Abstract
Benign adult familial myoclonic epilepsy type 1 (BAFME1) is an autosomal dominant, adult-onset neurological disease caused by SAMD12 repeat expansion. In BAFME1, anticipation, such as the earlier onset of tremor and/or seizures in the next generation, was reported. This could be explained by intergenerational repeat instability, leading to larger expansions in successive generations. We report a four-generation BAFME1-affected family with anticipation. Using Nanopore long-read sequencing, detailed information regarding the sizes, configurations, and compositions of the expanded SAMD12 repeats across generations was obtained. Unexpectedly, a grandmother-mother-daughter triad showed similar repeat structures but with slight repeat expansions, despite quite variable age of onset of seizures (range: 52–14 years old), implying a complex relationship between the SAMD12 repeat expansion sequence and anticipation. This study suggests that different factor(s) from repeat expansion could modify the anticipation in BAFME1.
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References
Ishiura H, Doi K, Mitsui J, Yoshimura J, Matsukawa MK, Fujiyama A, et al. Expansions of intronic TTTCA and TTTTA repeats in benign adult familial myoclonic epilepsy. Nat Genet. 2018;50:581–90.
Corbett MA, Kroes T, Veneziano L, Bennett MF, Florian R, Schneider AL, et al. Intronic ATTTC repeat expansions in STARD7 in familial adult myoclonic epilepsy linked to chromosome 2. Nat Commun. 2019;10:4920.
Florian RT, Kraft F, Leitao E, Kaya S, Klebe S, Magnin E, et al. Unstable TTTTA/TTTCA expansions in MARCH6 are associated with familial adult myoclonic epilepsy type 3. Nat Commun. 2019;10:4919.
Yeetong P, Pongpanich M, Srichomthong C, Assawapitaksakul A, Shotelersuk V, Tantirukdham N, et al. TTTCA repeat insertions in an intron of YEATS2 in benign adult familial myoclonic epilepsy type 4. Brain. 2019;142:3360–66.
Hitomi T, Kondo T, Kobayashi K, Matsumoto R, Takahashi R, Ikeda A. Clinical anticipation in Japanese families of benign adult familial myoclonus epilepsy. Epilepsia. 2012;53:e33–6.
Neshige S, Hitomi T, Tojima M, Oi K, Kobayashi K, Matsuhashi M, et al. A role of aging in the progression of cortical excitability in benign adult familial myoclonus epilepsy type 1 patients. Mov Disord. 2021;36:2446–48.
Terasaki A, Nakamura M, Urata Y, Hiwatashi H, Yokoyama I, Yasuda T, et al. DNA analysis of benign adult familial myoclonic epilepsy reveals associations between the pathogenic TTTCA repeat insertion in SAMD12 and the nonpathogenic TTTTA repeat expansion in TNRC6A. J Hum Genet. 2021;66:419–29.
Mizuguchi T, Toyota T, Miyatake S, Mitsuhashi S, Doi H, Kudo Y, et al. Complete sequencing of expanded SAMD12 repeats by long-read sequencing and Cas9-mediated enrichment. Brain. 2021;144:1103–17.
Lei XX, Liu Q, Lu Q, Huang Y, Zhou XQ, Sun HY, et al. TTTCA repeat expansion causes familial cortical myoclonic tremor with epilepsy. Eur J Neurol. 2019;26:513–18.
Liu C, Song Y, Yuan Y, Peng Y, Pang N, Duan R, et al. TTTCA repeat expansion of SAMD12 in a new benign adult familial myoclonic epilepsy pedigree. Front Neurol. 2020;11:68.
Pan S, Li X, Li L, Lin H, Wang D, Zhang X, et al. Comprehensive genetic, clinical and electrophysiological studies of familial cortical myoclonic tremor with epilepsy 1 highlight the role of gene configurations. Seizure. 2021;87:69–74.
Zhou Y, Sood R, Wang Q, Carrington B, Park M, Young AC, et al. Clinical and genomic analysis of a large Chinese family with familial cortical myoclonic tremor with epilepsy and SAMD12 intronic repeat expansion. Epilepsia Open. 2021;6:102–11.
Miyatake S, Koshimizu E, Fujita A, Doi H, Okubo M, Wada T, et al. Rapid and comprehensive diagnostic method for repeat expansion diseases using nanopore sequencing. NPJ Genom Med. 2022;7:62.
Hitomi T, Kobayashi K, Jingami N, Nakagawa T, Imamura H, Matsumoto R, et al. Increased clinical anticipation with maternal transmission in benign adult familial myoclonus epilepsy in Japan. Epileptic Disord. 2013;15:428–32.
Holmans PA, Massey TH, Jones L. Genetic modifiers of Mendelian disease: Huntington’s disease and the trinucleotide repeat disorders. Hum Mol Genet. 2017;26:R83–90.
Maroilley T, Tsai MH, Mascarenhas R, Diao C, Khanbabaei M, Kaya S, et al. A novel FAME1 repeat configuration in a European family identified using a combined genomics approach. Epilepsia Open. 2023. https://doi.org/10.1002/epi4.12702.
Acknowledgements
We thank N. Watanabe, T. Miyama, M. Sato, S. Sugimoto, and K. Takabe for technical assistance. We also thank Edanz (https://jp.edanz.com/ac) for editing a draft of this manuscript. This work was supported by the Japan Agency for Medical Research and Development (AMED) under grant numbers JP23ek0109674, JP23ek0109549, JP23ek0109617, JP23ek0109648 (NM); JSPS KAKENHI under grant numbers 21K15704 (TT), JP22K15646 (KH), JP23K07229 (YU), JP21K07869 (EK), JP23K15353 (NT), JP22K15901 (AF), JP20K07316 (KM), JP23H02829 (SM), and JP23H02877, JP23K18278 (TM); and the Takeda Science Foundation (TM and NM).
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Conceptualization: TM, HA, NM; investigation: TM, EK, SK, HF, NT, YU, KH, AF, KM, SM; resources: TT, HA; visualization: TM; writing—original draft: TM, NM; writing—review and editing: TM, NM; All authors read and approved the final manuscript before submission.
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This study was approved by the Institutional Review Boards of Yokohama City University School of Medicine. Written informed consent was obtained from all participants.
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Mizuguchi, T., Toyota, T., Koshimizu, E. et al. Complete SAMD12 repeat expansion sequencing in a four-generation BAFME1 family with anticipation. J Hum Genet 68, 875–878 (2023). https://doi.org/10.1038/s10038-023-01187-5
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DOI: https://doi.org/10.1038/s10038-023-01187-5