Abstract
In a three-generation family, five individuals exhibited the typical phenotype of paroxysmal kinesigenic dyskinesia (PKD). Intriguingly, one of the individuals also showed benign familial infantile convulsions (BFIC) at age 4 months and spontaneously resolved at age 18 months. At age 12, she developed a typical PKD, and was gradually relieved at age 21. Therefore, the clinical phenotype was consistent with PKD with infantile convulsions (PKD/IC). Whole exome sequence and co-segregation analysis revealed a novel heterozygous variant c.1085A > G in the TMEM151A gene. Our study suggests that the TMEM151A gene may be associated with the disease spectrum of PKD-PKD/IC-BFIC.
References
Huang X, Wang S, Guo X et al (2020) The phenotypic and genetic spectrum of paroxysmal kinesigenic dyskinesia in China. Mov Disord 35:1428–1437
Chen WJ, Lin Y, Xiong ZQ et al (2011) Exome sequencing identifies truncating mutations in PRRT2 that cause paroxysmal kinesigenic dyskinesia. Nat Genet 43:1252–1255
Heron SE, Grinton BE, Kivity S et al (2012) PRRT2 mutations cause benign familial infantile epilepsy and infantile convulsions with choreoathetosis syndrome. Am J Hum Genet 90:152–160
Yang X, Zhang Y, Xu X et al (2013) Phenotypes and PRRT2 mutations in Chinese families with benign familial infantile epilepsy and infantile convulsions with paroxysmal choreoathetosis. BMC Neurol 13:209
Heron SE, Dibbens LM (2013) Role of PRRT2 in common paroxysmal neurological disorders: a gene with remarkable pleiotropy. J Med Genet 50:133–139
Huang XJ, Wang T, Wang JL (2015) Paroxysmal kinesigenic dyskinesia: clinical and genetic analyses of 110 patients. Neurology 85:1546–1553
Li HF, Chen YL, Zhuang L (2021) TMEM151A variants cause paroxysmal kinesigenic dyskinesia. Cell Discovery 7:102
Tian WT, Zhan FX, Liu ZH (2022) TMEM151A variants cause paroxysmal kinesigenic dyskinesia: a large-sample study. Mov Disord 37:545–552
Li YL, Lv WQ, Zeng YH (2022) Exome-wide analyses in paroxysmal kinesigenic dyskinesia confirm TMEM151A as a novel causative gene. Mov Disord 37:641–643
Chen YL, Chen DF, Li HF (2022) Features differ between paroxysmal kinesigenic dyskinesia patients with PRRT2 and TMEM151A variants. Mov Disord 37:608–613
van Vliet R, Breedveld G, de Rijk-van, (2012) PRRT2 phenotypes and penetrance of paroxysmal kinesigenic dyskinesia and infantile convulsions. Neurology 79:777–784
Lu B, Lou SS, Xu RS (2021) Cerebellar spreading depolarization mediates paroxysmal movement disorder. Cell Rep 36:109743
Ferrante D, Sterlini B, Prestigio C (2021) PRRT2 modulates presynaptic Ca2+ influx by interacting with P/Q-type channels. Cell Rep 35:109248
Funding
This study was supported by funding from the National Natural Science Foundation of China (grant nos. 81460199 and 82160252), the Science and technology project of Jiangxi Health Commission (202110028), and the Double Thousand Talents Program of Jiangxi Province (jxsq2019101021).
Author information
Authors and Affiliations
Contributions
W.H. contributed to research execution and manuscript composition; H.P. and Z.M. contributed to genetic evaluation; F.X. and W.C contributed to critical review and revision of manuscript; H.D. contributed to design, conception, and manuscript composition.
Corresponding authors
Ethics declarations
Ethical approval and consent to participate.
None.
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Wang, H., Huang, P., Zhu, M. et al. TMEM151A phenotypic spectrum includes paroxysmal kinesigenic dyskinesia with infantile convulsions. Neurol Sci 43, 6095–6099 (2022). https://doi.org/10.1007/s10072-022-06208-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-022-06208-3