Abstract
TDP2 gene encodes tyrosyl DNA phosphodiesterase 2, an enzyme required for effective repair of the DNA double-strand breaks (DSBs). Spinocerebellar ataxia autosomal recessive 23 (SCAR23) is a rare disease caused by the pathogenic mutation of TDP2 gene and characterized by intellectual disability, progressive ataxia and refractory epilepsy. Thus far, merely nine patients harboring five different variants (c.425 + 1G > A; c.413_414delinsAA, p. Ser138*; c.400C > T, p. Arg134*; c.636 + 3_ 636 + 6 del; c.4G > T, p. Glu2*) in TDP2 gene have been reported. Here, we describe the tenth patient with a novel variant (c.650del, p. Gly217GlufsTer7) and new phenotype (pituitary tumor and hyperhidrosis).
References
Gomez-Herreros F, Schuurs-Hoeijmakers JH, McCormack M, Greally MT, Rulten S, Romero-Granados R et al (2014) TDP2 protects transcription from abortive topoisomerase activity and is required for normal neural function. Nat Genet 46(5):516–521
Zagnoli-Vieira G, Bruni F, Thompson K, He L, Walker S, de Brouwer APM et al (2018) Confirming TDP2 mutation in spinocerebellar ataxia autosomal recessive 23 (SCAR23). Neurol Genet 4(4):e262
Ciaccio C, Castello R, Esposito S, Pinelli M, Nigro V, Casari G et al (2019) Consolidating the role of TDP2 mutations in recessive spinocerebellar ataxia associated with pediatric onset drug resistant epilepsy and intellectual disability (SCAR23). Cerebellum 18(5):972–975
Gomez-Herreros F, Romero-Granados R, Zeng Z, Alvarez-Quilon A, Quintero C, Ju L et al (2013) TDP2-dependent non-homologous end-joining protects against topoisomerase II-induced DNA breaks and genome instability in cells and in vivo. PLoS Genet 9(3):e1003226
McKinnon PJ (2014) TDP2 keeps the brain healthy. Nat Genet 46(5):419–421
Errichiello E, Zagnoli-Vieira G, Rizzi R, Garavelli L, Caldecott KW, Zuffardi O (2020) Characterization of a novel loss-of-function mutation in TDP2 in two adult patients with spinocerebellar ataxia autosomal recessive 23 (SCAR23). J Hum Genet 65(12):1135–1141
Zoghi S, Khamirani HJ, Hassanipour H, Bostanian P, Masoudian R, Dastgheib SA (2021) A novel non-sense mutation in TDP2 causes spinocerebellar ataxia autosomal recessive 23 accompanied by bilateral upward gaze; report of a case and review of the literature. Eur J Med Genet 64(12):104348
Funding
This study was supported financially by Shenzhen San Ming Project (No. SZSM201911003).
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. YQZ, YFS, and KHH were involved in data acquisition. YQZ and ZWS prepared the figures. YQZ, SDC, and LMZ contributed to the data analysis and drafting of the text.
Corresponding authors
Ethics declarations
Ethical approval and Informed consent
Informed consent was obtained from the patient’s parents for publication of data.
Conflict of interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Zheng, Y., She, Y., Su, Z. et al. A novel pathogenic variant in TDP2 causes spinocerebellar ataxia autosomal recessive 23 accompanied by pituitary tumor and hyperhidrosis: a case report. Neurol Sci (2024). https://doi.org/10.1007/s10072-024-07397-9
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10072-024-07397-9