Abstract
Neuroferritinopathy is an autosomal-dominant neurodegenerative disorder caused by mutations in the ferritin light chain gene (FTL). The disease is clinically present during adulthood with movement disorders mainly with chorea, dystonia, and parkinsonism and progresses slowly over decades. Cognitive symptoms are often noted after motor signs. On brain magnetic resonance imaging (MRI), the findings are iron deposits in the basal ganglia and cavitation. Neuronal loss in the cerebral cortex, cerebellum, and basal ganglia has been demonstrated in neuropathological studies as well as ferritin inclusion bodies, shown within neurons and glia. As neuroferritinopathy is considered as one of several of neurodegenerative diseases with brain iron accumulation (NBIA), the main differential diagnosis of this disorder is with the other diseases found in this group and with Huntington’s disease. There is no specific treatment to modify the progression of the disease.
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References
Vidal R, Ghetti B, Takao M, et al. Intracellular ferritin accumulation in neural and extraneural tissue characterizes a neurodegenerative disease associated with a mutation in the ferritin light polypeptide gene. J Neuropathol Exp Neurol. 2004;63:363–80.
Curtis AR, Fey C, Morris CM, et al. Mutation in the gene encoding ferritin light polypeptide causes dominant adult onset basal ganglia disease. Nat Genet. 2001;28:350–4.
Schneider SA, Bhatia KP. Syndromes of neurodegeneration with brain iron accumulation. Semin Pediatr Neurol. 2012;19(2):57–66.
McNeill A, Birchall D, Hayflick SJ, et al. T2* and FSE MRI distinguishes four subtypes of neurodegeneration with brain iron accumulation. Neurology. 2008;70:1614–9.
Hautot D, Pankhurst QA, Morris CM, et al. Preliminary observation of elevated levels of nanocrystalline iron oxide in the basal ganglia of neuroferritinopathy patients. Biochim Biophys Acta. 2007;1772:21–5.
Mancuso M, Davidzon G, Kurlan RM, Tawil R, Bonilla E, Di Mauro S, Powers JM. Hereditary ferritinopathy: a novel mutation, its cellular pathology, and pathogenetic insights. J Neuropathol Exp Neurol. 2005;64(4):280–94.
Chinnery PF, Crompton DE, Birchall D, et al. The clinical features and natural history of neuroferritinopathy caused by the FTL1 460insA mutation. Brain. 2007;130:110–9.
Devos D, Tchofo J, Vuillaume I, et al. Clinical features and natural history of neuroferritinopathy caused by the 458dupA FTL mutation. Brain. 2009;132:e109.
Ohta E, Nagasaka T, Shindo K, et al. Neuroferritinopathy in a Japanese family with a duplication in the ferritin light chain gene. Neurology. 2008;70:1493–4.
Kubota A, Hida A, Ichikawa Y, et al. A novel ferritin light chain gene mutation in a Japanese family with neuroferritinopathy: description of clinical features and implications for genotype-phenotype correlations. Mov Disord. 2009;24:441–5.
Maciel P, Cruz VT, Constante M, et al. Neuroferritinopathy: missense mutation in FTL causing early-onset bilateral pallidal involvement. Neurology. 2005;65:603–5.
Ondo WG, Adam OR, Jankovic J, Chinnery PF. Dramatic response of facial stereotype/tic to tetrabenazine in the first reported cases of neuroferritinopathy in the United States. Mov Disord. 2010;25:2470–2.
Lehn A, Mellick G, Boyle R. Teaching neuroimages: neuroferritinopathy. Neurology. 2011;77(18):e107.
Storti E, Cortese F, Di Fabio R, Fiorillo C, Pierallini A, Tessa A, Valleriani A, Pierelli F, Santorelli FM, Casali C. De novo FTL mutation: a clinical, neuroimaging, and molecular study. Mov Disord. 2013;28(2):252–3.
Ory-Magne F, Brefel-Courbon C, Payoux P, et al. Clinical phenotype and neuroimaging findings in a French family with hereditary ferritinopathy (FTL498-499insTC). Mov Disord. 2009;24:1676–83.
Wills AJ, Sawle GV, Guilbert PR, Curtis ARJ. Palatal tremor and cognitive decline in neuroferritinopathy. J Neurol Neurosurg Psychiatry. 2002;73:86–95.
Cassidy AJ, Williams ER, Goldsmith P, Baker SN, Baker MR. The man who could not walk backward: a unusual presentation of neuroferritinopathy. Mov Disord. 2011;26:362–4.
Keogh MJ, Singh B, Chinnery PF. Early neuropsychiatry features in neuroferritinopathy. Mov Disord. 2013;28:1310–3.
Rouault TA. Iron metabolism in the CNS: implications for neurodegenerative diseases. Nat Rev. 2013;14:551–64.
Moos T, Morgan EH. The metabolism of neuronal iron and its pathogenic role in neurologic disease. Ann N Y Acad Sci. 2004;1012:14–26.
Friedman A, Arosio P, Finazzi D, Koziorowski D, Galazka-Friedman J. Ferritin as an important player in neurodegeneration. Parkinsonism Relat Disord. 2011;17(6):423–30.
Santambrogio P, Levi S, Cozzi A, Rovida E, Albertini A, Arosio P. Production and characterization of recombinant heteropolymers of human ferritin H and L-chains. J Biol Chem. 1993;268(17):12744–8.
Cozzi A, Levi S, Corsi B, Santambrogio P, Albertini A, Arosio P. Overexpression of wild type and mutated human ferritin H-chain in HeLa cells: in vivo role of ferritin ferroxidase activity. J Biol Chem. 2000;275:25122–9.
Cozzi A, Levi S, Corsi B, Santambrogio P, Campanella A, Gerardi G, Arosio P. Role of iron and ferritin in TNF alpha-induced apoptosis in HeLa cells. FEBS Lett. 2003;537:187–92.
Cozzi A, Rovelli E, Frizzale G, Campanella A, Amendola M, Arosio P, Levi S. Oxidative stress and cell death in cells expressing L-ferritin variants causing neuroferritinopathy. Neurobiol Dis. 2010;37(1):77–85.
Vidal R, Miravalle L, Gao X, Barbeito AG, Baraibar MA, Hekmatyar SK, Widel M, Bansal N, Delisle MB, Ghetti B. Expression of a mutant form of the ferritin light chain gene induces neurodegeneration and iron overload in transgenic mice. J Neurosci. 2008;28(1):60–7.
Deng X, Vidal R, Englander EW. Accumulation of oxidative DNA damage in brain mitochondria in mouse model of hereditary ferritinopathy. Neurosci Lett. 2010;479:44–8.
Ohta E, Takiyama Y. MRI findings in neuroferritinopathy. Neurol Res Int. 2012;2012:19743–8.
McNeill A, Gorman G, Khan A, Horvath R, Blamire AM, Chinnery PF. Progressive brain iron accumulation in neuroferritinopathy measured by the thalamic T2* relaxation rate. AJNR Am J Neuroradiol. 2012;33(9):1810–3.
Crompton DE, Chinnery PF, Bates D, et al. Spectrum of movement disorders in neuroferritinopathy. Mov Disord. 2005;20:95–9.
Morphy MA, Feldman JA, Kilburn G. Hallervorden-Spatz disease in a psychiatric setting. J Clin Psychiatry. 1989;50:66–8.
Szanto J, Gallyas F. A study of iron metabolism in neuropsychiatric patients. Hallervorden-Spatz disease. Arch Neurol. 1966;14:438–42.
Williamson K, Sima AA, Curry B, Ludwin SK. Neuroaxonal dystrophy in young adults: a clinicopathological study of two unrelated cases. Ann Neurol. 1982;11:335–43.
Hayflick SJ, Westaway SK, Levinson B, Zhou B, Johnson MA, Ching KH, Gitschier J. Genetic, clinical, and radiographic delineation of Hallervorden-Spatz syndrome. N Engl J Med. 2003;348:33–40.
Muthane UB, Shetty R, Panda K, Yasha TC, Jayakumar PN, Taly AB. Hallervordern Spatz disease and acanthocytes. Neurology. 1999;53:32A.
Dooling EC, Schoene WC, Richardson Jr EP. Hallervorden-Spatz syndrome. Arch Neurol. 1974;30:70–83.
Morgan NV, Westaway SK, Morton JE, et al. PLA2G6, encoding a phospholipase A2, is mutated in neurodegenerative disorders with high brain iron. Nat Genet. 2006;38:752–4.
Paisan-Ruiz C, Bhatia KP, Li A, et al. Characterization of PLA2G6 as a locus for dystonia-Parkinsonism. Ann Neurol. 2009;65(1):19–23.
Gregory A, Polster BJ, Hayflick SJ. Clinical and genetic delineation of neurodegeneration with brain iron accumulation. J Med Genet. 2009;46:73–80.
Paisan-Ruiz C, Li A, Schneider SA, et al. Widespread Lewy body and tau accumulation in childhood and adult onset dystonia-parkinsonism cases with PLA2G6 mutations. Neurobiol Aging. 2012;33:814–23.
Yoshida K, Furihata K, Takeda S, Nakamura A, Yamamoto K, Morita H, Hiyamuta S, Ikeda S, Shimizu N, Yanagisawa N. A mutation in the ceruloplasmin gene is associated with systemic hemosiderosis in humans. Nat Genet. 1995;9:267–72.
McNeill A, Pandolfo M, Kuhn J, et al. The neurological presentation of ceruloplasmin gene mutations. Eur Neurol. 2008;60:200–5.
Miyajima H, Takahashi Y, Kono S, et al. An inherited disorder of iron metabolism. Biol Met. 2003;16:205–13.
Morita H, Ikeda S, Yamamoto K, et al. Hereditary ceruloplasmin deficiency with hemosiderosis: a clinicopathological study of a Japanese family. Ann Neurol. 1995;37:646–56.
Newell FW, Johnson 2nd RO, Huttenlocher PR. Pigmentary degeneration of the retina in the Hallervorden-Spatz syndrome. Am J Ophthalmol. 1979;88(3 Pt 1):467–71.
Schneider AS, Hardy J, Bhatia KP. Syndromes of neurodegeneration with brain iron accumulation (NBIA): an update on clinical presentations, histological and genetic underpinnings, and treatment considerations. Mov Disord. 2012;27:42–53.
Ramirez A, Heimbach A, Grundemann J, et al. Hereditary parkinsonism with dementia is caused by mutations in ATP13A2, encoding a lysosomal type 5 P-type ATPase. Nat Genet. 2006;38:1184–91.
Brüggemann N, Hagenah J, Reetz K, et al. Recessively inherited parkinsonism: effect of ATP13A2 mutations on the clinical and neuroimaging phenotype. Arch Neurol. 2010;67:1357–63.
Alazami AM, Al-Saif A, Al-Semari A, et al. Mutations in C2orf37, encoding a nucleolar protein, cause hypogonadism, alopecia, diabetes mellitus, mental retardation, and extrapyramidal syndrome. Am J Hum Genet. 2008;83:684–91.
Woodhouse NJ, Sakati NA. A syndrome of hypogonadism, alopecia, diabetes mellitus, mental retardation, deafness, and ECG abnormalities. J Med Genet. 1983;20:216–9.
Saitsu H, et al. De novo mutations in the autophagy gene encoding WDR45 cause static encephalopathy of childhood with neurodegeneration in adulthood. Nat Genet. 2013;45(4):445–9.
Lehn A, Boyle R, Brown H, Airey C, Mellick G. Neuroferritinopathy. Parkinsonism Relat Disord. 2012;18:909–15.
Timmermann L, Pauls KA, Wieland K, et al. Dystonia in neurodegeneration with brain iron accumulation: Outcome of bilateral pallidal stimulation. Brain. 2010;133:701–12.
Ge M, Zhang K, Ma Y, et al. Bilateral subthalamic nucleus stimulation in the treatment of neurodegeneration with brain iron accumulation type 1. Stereotact Funct Neurosurg. 2011;89:162–6.
Acknowledgment
We would like to thank Dr. Carlos Zuñiga for providing the MRI images of neuroferritinopathy.
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Borges, V., Saba, R.A. (2014). Neuroferritinopathy. In: Micheli, F., LeWitt, P. (eds) Chorea. Springer, London. https://doi.org/10.1007/978-1-4471-6455-5_9
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DOI: https://doi.org/10.1007/978-1-4471-6455-5_9
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