Table 1 Detailed clinical characterization of the individuals included in the study and carrying truncating mutations in UBAP1 (NM_016525.4; NP_057609.2).
Family/ID | F1-II.1 | F2-II.1 | F3-II.1 | F4-II.1 | F5-I.2 | F5-II.1 | F5-II.2 | F5-II.4 | F6-I.2 | F6-II.1 | F6-II.2 | F7-II.1 | F7-II.2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variant | c.426_427del; p.(Lys143SerfsTer15) | c.426_427del; p.(Lys143SerfsTer15) | c.535G > T; p.(Glu179Ter) | c.373C > T; p.(Gln125Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) | c.535G > T; p.(Glu179Ter) |
CADD score (phred) | 29.8 | 29.8 | 37 | 36 | 37 | 37 | 37 | 37 | 37 | 37 | 37 | 37 | 37 |
Sex | M | M | M | M | F | M | F | F | F | F | M | M | F |
Ethnicity | Caucasian | Caucasian | Caucasian | Ashkenazi | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian | Caucasian |
Family history | De novo | De novo | Positive | Positive | Positive | Positive | Positive | Positive | Positive | Positive | Positive | Positive | Positive |
Age at examination (years) | 16 | 69 | 33 | 43 | 42 | 23 | 24 | 18 | n/a | 36 | n/a | 10 | 11 |
Age at onset (years) | 9 | 9 | 18 | 11 | 11 | 10 | 10 | 9 | n/a | 30 | 11 | 9 | 7 |
Develpoment | Normal. Toe walker | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal |
Presenting symptom(s) | Gait difficulty, tiptoe walking | Difficulty running | Mild stumbling | Gait difficulty | Gait difficulty | Gait difficulty | Difficulty running | Gait difficulty, frequent falls | n/a | n/a | n/a | Gait difficulty, falls, foot pain | Unsteady gait, falls, ankle pain |
Lower limb power | 4+/5 proximal, 4/5 distal | Reduced in a pyramidal distribution | Mild pyramidal weakness | Pyramidal weakness | Reduced | Moderate weakness | Reduced | Normal | n/a | Normal | Normal | Normal | Normal |
Lower limb spasticity | Markedly present | Present | Present | Markedly present | Present | Present | Present | Present | n/a | No | Present | Present | Present |
Lower limb reflexes | Very brisk, sustained ankle clonus | Brisk, sustained ankle clonus | Increased, sustained ankle clonus | Increased | Increased | Increased, sustained ankle clonus | Increased | Increased | n/a | Very brisk | Very brisk | Increased, mild clonus | Increased, clonus |
Plantar reflex | Withdrawal | Extensor | Extensor | Extensor | n/a | Extensor | n/a | Extensor/withdrawal | n/a | Extensor | Extensor | n/a | Extensor |
Upper limb power | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Normal | n/a | Normal | Normal | Normal | Normal |
Upper limb tone | Normal | Extrapyramidal rigidity | Normal | Normal | Normal | Normal | Normal | Normal | n/a | Normal | Normal | Normal | Normal |
Upper limb reflexes | Normal | n/a | Normal | Brisk | Normal | Normal | Normal | Normal | n/a | Normal | Absent | Normal | Normal |
Bladder dysfunction | No | Suprapubic catheter | Urinary urgency | No | Urinary urgency | No | No | No | n/a | no | no | no | Urinary urgency |
Sensory dysfunction | No | No | No | No | No | No | No | No | n/a | No | distal numbness | No | No |
Cognitive impairment | No | No | No | No | No | No | No | No | n/a | No | No | No | No |
Ataxia | No | No | No | No | No | No | No | No | n/a | No | No | No | No |
Dysarthria | No | No | No | No | No | No | No | No | n/a | No | No | No | No |
Additional features | None | Parkinsonism | Occasional cramps | None | Cramps | Learning difficulties, spasms | Learning difficulties | None | n/a | Strabismus | n/a | Severe bilateral valgus foot deformity | None |
Progression | Wheelchair use after 2–3 years | Wheelchair dependant from age 55 | Walks without aids | Walks without aids | Walks with a single crutch | Walks without aids | Walks without aids | Walks without aids | n/a | Walks without aids | Walks without aids | Walks with crutches, occasionally uses wheelchair | Walks with crutches |
Imaging | MRI brain and spine normal | MRI brain: mild generalized cortical subcortical volume loss | MRI brain normal | MRI brain normal | n/a | n/a | n/a | n/a | n/a | MRI brain normal | n/a | n/a | n/a |