J Mov Disord.  2024 Apr;17(2):213-217. 10.14802/jmd.24009.

Loss-of-Function Variant in the SMPD1 Gene in Progressive Supranuclear Palsy-Richardson Syndrome Patients of Chinese Ancestry

Affiliations
  • 1Division of Neurology, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 2The Mah Pooi Soo & Tan Chin Nam Centre for Parkinson’s & Related Disorders, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 3Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore
  • 4Laboratory of Neurogenetics, Genome Institute of Singapore, A*STAR, Singapore
  • 5Department of Neurology, National Neuroscience Institute, Singapore
  • 6Department of Biomedical Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 7Metro Davao Medical and Research Center, Health Science and Wellness Center, Davao City, Philippines
  • 8Department of Clinical Epidemiology, University of the Philippines - College of Medicine, Manila, Philippines
  • 9Department of Physiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 10SingHealth Duke-NUS Institute of Precision Medicine, Singapore
  • 11SingHealth Duke-NUS Genomic Medicine Centre, Singapore
  • 12Cancer & Stem Cell Biology Program, Duke-NUS Medical School, Singapore
  • 13Laboratory of Genome Variation Analytics, Genome Institute of Singapore, Agency for Science, Technology and Research, Singapore
  • 14Department of Clinical and Movement Neurosciences, University College London, Institute of Neurology, London, UK

Abstract

Lysosomal dysfunction plays an important role in neurodegenerative diseases, including Parkinson’s disease (PD) and possibly Parkinson-plus syndromes such as progressive supranuclear palsy (PSP). This role is exemplified by the involvement of variants in the GBA1 gene, which results in a deficiency of the lysosomal enzyme glucocerebrosidase and is the most frequently identified genetic factor underlying PD worldwide. Pathogenic variants in the SMPD1 gene are a recessive cause of Niemann–Pick disease types A and B. Here, we provide the first report on an association between a loss-of-function variant in the SMPD1 gene present in a heterozygous state (p.Pro332Arg/p.P332R, which is known to result in reduced lysosomal acid sphingomyelinase activity), with PSP-Richardson syndrome in three unrelated patients of Chinese ancestry.

Keyword

Progressive supranuclear palsy; Genetics; Lysosomal; Sphingolipid; Acid sphingomyelinase
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