Early severe cortical involvement and novel FUCA1 pathogenic variants in a pediatric fucosidosis case

Background: Biallelic pathogenic variants in the FUCA1 gene are associated with fucosidosis. This report describes a 4-year-oldboy presenting with psychomotor regression, spasticity, and dystonic postures.Methods and Results: Trio-based whole exome sequencing revealed two previously unreported loss-...

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Detalles Bibliográficos
Autores: Jiménez de la Peña, María del Mar, López Martín, Sara, Martín Fernández-Mayoralas, Daniel, Fernández-Perrone, Ana Laura, Jiménez de Domingo, Ana, Tirado‑Requero, Pilar, Calleja-Pérez, Beatriz, Alvarez, Sara, Albert Bitaubé, Jacobo, Fernández-Jaén, Alberto
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/717816
Acceso en línea:http://hdl.handle.net/10486/717816
https://dx.doi.org/10.1002/mgg3.70070
Access Level:acceso abierto
Palabra clave:Cortical Thickness
FUCA1 Gene
Fucosidosis
Neuroimaging
Psicología
Descripción
Sumario:Background: Biallelic pathogenic variants in the FUCA1 gene are associated with fucosidosis. This report describes a 4-year-oldboy presenting with psychomotor regression, spasticity, and dystonic postures.Methods and Results: Trio-based whole exome sequencing revealed two previously unreported loss-of-function variants in theFUCA1 gene. Brain magnetic resonance imaging (MRI) findings included corpus callosum hypoplasia, white matter hypomyeli-nation, and alterations in the globus pallidi, alongside markedly reduced cortical thickness.Conclusions: These findings suggest that cortical atrophy may occur in the early stages of fucosidosis. Early diagnosis is im-perative for genetic counseling, timely investigations, and initiating early therapeutic interventions to potentially mitigate moreextensive brain involvement