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November 11, 2014; 83 (20) Clinical/Scientific Notes

Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology

Joshua Hersheson, Derek Burke, Robert Clayton, Glenn Anderson, Thomas S. Jacques, Philippa Mills, Nicholas W. Wood, Paul Gissen, Peter Clayton, Julian Fearnley, Sara E. Mole, Henry Houlden
First published October 8, 2014, DOI: https://doi.org/10.1212/WNL.0000000000000981
Joshua Hersheson
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Derek Burke
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Robert Clayton
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Glenn Anderson
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Thomas S. Jacques
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Philippa Mills
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Nicholas W. Wood
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Paul Gissen
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Peter Clayton
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Julian Fearnley
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Sara E. Mole
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Henry Houlden
From UCL Institute of Neurology and the National Hospital for Neurology and Neurosurgery (J.H., N.W.W., H.H.); Great Ormond Street Hospital for Children NHS Foundation Trust (D.B., G.A., T.S.J.); UCL Institute of Child Health (R.C., T.S.J., P.M., P.G.); Barts NHS Trust (J.F.), Royal London Hospital; and UCL (P.G., S.E.M.), London, UK.
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Citation
Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology
Joshua Hersheson, Derek Burke, Robert Clayton, Glenn Anderson, Thomas S. Jacques, Philippa Mills, Nicholas W. Wood, Paul Gissen, Peter Clayton, Julian Fearnley, Sara E. Mole, Henry Houlden
Neurology Nov 2014, 83 (20) 1873-1875; DOI: 10.1212/WNL.0000000000000981

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The neuronal ceroid lipofuscinoses (NCLs) are a heterogeneous group of neurodegenerative disorders with the most common phenotype consisting of early-onset progressive motor deterioration, cognitive decline, visual failure, epilepsy, cerebellar ataxia, and premature death.1

Acknowledgments

Acknowledgment: The authors thank the patients and families for help and support.

Footnotes

  • Supplemental data at Neurology.org

  • Author contributions: Joshua Hersheson: study design, clinical assessment, sample collection, acquisition and interpretation of data, manuscript drafting. Derek Burke: acquisition and interpretation of data. Robert Clayton: data acquisition. Glenn Anderson: electron microscopy. Thomas S. Jacques: pathologic examination and interpretation. Philippa Mills: study design, interpretation of data, manuscript revision. Nicholas Wood: manuscript revision. Paul Gissen: clinical assessment, manuscript revision. Peter Clayton: study design, manuscript revision. Julian Fearnley: clinical assessment. Sara E. Mole: manuscript revision. Henry Houlden: study design, manuscript revision.

  • Study funding: Supported by the Medical Research Council (J.H. and H.H.).

  • Disclosure: J. Hersheson, D. Burke, R. Clayton, G. Anderson, T. Jacques, P. Mills, N. Wood, and P. Gissen report no disclosures relevant to the manuscript. P. Clayton has the following relevant financial activities outside the submitted work: salary from Great Ormond Street Hospital Children's Charity; grant from Actelion for investigator-led project on diagnosis and monitoring of Niemann-Pick C; fees for teaching courses from Orphan Europe/Recordati Foundation for Rare Diseases; fees for lectures/consultancy from Merck Corp USA, Actelion Shares in Waters, Abbott, and Abbvie. J. Fearnley reports no disclosures relevant to the manuscript. S. Mole receives royalties from publication of The Neuronal Ceroid Lipofuscinoses (Batten Disease), 2nd ed (Oxford University Press, 2011). H. Houlden reports no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.

  • Received February 18, 2014.
  • Accepted in final form July 15, 2014.
  • © 2014 American Academy of Neurology
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