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Manzoor U, Ali A, Ali SL, Abdelkarem O, Kanwal S, Alotaibi SS, Baazeem A, Baiduissenova A, Yktiyarov A, Hajar A, Olzhabay A. Mutational screening of GDAP1 in dysphonia associated with Charcot-Marie-Tooth disease: clinical insights and phenotypic effects. J Genet Eng Biotechnol 2023; 21:119. [PMID: 37966693 PMCID: PMC10651813 DOI: 10.1186/s43141-023-00568-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 10/26/2023] [Indexed: 11/16/2023]
Abstract
INTRODUCTION Mutations in GDAP1 (Ganglioside-induced differentiation-associated protein 1) gene are linked to Charcot-Marie-Tooth disease (CMT), a Heterogenous group of disorders with multiple phenotypes, characterized by peripheral nerve dysfunction that can lead to vocal cord paralysis and diaphragmatic dysfunction. MAIN BODY All three affected children of this chosen family have manifested the same clinical symptoms with progressive weakness, mild sensory impairment, and absent tendon reflexes in their early years. Electrodiagnostic analysis displayed an axonal type of neuropathy in affected patients. Sequencing of the GDAP1 gene was requested for all members of the family. Diagnostic assessments included pulmonary and vocal cord function tests, as well as phrenic and peripheral nerve conduction studies. Pathogenicity of GDAP1 variant p.Pro419Leu with axonal CMT2 and autosomal recessive inheritance was confirmed via in silico analysis. Patients with GDAP1 mutations showed dysphonia, speech difficulties, and the characteristic symptoms of CMT. The severity of symptoms correlated with the presence of a type of GDAP1 mutation. Patients with normal vocal cords and pulmonary function exhibited milder symptoms compared to those with GDAP1 mutations. Our study provides clinical insights into the phenotypic effects of GDAP1 mutations in CMT patients. The findings highlight the adverse clinical course and severe disability associated with GDAP1 mutations, including weak limb and laryngeal muscles. CONCLUSION Patients with GDAP1 mutations and autosomal recessive neuropathy present with dysphonia and require interventions such as surgery, braces, physical therapy, and exercise. Early diagnosis and comprehensive clinical evaluations are crucial for managing CMT patients with GDAP1 mutations.
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Affiliation(s)
- Uzma Manzoor
- Department of Clinical Biochemistry, COMSATS University Islamabad, Sahiwal Campus, Sahiwal, Pakistan.
| | - Awais Ali
- Department of Biochemistry, Abdul wali Khan University Mardan, Mardan, 23200, Pakistan
| | - S Luqman Ali
- Department of Biochemistry, Abdul wali Khan University Mardan, Mardan, 23200, Pakistan
| | - Omneya Abdelkarem
- Department of Chemical Pathology, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | - Sumaira Kanwal
- Department of Clinical Biochemistry, COMSATS University Islamabad, Sahiwal Campus, Sahiwal, Pakistan
| | - Saqer S Alotaibi
- Department of Biotechnology, College of Science, Taif University, P.O.Box 11099, 21944, Taif, Saudi Arabia
| | - Alaa Baazeem
- Department of Biology, College of Science, Taif University, P.O. Box 11099, 21944, Taif, Saudi Arabia
| | - Aliya Baiduissenova
- Department of Microbiology and Virology, Astana Medical University, Astana City, 010000, Kazakhstan
| | - Ayaz Yktiyarov
- Department of Microbiology and Virology, Astana Medical University, Astana City, 010000, Kazakhstan
| | - Azraida Hajar
- Department of Biology, Faculty of Sciences Semlalia, Cadi Ayyad University, Marrakech, Morocco
| | - Abay Olzhabay
- Department of Otorhinolaryngology, Astana Medical University, Astana City, 010000, Kazakhstan
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Miressi F, Benslimane N, Favreau F, Rassat M, Richard L, Bourthoumieu S, Laroche C, Magy L, Magdelaine C, Sturtz F, Lia AS, Faye PA. GDAP1 Involvement in Mitochondrial Function and Oxidative Stress, Investigated in a Charcot-Marie-Tooth Model of hiPSCs-Derived Motor Neurons. Biomedicines 2021; 9:biomedicines9080945. [PMID: 34440148 PMCID: PMC8393985 DOI: 10.3390/biomedicines9080945] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/27/2021] [Accepted: 07/29/2021] [Indexed: 12/15/2022] Open
Abstract
Mutations in the ganglioside-induced differentiation associated protein 1 (GDAP1) gene have been associated with demyelinating and axonal forms of Charcot-Marie-Tooth (CMT) disease, the most frequent hereditary peripheral neuropathy in humans. Previous studies reported the prevalent GDAP1 expression in neural tissues and cells, from animal models. Here, we described the first GDAP1 functional study on human induced-pluripotent stem cells (hiPSCs)-derived motor neurons, obtained from normal subjects and from a CMT2H patient, carrying the GDAP1 homozygous c.581C>G (p.Ser194*) mutation. At mRNA level, we observed that, in normal subjects, GDAP1 is mainly expressed in motor neurons, while it is drastically reduced in the patient’s cells containing a premature termination codon (PTC), probably degraded by the nonsense-mediated mRNA decay (NMD) system. Morphological and functional investigations revealed in the CMT patient’s motor neurons a decrease of cell viability associated to lipid dysfunction and oxidative stress development. Mitochondrion is a key organelle in oxidative stress generation, but it is also mainly involved in energetic metabolism. Thus, in the CMT patient’s motor neurons, mitochondrial cristae defects were observed, even if no deficit in ATP production emerged. This cellular model of hiPSCs-derived motor neurons underlines the role of mitochondrion and oxidative stress in CMT disease and paves the way for new treatment evaluation.
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Affiliation(s)
- Federica Miressi
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- Correspondence:
| | - Nesrine Benslimane
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
| | - Frédéric Favreau
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Biochimie et Génétique Moléculaire, F-87000 Limoges, France
| | - Marion Rassat
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
| | - Laurence Richard
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Neurologie, F-87000 Limoges, France
| | - Sylvie Bourthoumieu
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Cytogénétique, F-87000 Limoges, France
| | - Cécile Laroche
- CHU Limoges, Service de Pédiatrie, F-87000 Limoges, France;
- CHU Limoges, Centre de Compétence des Maladies Héréditaires du Métabolisme, F-87000 Limoges, France
| | - Laurent Magy
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Neurologie, F-87000 Limoges, France
| | - Corinne Magdelaine
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Biochimie et Génétique Moléculaire, F-87000 Limoges, France
| | - Franck Sturtz
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Biochimie et Génétique Moléculaire, F-87000 Limoges, France
| | - Anne-Sophie Lia
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Biochimie et Génétique Moléculaire, F-87000 Limoges, France
- CHU Limoges, Service de Bioinformatique, F-87000 Limoges, France
| | - Pierre-Antoine Faye
- Maintenance Myélinique et Neuropathies Périphériques, EA6309, University of Limoges, F-87000 Limoges, France; (N.B.); (F.F.); (M.R.); (L.R.); (S.B.); (L.M.); (C.M.); (F.S.); (A.-S.L.); (P.-A.F.)
- CHU Limoges, Service de Biochimie et Génétique Moléculaire, F-87000 Limoges, France
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