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a Human Molecular
Genetics Unit, School of Biochemistry and Genetics, University of
Newcastle upon Tyne, Newcastle upon Tyne NE2 4AA, UK, b Department of Neurology, Royal Victoria
Infirmary, Newcastle upon Tyne, UK, c Department of Neurology, Royal Manchester
Children's Hospital, Manchester, UK, d Department
of Medical Genetics, Wellcome Trust Centre for the Study of Molecular
Mechanisms in Disease, Wellcome/MRC Building, Addenbrooke's Hospital,
Cambridge, UK, e Department of Biological Sciences, University of
Durham, Durham, UK, f Department
of Developmental Biology, King's College, London, UK
Correspondence to: Dr Bushby, kate.bushby{at}ncl.ac.uk
Revised version received 10 May 2000;
Accepted for publication 20 June 2000
BACKGROUND
Hereditary spastic
paraparesis is a genetically heterogeneous condition. Recently,
mutations in the spastin gene were reported in families linked to the
common SPG4 locus on chromosome 2p21-22.
OBJECTIVES
To study a population of
patients with hereditary spastic paraparesis for mutations in the
spastin gene (SPG4) on chromosome 2p21-22.
METHODS
DNA from 32 patients (12 from families known to be linked to SPG4)
was analysed for mutations in the spastin gene by single strand
conformational polymorphism analysis and sequencing. All patients were
also examined clinically.
RESULTS
Thirteen
SPG4 mutations were identified, 11 of which
are novel. These mutations include missense, nonsense, frameshift, and splice site mutations, the majority of which affect the AAA cassette. We also describe a nucleotide substitution outside this conserved region which appears to behave as a recessive mutation.
CONCLUSIONS
Recurrent mutations in
the spastin gene are uncommon. This reduces the ease of mutation
detection as a part of the diagnostic work up of patients with
hereditary spastic paraparesis. Our findings have important
implications for the presumed function of spastin and schemes for
mutation detection in HSP patients.
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