De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report

Abstract Background ATP1A2 gene mutation has been indicated to cause alternating hemiplegia of childhood (AHC); however, limited evidence supports this relationship so far. Case presentation We reported two Chinese patients with de novo ATP1A2 variants (c.970G>A and c.889G>A). Both patients pr...

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Main Authors: Danping Huang, Min Liu, Hongying Wang, Bingbing Zhang, Dongjing Zhao, Weihao Ling, Manli Wang, Jun Feng, Yiping Shen, Xuqin Chen
Format: Article
Language:English
Published: BMC 2021-04-01
Series:BMC Medical Genomics
Subjects:
Online Access:https://doi.org/10.1186/s12920-021-00947-6
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spelling doaj-dafedca9c250445b98f25fa77c0a9bba2021-04-04T11:08:43ZengBMCBMC Medical Genomics1755-87942021-04-011411610.1186/s12920-021-00947-6De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case reportDanping Huang0Min Liu1Hongying Wang2Bingbing Zhang3Dongjing Zhao4Weihao Ling5Manli Wang6Jun Feng7Yiping Shen8Xuqin Chen9Department of Neurology, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityDepartment of Laboratory, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityDepartment of Neurology, Children’s Hospital of Soochow UniversityGenetic and Metabolic Central Laboratory, Birth Defect Prevention Research Institute, Maternal and Child Health Hospital, Children’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Neurology, Children’s Hospital of Soochow UniversityAbstract Background ATP1A2 gene mutation has been indicated to cause alternating hemiplegia of childhood (AHC); however, limited evidence supports this relationship so far. Case presentation We reported two Chinese patients with de novo ATP1A2 variants (c.970G>A and c.889G>A). Both patients presented with episodes of alternating hemiplegia, seizures and mild developmental delay. Brain magnetic resonance imaging revealed abnormal signals in both patients. Conclusions The new genetic evidence we reported here strengthened the gene–disease relationship, and the gene curation level between ATP1A2 and AHC became “Moderate” following the ClinGen Standard Operation Procedure. Consequently, the two variants can be reclassified as likely pathogenic.https://doi.org/10.1186/s12920-021-00947-6Alternating hemiplegia of childhoodATP1A2De novoVariant classification
collection DOAJ
language English
format Article
sources DOAJ
author Danping Huang
Min Liu
Hongying Wang
Bingbing Zhang
Dongjing Zhao
Weihao Ling
Manli Wang
Jun Feng
Yiping Shen
Xuqin Chen
spellingShingle Danping Huang
Min Liu
Hongying Wang
Bingbing Zhang
Dongjing Zhao
Weihao Ling
Manli Wang
Jun Feng
Yiping Shen
Xuqin Chen
De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
BMC Medical Genomics
Alternating hemiplegia of childhood
ATP1A2
De novo
Variant classification
author_facet Danping Huang
Min Liu
Hongying Wang
Bingbing Zhang
Dongjing Zhao
Weihao Ling
Manli Wang
Jun Feng
Yiping Shen
Xuqin Chen
author_sort Danping Huang
title De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
title_short De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
title_full De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
title_fullStr De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
title_full_unstemmed De novo ATP1A2 variants in two Chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
title_sort de novo atp1a2 variants in two chinese children with alternating hemiplegia of childhood upgraded the gene–disease relationship and variant classification: a case report
publisher BMC
series BMC Medical Genomics
issn 1755-8794
publishDate 2021-04-01
description Abstract Background ATP1A2 gene mutation has been indicated to cause alternating hemiplegia of childhood (AHC); however, limited evidence supports this relationship so far. Case presentation We reported two Chinese patients with de novo ATP1A2 variants (c.970G>A and c.889G>A). Both patients presented with episodes of alternating hemiplegia, seizures and mild developmental delay. Brain magnetic resonance imaging revealed abnormal signals in both patients. Conclusions The new genetic evidence we reported here strengthened the gene–disease relationship, and the gene curation level between ATP1A2 and AHC became “Moderate” following the ClinGen Standard Operation Procedure. Consequently, the two variants can be reclassified as likely pathogenic.
topic Alternating hemiplegia of childhood
ATP1A2
De novo
Variant classification
url https://doi.org/10.1186/s12920-021-00947-6
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