Rachel E. Sondergaard PhD, Conrad P. Rockel PhD, Filomeno Cortese PhD, G. Bruce Pike PhD, Zelma H.T. Kiss MD, PhD, Davide Martino MD, PhD
{"title":"Asymmetry of the Dentato-Rubro-Thalamic Tracts in Cervical Dystonia","authors":"Rachel E. Sondergaard PhD, Conrad P. Rockel PhD, Filomeno Cortese PhD, G. Bruce Pike PhD, Zelma H.T. Kiss MD, PhD, Davide Martino MD, PhD","doi":"10.1002/mds.29594","DOIUrl":"10.1002/mds.29594","url":null,"abstract":"","PeriodicalId":213,"journal":{"name":"Movement Disorders","volume":"38 10","pages":"1970-1972"},"PeriodicalIF":8.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10141297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serena Galosi MD, PhD, Maria Novelli MD, Martina Di Rocco PhD, Elisabetta Flex PhD, Elena Messina PhD, Luca Pollini MD, Elena Parrini PhD, Francesco Pisani MD, Renzo Guerrini MD, FRCP, Vincenzo Leuzzi MD, Simone Martinelli PhD
{"title":"GNAO1 Haploinsufficiency: The Milder End of the GNAO1 Phenotypic Spectrum","authors":"Serena Galosi MD, PhD, Maria Novelli MD, Martina Di Rocco PhD, Elisabetta Flex PhD, Elena Messina PhD, Luca Pollini MD, Elena Parrini PhD, Francesco Pisani MD, Renzo Guerrini MD, FRCP, Vincenzo Leuzzi MD, Simone Martinelli PhD","doi":"10.1002/mds.29585","DOIUrl":"10.1002/mds.29585","url":null,"abstract":"<p>\u0000 <i>GNAO1</i> variants are typically associated with severe, early-onset movement disorders (MDs) with life-threatening and drug-resistant paroxysmal exacerbations, neurodevelopmental disorders, and epilepsy. Recently, the phenotypic spectrum has broadened to include milder phenotypes with late-onset dystonia, minor cognitive impairment, and other neurological signs, including parkinsonism and myoclonus. <i>GNAO1</i> haploinsufficiency has been evoked as a putative mechanism underlying milder clinical presentations.<span><sup>1, 2</sup></span> To date, however, the functional consequences of this class of variants have not yet been evaluated.</p><p>We report on an 8-year-old boy with subtle neurological signs, including generalized tonic–clonic seizures during fever, mild language impairment, dystonic postures of lower limbs during walking, and occasional tongue dyskinetic movements (see Data S1 for more details and Video 1). A next generation sequencing–based epilepsy panel revealed a de novo NM_020988.3:c.163_164del variant in <i>GNAO1</i>. No additional candidate variants were identified. Reverse transcription polymerase chain reaction showed an approximately 50% decrease in the expression of the endogenous <i>GNAO1</i> gene in cells from the affected child compared with cells from the unaffected father (Figs. 1A and S2), suggesting nonsense-mediated mRNA decay (NMD). If translated, the c.163_164delAT allele was predicted to generate a truncated protein (p.Ile55Hisfs*3). As expected, Western blotting performed in transiently transfected HEK293T cells revealed the lack of the truncated form of Gαo (Fig. 1B), which was not restored by MG132 or bafilomycin treatments, inhibitors of the ubiquitin/proteasome and autophagy pathways, respectively. These findings demonstrate that the c.163_164delAT transcript undergoes NMD, leading to <i>GNAO1</i> haploinsufficiency.</p><p>Genotype/phenotype correlations in <i>GNAO1</i> encephalopathy are still far from being elucidated. Recent studies suggest that pathogenic variants have a loss-of-function effect on Gαo-mediated signaling,<span><sup>3-7</sup></span> but the consequences on G-beta-gamma subunit (Gβγ) signaling that regulates cyclic adenosine monophosphate production remain unclear. Emerging data show that haploinsufficiency is associated with milder clinical features and later onset than missense changes underlying developmental and epileptic encephalopathy type 17 (Mendelian inheritance in man [MIM]#615473) or neurodevelopmental disorder with involuntary movements (MIM#617493). This finding has important implications. First, given the different phenotypic output, variants associated with the canonical form of <i>GNAO1</i> encephalopathy cannot have a simple loss-of-function effect; rather, they behave as dominant-negative alleles or alter Gα/Gβγ association, as recently shown for a subset of changes.<span><sup>3-7</sup></span> Second, the phenotype associated with <i>GNAO1</i> haploin","PeriodicalId":213,"journal":{"name":"Movement Disorders","volume":"38 12","pages":"2313-2314"},"PeriodicalIF":8.6,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://movementdisorders.onlinelibrary.wiley.com/doi/epdf/10.1002/mds.29585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10428473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional Movement Disorders and Drug-Induced Movement Disorders","authors":"","doi":"10.1002/mds.29540","DOIUrl":"https://doi.org/10.1002/mds.29540","url":null,"abstract":".","PeriodicalId":213,"journal":{"name":"Movement Disorders","volume":"38 S1","pages":"S241-S253"},"PeriodicalIF":8.6,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"5803411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}