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Hyperkinetic Movement Disorder Caused by the Recurrent c.892C>T NACC1 Variant

Komulainen-Ebrahim, Jonna; Kangas, Salla M; López-Martín, Estrella; Feyma, Timothy; Scaglia, Fernando; Martínez-Delgado, Beatriz; Kuismin, Outi; ... Uusimaa, Johanna; + view all (2024) Hyperkinetic Movement Disorder Caused by the Recurrent c.892C>T NACC1 Variant. Movement Disorders Clinical Practice 10.1002/mdc3.14051. (In press). Green open access

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Abstract

BACKGROUND: Genetic syndromes of hyperkinetic movement disorders associated with epileptic encephalopathy and intellectual disability are becoming increasingly recognized. Recently, a de novo heterozygous NACC1 (nucleus accumbens-associated 1) missense variant was described in a patient cohort including one patient with a combined mitochondrial oxidative phosphorylation (OXPHOS) deficiency. OBJECTIVES: The objective is to characterize the movement disorder in affected patients with the recurrent c.892C>T NACC1 variant and study the NACC1 protein and mitochondrial function at the cellular level. METHODS: The movement disorder was analyzed on four patients with the NACC1 c.892C>T (p.Arg298Trp) variant. Studies on NACC1 protein and mitochondrial function were performed on patient-derived fibroblasts. RESULTS: All patients had a generalized hyperkinetic movement disorder with chorea and dystonia, which occurred cyclically and during sleep. Complex I was found altered, whereas the other OXPHOS enzymes and the mitochondria network seemed intact in one patient. CONCLUSIONS: The movement disorder is a prominent feature of NACC1-related disease.

Type: Article
Title: Hyperkinetic Movement Disorder Caused by the Recurrent c.892C>T NACC1 Variant
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/mdc3.14051
Publisher version: http://dx.doi.org/10.1002/mdc3.14051
Language: English
Additional information: © 2024 The Authors. Movement Disorders Clinical Practice published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: NACC1, cyclic, hyperkinetic, movement disorder
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Neurosciences Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10192338
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