Table 3.
CLN2 | Subgroup I | Subgroup II |
---|---|---|
Onset age | 3–5 y (average: 3.6 y) | 2–9 y (average: 5.5 y) |
Evolution time | 2–12 y (average: 6.4 y) | 3.5–27 y (average: 11.3 y) |
Presenting symptoms | Seizures (85%) | Seizures (75%) |
Epileptic syndrome | 100% | 83% |
Altered MRI | 3.5–5 y | 7–11 y |
Altered EEG | 3 y - | 11–13 y |
Visual failure | 5 y (77%); no (23%) | 10 y (66.7%); no (33.3%) |
Ataxia | 3.5 y (85.7%); no (14.3%) | 10 y - (100%) |
Motor regression | 2.5 y (100%) | 7 y - (100%) |
Language difficulties | 2.5 y (100%) | 11 y - (88.9%); no (11.1%) |
Mental regression | 3 y (100%) | 5–11 y (100%) |
TPP1 residual activity | No (100%) | Yes (100%) |
Vacuolated lymphocytes | Negative (100%) | Negative (87.5%); positive (12.5%) |
TEM | Pure CB (100%) | Pure CB (40%); atypical deposits (60%): CB+FP/CB+FP+GROD/FP |
Mutations | Novel: | Novel: |
Missense: | Missense: | |
E8 p.Arg350Trp, E13 p.Gly535Arg | E8 p.Arg350Trp, | |
Known: | E11 p.Ala453Asp, E13 p.Gly535Arg | |
Missense: | Deletion: | |
E7 p.Asp276Vala, E8 p.Arg339Glnb, | E9 c.1107-1108delTG | |
E11 p.Ala453Vala | Known: | |
Nonsense: | Missense: | |
E4 p.Leu104*a, E6 p.Arg208*b | E7 p.Asp276Vala, E11 p.Ser475Leub, | |
Intronic: | E11 p.Arg447Hisb | |
I5 c.509-1G>Cb | Nonsense: | |
E6 p.Arg208*b, E3 p.Gln66*b | ||
Intronic: | ||
I7 c.887-10A>Gb; I2 c.89+5G>Cb | ||
Allele combination | Homozygous (54.5%); heterozygous (45.5%) |
Heterozygous 100% |
MRI, Magnetic resonance images; EEG, electroencephalogram; TEM, transmission electron microscopy; y, years;
mutations previously published by our group in South American patients;
globally recognized mutations.