SEPT9 gene sequencing analysis reveals recurrent mutations in hereditary neuralgic amyotrophy

• Published in: Neurology Vol. 72; no. 20; pp. 1755 - 1759
• Main Authors: HANNIBAL, M. C, RUZZO, E. K, BEDFORD, H. M, WORRALL, B. B, LOVITT, S, APPEL, S. H, ANDERMANN, E, BIRD, T. D, CHANCE, P. F, MILLER, L. R, BETZ, B, BUCHAN, J. G, KNUTZEN, D. M, BARNETT, K, LANDSVERK, M. L, BRICE, A, LEGUERN, E
• Format: Journal Article
• Language: English
• Published: Hagerstown, MD Lippincott Williams & Wilkins 19-05-2009; American Academy of Neurology
• Subjects: Base Sequence; Biological and medical sciences; Brachial Plexus Neuritis - genetics; Chromosome Mapping; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases; DNA Mutational Analysis; Female; Genetic Predisposition to Disease; GTP Phosphohydrolases - genetics; Haplotypes; Humans; Male; Medical sciences; Molecular Sequence Data; Mutation, Missense; Neurology; Pedigree; Septins; Sequence Analysis; Striated muscle disease; Nervous system diseases; Nucleotide sequence; Amyotrophy; Mutation; Recurrent; Sequencing
• ISSN: 0028-3878; 1526-632X
• DOI: 10.1212/WNL.0b013e3181a609e3

Hereditary neuralgic amyotrophy (HNA) is an autosomal dominant disorder that manifests as recurrent, episodic, painful brachial neuropathies. A gene for HNA maps to chromosome 17q25.3 where mutations in SEPT9, encoding the septin-9 protein, have been identified.
To determine the frequency and type of mutations in the SEPT9 gene in a new cohort of 42 unrelated HNA pedigrees.
DNA sequencing of all exons and intron-exon boundaries for SEPT9 was carried out in an affected individual in each pedigree from our HNA cohort. Genotyping using microsatellite markers spanning the SEPT9 gene was also used to identify pedigrees with a previously reported founder haplotype.
Two missense mutations were found: c.262C>T (p.Arg88Trp) in seven HNA pedigrees and c.278C>T (p.Ser93Phe) in one HNA pedigree. Sequencing of other known exons in SEPT9 detected no additional disease-associated mutations. A founder haplotype, without defined mutations in SEPT9, was present in seven pedigrees.
We provide further evidence that mutation of the SEPT9 gene is the molecular basis of some cases of hereditary neuralgic amyotrophy (HNA). DNA sequencing of SEPT9 demonstrates a restricted set of mutations in this cohort of HNA pedigrees. Nonetheless, sequence analysis will have an important role in mutation detection in HNA. Additional techniques will be required to find SEPT9 mutations in an HNA founder haplotype and other pedigrees.