Long-Surviving Adult Siblings With Joubert Syndrome Harboring a Novel Compound Heterozygous
            <i>CPLANE1</i>
            Variant

的場, 健人, 千原, 典夫, 佐竹, 渉, Tokuoka, Hideki, Otsuka, Yoshihisa, 上田, 健博, 関口, 兼司, Itoh, Masayuki, 松本, 理器

doi:10.1212/nxg.0000000000200031

Background and Objectives We describe 2 long-surviving siblings with a mild phenotype of Joubert syndrome (JBTS) harboring a novel compound heterozygous missense variant in the CPLANE1 gene. Methods Targeted sequencing data of 2 middle-aged siblings (sister and brother) with JBTS were analyzed. Results The patients were older than 60 years and presented with an inborn facial anomaly and ataxia, accompanied by a molar tooth sign on brain MRI. The male patient showed mild intellectual disability, abnormal eye movements, and progressive gait disturbance. Targeted sequencing revealed a compound heterozygous missense variant of CPLANE1 p.Arg1193Cys_Gln1223Pro; c.3577C>T_3668A>C. Multiple in silico assays predicted that the missense sites were pathogenic. Discussion The phenotype-genotype correlation of CPLANE1 remains controversial, although many cases have been previously reported in children and young adults. Our study revealed a novel pathogenic variant of CPLANE1 in patients, confirming the role of this gene in JBTS, thus providing an opportunity for neurologists to recognize JBTS as a differential diagnosis for chronic progressive ataxia in an aging society.

Long-Surviving Adult Siblings With Joubert Syndrome Harboring a Novel Compound Heterozygous <i>CPLANE1</i> Variant

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