Novel mutations in HINT1 gene cause the autosomal recessive axonal neuropathy with neuromyotonia

Eur J Med Genet. 2019 Mar;62(3):190-194. doi: 10.1016/j.ejmg.2018.07.009. Epub 2018 Jul 11.

Abstract

Autosomal recessive axonal neuropathy with neuromyotonia (ARAN-NM) is a rare form of hereditary neuropathy. Mutations in HINT1 gene have been identified to be the cause of this disorder. We report two unrelated patients who presented gait impairment, progressive distal muscle weakness and atrophy, neuromyotonia and foot deformities. Electrophysiological studies showed axonal motor neuropathy and neuromyotonic discharges. Using Next-generation sequencing, we identified two homozygous mutations, NM_005340.6: c.112T > C; p.(Cys38Arg) and NM_005340.6: c.289G > A; p.(Val97Met) in HINT1 gene. Based on the clinical presentation and molecular genetic analyses, ARAN-NM was diagnosed in both patients and NM_005340.6: c.112T > C; p.(Cys38Arg) and NM_005340.6: c.289G > A; p.(Val97Met) in HINT1 gene were believe to be causative for the disorder.

Keywords: Axonal neuropathy; HINT1; Mutation; Neuromyotonia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Foot Deformities, Congenital / genetics*
  • Foot Deformities, Congenital / pathology
  • Humans
  • Isaacs Syndrome / genetics*
  • Isaacs Syndrome / pathology
  • Male
  • Muscle Weakness / genetics*
  • Muscle Weakness / pathology
  • Mutation, Missense*
  • Nerve Tissue Proteins / genetics*
  • Phenotype
  • Syndrome

Substances

  • HINT1 protein, human
  • Nerve Tissue Proteins