Abstract
Progressive myoclonic epilepsy is a group of neurodegenerative diseases with complex clinical and genetic heterogeneity, which is associated with spontaneous or action-induced myoclonus and progressive neurodegeneration. Since 2020, 4 families with progressive myoclonic epilepsy-11 [OMIM#618876] have been reported with a very limited spectrum of SEMA6B pathogenic variants. In our study, whole-exome sequencing was used in a proband from a nonconsanguineous Chinese family presenting with growth retardation and recurrent atonic seizures. A deletion mutation (c.1960_1978del, p.Leu654Argfs*25) in the last exon of SEMA6B was detected, which is a de novo variant and pathogenic. The new genetic evidence we reported here strengthened the gene-disease relationship, and the gene curation level between SEMA6B and progressive myoclonic epilepsy-11 became “strong” following the ClinGen SOP. Therefore, the results of this study broaden the mutation spectrum of SEMA6B in different ethnic groups and strengthen the gene-disease relationship between SEMA6B and progressive myoclonic epilepsy-11.
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The data and material discussed here are available in the references listed.
Abbreviations
- SEMA6B:
-
Semaphorin 6B
- MRI:
-
Magnetic resonance imaging
- EPM:
-
Progressive myoclonic epilepsy
- EEG:
-
Electroencephalogram
References
Aldinger KA, Timms AE, Thomson Z et al (2019) Redefining the etiologic landscape of cerebellar malformations. Am J Hum Genet 105(3):606–615
Andermatt I, Wilson NH, Bergmann T et al (2014) Semaphorin 6B acts as a receptor in post-crossing commissural axon guidance. Development 141(19):3709–3720
Correa RG, Sasahara RM, Bengtson MH et al (2001) Human semaphorin 6B [(HSA)SEMA6B], a novel human class 6 semaphorin gene: alternative splicing and all-trans-retinoic acid-dependent downregulation in glioblastoma cell lines. Genomics 73(3):343–348
Dijk JM, Tijssen MA (2010) Management of patients with myoclonus: available therapies and the need for an evidence-based approach. Lancet Neurol 9(10):1028–1036
Franceschetti S, Michelucci R, Canafoglia L et al (2014) Progressive myoclonic epilepsies: definitive and still undetermined causes. Neurology 82(5):405–411
Hamanaka K, Imagawa E, Koshimizu E et al (2020) De novo truncating variants in the last exon of SEMA6B cause progressive myoclonic epilepsy. Am J Hum Genet 106(4):549–558
Holmes GL (2020) Drug treatment of progressive myoclonic epilepsy. Paediatr Drugs 22(2):149–164
Kälviäinen R (2015) Progressive myoclonus epilepsies. Semin Neurol 35(3):293–299
Malek N, Stewart W, Greene J (2015) The progressive myoclonic epilepsies. Pract Neurol 15(3):164–171
Richards S, Aziz N, Bale S et al (2015) Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med 17(5):405–424
Satishchandra P, Sinha S (2010) Progressive myoclonic epilepsy. Neurol India 58(4):514–522
Suto F, Tsuboi M, Kamiya H et al (2007) Interactions between plexin-A2, plexin-A4, and semaphorin 6A control lamina-restricted projection of hippocampal mossy fibers. Neuron 53(4):535–547
Tawarayama H, Yoshida Y, Suto F, Mitchell KJ, Fujisawa H (2010) Roles of semaphorin-6B and plexin-A2 in lamina-restricted projection of hippocampal mossy fibers. J Neurosci 30(20):7049–7060
Acknowledgements
We thank the patient and her family members for their cooperation and contribution.
Funding
This study was supported by grants from Jiangsu Provincial Key Research and Development Program (No. BE2018661), The Fifteenth Batch of Jiangsu Province Funds for Selection and Training of High-Level Talents (WSN-028), and Suzhou Science and Technology Development Program (SYSD2020122).
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QL and ML drafted the manuscript and contributed to conception and design of the study. DPH, PJ, and WHL cared for the patient and critically revised the article. JH and TL contributed to the data acquisition. XQC critically revised and gave final approval for publication of the paper.
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The study was based on the principles of the Declaration of Helsinki and authorized by the Institutional Review Committee of Children’s Hospital Affiliated to Soochow University. Written consent for publication was obtained from the patient.
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Li, Q., Liu, M., Huang, Dp. et al. A De Novo SEMA6B Variant in a Chinese Patient with Progressive Myoclonic Epilepsy-11 and Review of the Literature. J Mol Neurosci 71, 1944–1950 (2021). https://doi.org/10.1007/s12031-021-01880-0
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DOI: https://doi.org/10.1007/s12031-021-01880-0