenerative diseases.
Literature
1.
go back to reference Liao P, Gelinas J, Sirrs S (2014) Phenotypic variability of Krabbe disease across the lifespan. Can J Neurol Sci 41(1):5–12CrossRefPubMed Liao P, Gelinas J, Sirrs S (2014) Phenotypic variability of Krabbe disease across the lifespan. Can J Neurol Sci 41(1):5–12CrossRefPubMed
2.
go back to reference Debs R et al (2013) Krabbe disease in adults: phenotypic and genotypic update from a series of 11 cases and a review. J Inherit Metab Dis 36(5):859–868CrossRefPubMed Debs R et al (2013) Krabbe disease in adults: phenotypic and genotypic update from a series of 11 cases and a review. J Inherit Metab Dis 36(5):859–868CrossRefPubMed
3.
go back to reference Wenger DA (1993) Krabbe disease. In: Pagon RA (ed) GeneReviews(R), Seattle Wenger DA (1993) Krabbe disease. In: Pagon RA (ed) GeneReviews(R), Seattle
4.
go back to reference Kardas F et al (2013) A novel homozygous GALC mutation: very early onset and rapidly progressive Krabbe disease. Gene 517(1):125–127CrossRefPubMed Kardas F et al (2013) A novel homozygous GALC mutation: very early onset and rapidly progressive Krabbe disease. Gene 517(1):125–127CrossRefPubMed
5.
go back to reference Graziano AC, Cardile V (2015) History, genetic, and recent advances on Krabbe disease. Gene 555(1):2–13CrossRefPubMed Graziano AC, Cardile V (2015) History, genetic, and recent advances on Krabbe disease. Gene 555(1):2–13CrossRefPubMed
6.
go back to reference Suzuki K (2003) Globoid cell leukodystrophy (Krabbe’s disease): update. J Child Neurol 18(9):595–603CrossRefPubMed Suzuki K (2003) Globoid cell leukodystrophy (Krabbe’s disease): update. J Child Neurol 18(9):595–603CrossRefPubMed
7.
go back to reference Matthes F et al (2015) Enzyme replacement therapy of a novel humanized mouse model of globoid cell leukodystrophy. Exp Neurol 271:36–45CrossRefPubMed Matthes F et al (2015) Enzyme replacement therapy of a novel humanized mouse model of globoid cell leukodystrophy. Exp Neurol 271:36–45CrossRefPubMed
8.
go back to reference Farina L et al (2000) MR imaging and proton MR spectroscopy in adult Krabbe disease. AJNR Am J Neuroradiol 21(8):1478–1482PubMed Farina L et al (2000) MR imaging and proton MR spectroscopy in adult Krabbe disease. AJNR Am J Neuroradiol 21(8):1478–1482PubMed
9.
go back to reference Duffner PK et al (2012) Later onset phenotypes of Krabbe disease: results of the world-wide registry. Pediatr Neurol 46(5):298–306CrossRefPubMed Duffner PK et al (2012) Later onset phenotypes of Krabbe disease: results of the world-wide registry. Pediatr Neurol 46(5):298–306CrossRefPubMed
11.
go back to reference Wang K, Li M, Hakonarson H (2010) ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res 38(16), e164CrossRefPubMedPubMedCentral Wang K, Li M, Hakonarson H (2010) ANNOVAR: functional annotation of genetic variants from high-throughput sequencing data. Nucleic Acids Res 38(16), e164CrossRefPubMedPubMedCentral
12.
go back to reference Tetreault M et al (2015) Whole-exome sequencing identifies novel ECHS1 mutations in Leigh syndrome. Hum Genet 134(9):981–991CrossRefPubMed Tetreault M et al (2015) Whole-exome sequencing identifies novel ECHS1 mutations in Leigh syndrome. Hum Genet 134(9):981–991CrossRefPubMed
13.
go back to reference Luzi P, Rafi MA, Wenger DA (1996) Multiple mutations in the GALC gene in a patient with adult-onset Krabbe disease. Ann Neurol 40(1):116–119CrossRefPubMed Luzi P, Rafi MA, Wenger DA (1996) Multiple mutations in the GALC gene in a patient with adult-onset Krabbe disease. Ann Neurol 40(1):116–119CrossRefPubMed
15.
go back to reference Laberge AM et al (2005) Population history and its impact on medical genetics in Quebec. Clin Genet 68(4):287–301CrossRefPubMed Laberge AM et al (2005) Population history and its impact on medical genetics in Quebec. Clin Genet 68(4):287–301CrossRefPubMed
16.
go back to reference Loes DJ, Peters C, Krivit W (1999) Globoid cell leukodystrophy: distinguishing early-onset from late-onset disease using a brain MR imaging scoring method. AJNR Am J Neuroradiol 20(2):316–323PubMed Loes DJ, Peters C, Krivit W (1999) Globoid cell leukodystrophy: distinguishing early-onset from late-onset disease using a brain MR imaging scoring method. AJNR Am J Neuroradiol 20(2):316–323PubMed
Metadata
Title
Mutations in GALC cause late-onset Krabbe disease with predominant cerebellar ataxia
Authors
Yi-Hong Shao
Karine Choquet
Roberta La Piana
Martine Tétreault
Marie-Josée Dicaire
Kym M. Boycott
Jacek Majewski
Bernard Brais
Care4Rare Canada Consortium
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Neurogenetics / Issue 2/2016
Print ISSN: 1364-6745
Electronic ISSN: 1364-6753
DOI
https://doi.org/10.1007/s10048-016-0476-2

Other articles of this Issue 2/2016

neurogenetics 2/2016 Go to the issue