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Loss-of-function alanyl-tRNA synthetase mutations cause an autosomal-recessive early-onset epileptic encephalopathy with persistent myelination defect.

American journal of human genetics | 2015

Mutations in genes encoding aminoacyl-tRNA synthetases are known to cause leukodystrophies and genetic leukoencephalopathies-heritable disorders that result in white matter abnormalities in the central nervous system. Here we report three individuals (two siblings and an unrelated individual) with severe infantile epileptic encephalopathy, clubfoot, absent deep tendon reflexes, extrapyramidal symptoms, and persistently deficient myelination on MRI. Analysis by whole exome sequencing identified mutations in the nuclear-encoded alanyl-tRNA synthetase (AARS) in these two unrelated families: the two affected siblings are compound heterozygous for p.Lys81Thr and p.Arg751Gly AARS, and the single affected child is homozygous for p.Arg751Gly AARS. The two identified mutations were found to result in a significant reduction in function. Mutations in AARS were previously associated with an autosomal-dominant inherited form of axonal neuropathy, Charcot-Marie-Tooth disease type 2N (CMT2N). The autosomal-recessive AARS mutations identified in the individuals described here, however, cause a severe infantile epileptic encephalopathy with a central myelin defect and peripheral neuropathy, demonstrating that defects of alanyl-tRNA charging can result in a wide spectrum of disease manifestations.

Pubmed ID: 25817015 RIS Download

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Associated grants

  • Agency: NIGMS NIH HHS, United States
    Id: GM110184
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR000075
  • Agency: NIGMS NIH HHS, United States
    Id: R21 GM110184
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007863
  • Agency: NINDS NIH HHS, United States
    Id: F30 NS092238
  • Agency: NCATS NIH HHS, United States
    Id: UL1TR000075
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007315

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