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Mosaicism for a pathogenic $\textit{MFN2}$ mutation causes minimal clinical features of CMT2A in the parent of a severely affected child

Published version
Peer-reviewed

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Authors

Spasic-Boskovic, O 
Brugger, K 
Graves, TD 
Abbs, S 

Abstract

Charcot-Marie-Tooth disease (CMT) refers to a genetically heterogeneous group of disorders which cause a peripheral motor and sensory neuropathy. The overall prevalence is 1 in 2500 individuals. Mutations in the MFN2 gene are the commonest cause for the axonal (CMT2) type. We describe a Caucasian 5-year old girl affected by CMT2A since the age of 2 years. She presented with unsteady gait, inturning of the feet and progressive foot deformities. Nerve conduction studies suggested an axonal neuropathy and molecular testing identified a previously reported pathogenic variant c.1090C > T, p.(Arg364Trp) in the MFN2 gene. This variant was also detected in a mosaic state in blood and saliva by Sanger sequencing in her subjectively healthy father. Next generation sequencing showed that the level of mosaicism was 21% in blood and 24% in saliva. A high recurrence risk was given because the father had proven somatic mosaicism and an affected child implying gonadal mosaicism. The parents were referred for pre-implantation genetic diagnosis. To the best of our knowledge, this is the first reported case of somatic mosaicism for MFN2. This study has important implications for genetic counselling in families with CMT2A.

Description

Keywords

MFN2, CMT2A, mosaicism, Charcot-Marie-tooth disease

Journal Title

Neurogenetics

Conference Name

Journal ISSN

1364-6745
1364-6753

Volume Title

18

Publisher

Springer
Sponsorship
National Institute of Health Research (Academic Clinical Fellowship)