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Case Reports
. 2020 Feb;42(2):199-204.
doi: 10.1016/j.braindev.2019.10.006. Epub 2019 Nov 15.

Phenotype-genotype correlations in patients with GNB1 gene variants, including the first three reported Japanese patients to exhibit spastic diplegia, dyskinetic quadriplegia, and infantile spasms

Wakaba Endo  1 , Satoru Ikemoto  2 , Noriko Togashi  1 , Takuya Miyabayashi  1 , Erika Nakajima  2 , Shin-Ichiro Hamano  2 , Moriei Shibuya  1 , Ryo Sato  1 , Yusuke Takezawa  1 , Yukimune Okubo  1 , Takehiko Inui  1 , Mitsuhiro Kato  3 , Toru Sengoku  4 , Kazuhiro Ogata  4 , Kohei Hamanaka  5 , Takeshi Mizuguchi  5 , Satoko Miyatake  5 , Mitsuko Nakashima  6 , Naomichi Matsumoto  5 , Kazuhiro Haginoya  7
Affiliations
Case Reports

Phenotype-genotype correlations in patients with GNB1 gene variants, including the first three reported Japanese patients to exhibit spastic diplegia, dyskinetic quadriplegia, and infantile spasms

Wakaba Endo et al. Brain Dev. 2020 Feb.

Abstract

We report the first three Japanese patients with missense variants in the GNB1 gene. Patients exhibited severe dyskinetic quadriplegia with cortical blindness and epileptic spasms, West syndrome (but with good outcomes), and hypotonic quadriplegia that later developed into spastic diplegia. Whole-exome sequencing revealed two recurrent GNB1 variants (p.Leu95Pro and p.Ile80Thr) and one novel variant (p.Ser74Leu). A recent investigation revealed large numbers of patients with GNB1 variants. Functional studies of such variants and genotype-phenotype correlation are required to enable future precision medicine.

Keywords: Epileptic and developmental encephalopathy; GNB1; Hereditary spastic paraplegia; Hypotonic cerebral palsy; Infantile spasms.

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