Cree encephalitis is allelic with Aicardi-Goutiéres syndrome: implications for the pathogenesis of disorders of interferon alpha metabolism

Aicardi-Goutiéres syndrome (AGS) is an early onset, progressive encephalopathy characterised by calcification of the basal ganglia, white matter abnormalities, and a chronic cerebrospinal fluid (CSF) lymphocytosis. Cree encephalitis shows phenotypic overlap with AGS although the conditions have been...

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Veröffentlicht in:Journal of medical genetics 2003-03, Vol.40 (3), p.183-187
Hauptverfasser: Crow, Y J, Black, D N, Ali, M, Bond, J, Jackson, A P, Lefson, M, Michaud, J, Roberts, E, Stephenson, J B P, Woods, C G, Lebon, P
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container_end_page 187
container_issue 3
container_start_page 183
container_title Journal of medical genetics
container_volume 40
creator Crow, Y J
Black, D N
Ali, M
Bond, J
Jackson, A P
Lefson, M
Michaud, J
Roberts, E
Stephenson, J B P
Woods, C G
Lebon, P
description Aicardi-Goutiéres syndrome (AGS) is an early onset, progressive encephalopathy characterised by calcification of the basal ganglia, white matter abnormalities, and a chronic cerebrospinal fluid (CSF) lymphocytosis. Cree encephalitis shows phenotypic overlap with AGS although the conditions have been considered distinct because of immunological abnormalities observed in Cree encephalitis. We report that levels of interferon alpha (IFN-α), a marker of AGS, are raised in Cree encephalitis. Moreover, linkage analysis indicates that the disorders are allelic and refines the AGS1 locus to a 3.47 cM critical interval. Our data show that a CSF lymphocytosis is not necessary for the diagnosis of AGS and strongly suggest that AGS and pseudo-TORCH syndrome are the same disorder. Recognition of immunological dysfunction as part of the AGS phenotype provides further evidence of a primary pathogenic role for abnormal IFN-α production in AGS.
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Cree encephalitis shows phenotypic overlap with AGS although the conditions have been considered distinct because of immunological abnormalities observed in Cree encephalitis. We report that levels of interferon alpha (IFN-α), a marker of AGS, are raised in Cree encephalitis. Moreover, linkage analysis indicates that the disorders are allelic and refines the AGS1 locus to a 3.47 cM critical interval. Our data show that a CSF lymphocytosis is not necessary for the diagnosis of AGS and strongly suggest that AGS and pseudo-TORCH syndrome are the same disorder. Recognition of immunological dysfunction as part of the AGS phenotype provides further evidence of a primary pathogenic role for abnormal IFN-α production in AGS.</description><identifier>ISSN: 0022-2593</identifier><identifier>ISSN: 1468-6244</identifier><identifier>EISSN: 1468-6244</identifier><identifier>DOI: 10.1136/jmg.40.3.183</identifier><identifier>PMID: 12624136</identifier><identifier>CODEN: JMDGAE</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Abnormalities, Multiple - blood ; Abnormalities, Multiple - genetics ; Abnormalities, Multiple - pathology ; Age ; Aicardi syndrome ; Aicardi-Goutiéres syndrome ; Basal Ganglia Diseases - pathology ; Biological and medical sciences ; Brain Damage, Chronic - pathology ; Calcification ; Calcinosis - pathology ; Child ; Chromosomes, Human, Pair 3 - genetics ; Congenital diseases ; Cree encephalitis ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Disease ; Encephalitis - blood ; Encephalitis - genetics ; Encephalopathy ; Families &amp; family life ; Family Health ; Female ; Genetic aspects ; Genetic Predisposition to Disease - genetics ; Genomes ; Haplotypes ; HIV ; Human immunodeficiency virus ; Humans ; Identification and classification ; Immunology ; Indians, North American ; Infections ; interferon alpha ; Interferon-alpha - blood ; Laboratories ; Lod Score ; Lymphocytosis - cerebrospinal fluid ; Male ; Medical sciences ; Metabolism ; Microsatellite Repeats ; Neurology ; Pathogenesis ; Pedigree ; Phenotype ; pseudo-TORCH syndrome ; Short Report ; Syndrome</subject><ispartof>Journal of medical genetics, 2003-03, Vol.40 (3), p.183-187</ispartof><rights>Copyright 2003 Journal of Medical Genetics</rights><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Journal of Medical Genetics</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b610t-6e47b5b0bdd27569ba7143fdcaa2f9409fc6647f961bc173aca83ebc130e28af3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735395/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735395/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14588203$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12624136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crow, Y J</creatorcontrib><creatorcontrib>Black, D N</creatorcontrib><creatorcontrib>Ali, M</creatorcontrib><creatorcontrib>Bond, J</creatorcontrib><creatorcontrib>Jackson, A P</creatorcontrib><creatorcontrib>Lefson, M</creatorcontrib><creatorcontrib>Michaud, J</creatorcontrib><creatorcontrib>Roberts, E</creatorcontrib><creatorcontrib>Stephenson, J B P</creatorcontrib><creatorcontrib>Woods, C G</creatorcontrib><creatorcontrib>Lebon, P</creatorcontrib><title>Cree encephalitis is allelic with Aicardi-Goutiéres syndrome: implications for the pathogenesis of disorders of interferon alpha metabolism</title><title>Journal of medical genetics</title><addtitle>J Med Genet</addtitle><description>Aicardi-Goutiéres syndrome (AGS) is an early onset, progressive encephalopathy characterised by calcification of the basal ganglia, white matter abnormalities, and a chronic cerebrospinal fluid (CSF) lymphocytosis. Cree encephalitis shows phenotypic overlap with AGS although the conditions have been considered distinct because of immunological abnormalities observed in Cree encephalitis. We report that levels of interferon alpha (IFN-α), a marker of AGS, are raised in Cree encephalitis. Moreover, linkage analysis indicates that the disorders are allelic and refines the AGS1 locus to a 3.47 cM critical interval. Our data show that a CSF lymphocytosis is not necessary for the diagnosis of AGS and strongly suggest that AGS and pseudo-TORCH syndrome are the same disorder. Recognition of immunological dysfunction as part of the AGS phenotype provides further evidence of a primary pathogenic role for abnormal IFN-α production in AGS.</description><subject>Abnormalities, Multiple - blood</subject><subject>Abnormalities, Multiple - genetics</subject><subject>Abnormalities, Multiple - pathology</subject><subject>Age</subject><subject>Aicardi syndrome</subject><subject>Aicardi-Goutiéres syndrome</subject><subject>Basal Ganglia Diseases - pathology</subject><subject>Biological and medical sciences</subject><subject>Brain Damage, Chronic - pathology</subject><subject>Calcification</subject><subject>Calcinosis - pathology</subject><subject>Child</subject><subject>Chromosomes, Human, Pair 3 - genetics</subject><subject>Congenital diseases</subject><subject>Cree encephalitis</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Disease</subject><subject>Encephalitis - blood</subject><subject>Encephalitis - genetics</subject><subject>Encephalopathy</subject><subject>Families &amp; family life</subject><subject>Family Health</subject><subject>Female</subject><subject>Genetic aspects</subject><subject>Genetic Predisposition to Disease - genetics</subject><subject>Genomes</subject><subject>Haplotypes</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Identification and classification</subject><subject>Immunology</subject><subject>Indians, North American</subject><subject>Infections</subject><subject>interferon alpha</subject><subject>Interferon-alpha - blood</subject><subject>Laboratories</subject><subject>Lod Score</subject><subject>Lymphocytosis - cerebrospinal fluid</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolism</subject><subject>Microsatellite Repeats</subject><subject>Neurology</subject><subject>Pathogenesis</subject><subject>Pedigree</subject><subject>Phenotype</subject><subject>pseudo-TORCH syndrome</subject><subject>Short Report</subject><subject>Syndrome</subject><issn>0022-2593</issn><issn>1468-6244</issn><issn>1468-6244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ksuO0zAUhiMEYsrAjjWKGAEbUuw4cRIWSKWFgjQCCQ1sLcc5bl0Su9guMO_Ai_AcvBintOoMqEK25Nvn_1z0J8l9SsaUMv5sNSzGBRmzMa3ZjWREC15nPC-Km8mIkDzP8rJhJ8mdEFaEUFZRfjs5oTkS-HmU_Jh6gBSsgvVS9iaakOKUfQ-9Uek3E5fpxCjpO5PN3SaaXz89hDRc2s67AZ6nZlgjKKNxNqTa-TQuIV3LuHQLsBBQy-m0M8H5Dvyfg7ERvAbvLIbBoOkAUbauN2G4m9zSsg9wb7-eJh9fv7qYvsnO38_fTifnWcspiRmHomrLlrRdl1clb1pZ0YLpTkmZ66YgjVacF5VuOG0VrZhUsmaAW0Ygr6Vmp8mLne560w7QKbDRy16svRmkvxROGvH3izVLsXBfBYqVrClR4PFewLsvGwhRDCYo6HtpwW2CqBipclrUCJ79A67cxlssDrVqmhPGaoLUwx21kD0IY7XDqGorKSZNk9dNzRuEnh6Btl3GDJ0FbfD6Op4dwXF0MBh1jN_LK-9C8KAP7aBEbI0m0GiiIIIJNBriD6638AreOwuBR3tABiV77aVVJlxxRVnX2_IPeZoQ4fvhXfrPglesKsW7T1Mxm83mLxn9IC6Qf7Lj22H1_xR_A-Rm-p4</recordid><startdate>20030301</startdate><enddate>20030301</enddate><creator>Crow, Y J</creator><creator>Black, D N</creator><creator>Ali, M</creator><creator>Bond, J</creator><creator>Jackson, A P</creator><creator>Lefson, M</creator><creator>Michaud, J</creator><creator>Roberts, E</creator><creator>Stephenson, J B P</creator><creator>Woods, C G</creator><creator>Lebon, P</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20030301</creationdate><title>Cree encephalitis is allelic with Aicardi-Goutiéres syndrome: implications for the pathogenesis of disorders of interferon alpha metabolism</title><author>Crow, Y J ; Black, D N ; Ali, M ; Bond, J ; Jackson, A P ; Lefson, M ; Michaud, J ; Roberts, E ; Stephenson, J B P ; Woods, C G ; Lebon, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b610t-6e47b5b0bdd27569ba7143fdcaa2f9409fc6647f961bc173aca83ebc130e28af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abnormalities, Multiple - blood</topic><topic>Abnormalities, Multiple - genetics</topic><topic>Abnormalities, Multiple - pathology</topic><topic>Age</topic><topic>Aicardi syndrome</topic><topic>Aicardi-Goutiéres syndrome</topic><topic>Basal Ganglia Diseases - pathology</topic><topic>Biological and medical sciences</topic><topic>Brain Damage, Chronic - pathology</topic><topic>Calcification</topic><topic>Calcinosis - pathology</topic><topic>Child</topic><topic>Chromosomes, Human, Pair 3 - genetics</topic><topic>Congenital diseases</topic><topic>Cree encephalitis</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. 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subjects Abnormalities, Multiple - blood
Abnormalities, Multiple - genetics
Abnormalities, Multiple - pathology
Age
Aicardi syndrome
Aicardi-Goutiéres syndrome
Basal Ganglia Diseases - pathology
Biological and medical sciences
Brain Damage, Chronic - pathology
Calcification
Calcinosis - pathology
Child
Chromosomes, Human, Pair 3 - genetics
Congenital diseases
Cree encephalitis
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Disease
Encephalitis - blood
Encephalitis - genetics
Encephalopathy
Families & family life
Family Health
Female
Genetic aspects
Genetic Predisposition to Disease - genetics
Genomes
Haplotypes
HIV
Human immunodeficiency virus
Humans
Identification and classification
Immunology
Indians, North American
Infections
interferon alpha
Interferon-alpha - blood
Laboratories
Lod Score
Lymphocytosis - cerebrospinal fluid
Male
Medical sciences
Metabolism
Microsatellite Repeats
Neurology
Pathogenesis
Pedigree
Phenotype
pseudo-TORCH syndrome
Short Report
Syndrome
title Cree encephalitis is allelic with Aicardi-Goutiéres syndrome: implications for the pathogenesis of disorders of interferon alpha metabolism
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