Table 1.
Genotype | Phenotype of patients encountered in this study | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Number of patients | Age at onset: first event/first hemiplegic attack | Age at last observation/Gender | Intellectual disability | Walking problems | Ataxia | Dystonia | Hemiplegia/Double hemiplegia attacks | Tonic attacks | Epilepsy | Other patients’ references | |
Cluster 1 | |||||||||||
p.Ser137Phe | 1 | Unknown | 20y / F | ++ | Unknown | + | + | ++++ | ++++ | ++ | [21, 31] |
p.Ser137Tyr | 2 | 4 m / 4 m | 9y / F | ++ | - | + | + | ++++ | Unknown | Remission | [21, 34, 35] |
2y / M | + | + | - | ++++ | - | - | |||||
Cluster 2 | |||||||||||
p.Ala264_Ala289delinsValLeuGly | 1 | 2 m / 2 m | 34y / M | - | ++ (Regression- lost walking) | - | +++ | + | + | - | |
p.Ile274Asn | 1 | Neonatal / 33 m | 10y / M | + | - | - | + | +++++ | + | - | [21, 22, 31] |
p.Glu324Gln | 1 | 1 m / 5 m | 16y / M | +++ | ++ (Regression) | - | +++ | ++++ | ++++ | - | [31] |
p.Leu326Arg | 1 | 8 m / 15 m | 4y / F | + | - | - | - | Remission | Remission | - | [31] |
c.993 + 1_993 + 2del $ | 1 | 12 m / 12 m | 6y / M | - | - | - | + | +++ | + | Remission | |
p.Cys333Phe | 1 | 1 m / 15 m | 4y / M | + | + (Regression) | - | + | ++++ | +++ | Remission | [21, 31] |
p.Gly358Ser | 1 | Neonatal / 6 years | 11y / M | +++ | + | + | +++++ | ++++ | ++++ | ||
Cytoplasmic domain between Cluster 2 and 3 | |||||||||||
p.Cys596Arg | 1 | 1 m / 24 m | 21y / M | +++ | - | + | + | +++ | +++ | + | [31] |
p.Leu715Pro $ | 1 | Neonatal / 3 m | 2y / M | ++ | ++ | + | + | +++++ | + | +++++ | |
Cluster 3 | |||||||||||
p.Gly755Ser | 3 | 4 m / 5 m | 24y / M | - | - | Unknown | ++ | +++++ | +++++ | Remission | [21, 31, 33–35] |
6 m / 8 m | 8y / M | + | - | ++ | Unknown | ++++ | ++++ | ++ | |||
6 m / 6 m | 8y / M | Unknown | - | + | - | ++++ | - | - | |||
p.Ser772Arg | 2 | 9 m / 9 m | 20y / M | ++ | + | + | ++ | + | + | + | [22, 31, 35] |
5 m / 10 m | 7y / M | ++ | - | - | ++ | ++++ | ++++ | - | |||
p.Asn773Ser | 2 mono-zygotic twins | Neonatal / 22 m | 10y / F | + | - | - | - | ++ | + | Remission | [21] |
Neonatal / 22 m | 10y / F | + | - | - | - | +++ | ++++ | Remission | |||
p.Asp801Asn | 57 | 2 m / 7 m (medians) | Median 15.7y | ++ | - | +++ | ++ | ++++ | ++++ | + | [8, 21–23, 31, 33–35] |
p.Asp801Val $ | 1 | 21 m / 21 m | 23y / M | - | - | ++ | + | Remission | ++++ | - | |
p.Thr804Ile | 2 | 2 m / 9 m | 13y / F | + | - | - | + | ++ | ++ | - | [31, 33] |
5 m / 5 m | 10y / F | ++ | - | + | - | ++ | ++ | - | |||
p.Met806Arg | 1 | 13 m / 13 m | 6y / M | + | - | - | + | +++ | +++ | Remission | [21] |
p.Ile810Asn £ | 1 | 7 m / 8 m | 20y / M | ++ | - | + | - | +++ | +++ | Remission | [35] |
p.Ser811Pro | 2 | 1 m / 1 m | 24y / F | ++ | + | ++ | ++ | +++++ | +++++ | ++ | [21, 31] |
1 m / 1 m | 20y / F | ++ | ++ | + | ++ | ++++ | - | + | |||
p.Glu815Lys | 22 | 1 m / 6 m (medians) | Median 7.8y | +++ | ++ | ++ | +++ | ++++ | ++++ | +++ | [8, 21–23, 31, 33–35] |
Cluster 4 | |||||||||||
p.Leu839Pro | 1 | Neonatal | 3 m / F | NA | NA | NA | ++ | + | ++++ | - | [31, 35] |
c.2542 + 1G > A | 1 | 1 m / 10 m | 26y / F | ++ | + | - | + | + | - | +++ | [21, 22, 31, 33] |
p.Leu888Pro $ | 1 | 1 m / 7 m | 19y / M | +++ | - | - | ++ | ++ | ++ | +++ | |
p.Val919del | 2 | Unknown | 3y / F | +++ | ++ | + | +++ | +++ | + | [21, 31] | |
Neonatal / 5 m | 17y / M | ++ | - | - | ++ | ++++ | ++++ | - | |||
p.Asp923Asn | 2 | 4 m / 29 m | 7y / F | - | - | + | - | +++ | - | - | [34, 35, 40] |
11 m / 24 m | 4y / F | + | - | - | + | ++ | - | - | |||
p.Cys927Phe | 1 | 18 m / 18 m | 15y / F | ++ | - | + | - | Remission | +++++ | - | [34] |
p.Cys927Trp | 1 | 4 m / 4 m | 37y / M | + | - | + | + | + | Remission | Remission | |
Cluster 5 | |||||||||||
p.Gly947Arg | 15 | 3 m / 6 m (medians) | Median 15y | + | - | + | + | +++ | +++ | + | [8, 21, 31, 33–35] |
p.Glu951Lys | 1 | 4 m / 10 m | 20y / M | ++ | + | +++ | + | Remission | ++ | - | |
p.Ala955Asp | 1 | Neonatal | 4y / M | +++ | ++ | - | + | +++++ | ++++ | ++ | [21] |
p.Asp992Tyr | 1 | 4 m / 8 m | 32y / M | + | Unknown | Unknown | +++ | +++ | ++ | + | [21, 34] |
Novel mutations found in this study are given in bold characters. Of them, de novo mutations (both parents available and tested negative) are marked by the symbol $; Y: years, M: male, F: female, m: months; £: p.Ile810Asn (c.2429 T > A) corresponds to the Myshkin mice mutation; Remission, means no present at the last observation; First event: first paroxysmal event of the disease, either hemiplegic or other (i.e. abnormal ocular movements, double hemiplegia, tonic/dystonic attacks); Unknown: missed information; NA: not applicable because of young age at last observation. Reference sequences for corresponding ATP1A3 transcript and protein were [NM_152296.3] and [Uniprot P13637], respectively