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Progressive myoclonus epilepsy of the Lafora type or Lafora disease (EPM2; McKusick no. 254780) is an autosomal recessive disorder characterized by epilepsy, myoclonus, progressive neurological deterioration and glycogen-like intracellular inclusion bodies (Lafora bodies). A gene for EPM2 previously has been mapped to chromosome 6q23-q25 using linkage analysis and homozygosity mapping. Here we report the positional cloning of the 6q EPM2 gene. A microdeletion within the EPM2 critical region, present inhomozygosis in an affected individual, was found to disrupt a novel gene encoding a putative protein tyrosine phosphatase (PTPase). The gene, denoted EPM2, presents alternative splicing in the 5' and 3' end regions. Mutational analysis revealed that EPM2 patients are homozygous for loss-of-function mutations in EPM2. These findings suggest that Lafora disease results from the mutational inactivation of a PTPase activity that may be important in the control of glycogen metabolism.
Male, Biochemistry & Molecular Biology, DNA, Complementary, DNA Mutational Analysis, Molecular Sequence Data, Epilepsies, Myoclonic, Polymerase Chain Reaction, Humans, Amino Acid Sequence, EMC MGC-02-96-01, Polymorphism, Single-Stranded Conformational, Genetics & Heredity, Base Sequence, Sequence Homology, Amino Acid, DNA, Pedigree, Genes, Mutation, Chromosomes, Human, Pair 6, Female, Protein Tyrosine Phosphatases, Sequence Alignment, Microsatellite Repeats
Male, Biochemistry & Molecular Biology, DNA, Complementary, DNA Mutational Analysis, Molecular Sequence Data, Epilepsies, Myoclonic, Polymerase Chain Reaction, Humans, Amino Acid Sequence, EMC MGC-02-96-01, Polymorphism, Single-Stranded Conformational, Genetics & Heredity, Base Sequence, Sequence Homology, Amino Acid, DNA, Pedigree, Genes, Mutation, Chromosomes, Human, Pair 6, Female, Protein Tyrosine Phosphatases, Sequence Alignment, Microsatellite Repeats
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