Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report
Resumen:
Background Neuronal Ceroid Lipofuscinosis (NCL) disorders, recognized as the primary cause of childhood dementia globally, constitute a spectrum of genetic abnormalities. CLN8, a subtype within NCL, is characterized by cognitive decline, motor impairment, and visual deterioration. This study focuses on an atypical case with congenital onset and a remarkably slow disease progression. Methods Whole-genome sequencing at 30× coverage was employed as part of a national genomics program to investigate the genetic underpinnings of rare diseases. This genomic approach aimed to challenge established classifications (vLINCL and EPMR) and explore the presence of a continuous phenotypic spectrum associated with CLN8. Results The whole-genome sequencing revealed two novel likely pathogenic mutations in the CLN8 gene on chromosome 8p23.3. These mutations were not previously associated with CLN8-related NCL. Contrary to established classifications (vLINCL and EPMR), our findings suggest a continuous phenotypic spectrum associated with CLN8. Pathological subcellular markers further validated the genomic insights. Discussion The identification of two previously undescribed likely pathogenic CLN8 gene mutations challenges traditional classifications and highlights a more nuanced phenotypic spectrum associated with CLN8. Our findings underscore the significance of genetic modifiers and interactions with unrelated genes in shaping variable phenotypic outcomes. The inclusion of pathological subcellular markers further strengthens the validity of our genomic insights. This research enhances our understanding of CLN8 disorders, emphasizing the need for comprehensive genomic analyses to elucidate the complexity of phenotypic presentations and guide tailored therapeutic strategies. The identification of new likely pathogenic mutations underscores the dynamic nature of CLN8-related NCL and the importance of individualized approaches to patient management.
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Genomics Whole genome sequencing Neurological disorders Neurodegeneration CLN8 Ceroid lipofuscinosis LIPOFUSCINOSIS CEROIDEAS NEURONALES MUTACIÓN GENÉTICA GENÓMICA NIÑO HUMANOS ENFERMEDADES DEL SISTEMA NERVIOSO ENFERMEDADES NEURODEGENERATIVAS ENFERMEDADES RARAS |
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| Inglés | |
| Universidad de la República | |
| COLIBRI | |
| https://hdl.handle.net/20.500.12008/56063 | |
| Acceso abierto | |
| Licencia Creative Commons Atribución (CC - By 4.0) |
| _version_ | 1875692832949272576 |
|---|---|
| author | Baltar, Federico |
| author2 | Simoes, Camila Garagorry, Francisco Graña, Martín Rodríguez, Soledad Aunchayna, María Haydée Tapié, Alejandra Cerisola, Alfredo González, Gabriel Naya, Hugo Spangenberg, Lucía Raggio, Víctor |
| author2_role | author author author author author author author author author author author |
| author_facet | Baltar, Federico Simoes, Camila Garagorry, Francisco Graña, Martín Rodríguez, Soledad Aunchayna, María Haydée Tapié, Alejandra Cerisola, Alfredo González, Gabriel Naya, Hugo Spangenberg, Lucía Raggio, Víctor |
| author_role | author |
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| collection | COLIBRI |
| dc.contributor.filiacion.none.fl_str_mv | Baltar Federico, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de Neuropediatría y Departamento de Genética Simoes Camila, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Departamento Básico de Medicina; Institut Pasteur de Montevideo (Uruguay). Unidad de Bioinformática Garagorry Francisco, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Unidad Académica de Anatomía Patológica Graña Martín, Institut Pasteur de Montevideo (Uruguay). Unidad de Bioinformática Rodríguez Soledad, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Genética Aunchayna María Haydée, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Unidad Académica de Anatomía Patológica Tapié Alejandra, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Genética Cerisola Alfredo, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de Neuropediatría González Gabriel, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de Neuropediatría Naya Hugo, Universidad de la República (Uruguay). Facultad de Agronomía. Departamento de Producción Animal y Pasturas; Institut Pasteur de Montevideo (Uruguay). Unidad de Bioinformática Spangenberg Lucía, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Departamento Básico de Medicina; Institut Pasteur de Montevideo (Uruguay). Unidad de Bioinformática Raggio Víctor, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Genética |
| dc.creator.none.fl_str_mv | Baltar, Federico Simoes, Camila Garagorry, Francisco Graña, Martín Rodríguez, Soledad Aunchayna, María Haydée Tapié, Alejandra Cerisola, Alfredo González, Gabriel Naya, Hugo Spangenberg, Lucía Raggio, Víctor |
| dc.date.accessioned.none.fl_str_mv | 2026-07-15T14:13:16Z |
| dc.date.available.none.fl_str_mv | 2026-07-15T14:13:16Z |
| dc.date.issued.none.fl_str_mv | 2024 |
| dc.description.abstract.none.fl_txt_mv | Background Neuronal Ceroid Lipofuscinosis (NCL) disorders, recognized as the primary cause of childhood dementia globally, constitute a spectrum of genetic abnormalities. CLN8, a subtype within NCL, is characterized by cognitive decline, motor impairment, and visual deterioration. This study focuses on an atypical case with congenital onset and a remarkably slow disease progression. Methods Whole-genome sequencing at 30× coverage was employed as part of a national genomics program to investigate the genetic underpinnings of rare diseases. This genomic approach aimed to challenge established classifications (vLINCL and EPMR) and explore the presence of a continuous phenotypic spectrum associated with CLN8. Results The whole-genome sequencing revealed two novel likely pathogenic mutations in the CLN8 gene on chromosome 8p23.3. These mutations were not previously associated with CLN8-related NCL. Contrary to established classifications (vLINCL and EPMR), our findings suggest a continuous phenotypic spectrum associated with CLN8. Pathological subcellular markers further validated the genomic insights. Discussion The identification of two previously undescribed likely pathogenic CLN8 gene mutations challenges traditional classifications and highlights a more nuanced phenotypic spectrum associated with CLN8. Our findings underscore the significance of genetic modifiers and interactions with unrelated genes in shaping variable phenotypic outcomes. The inclusion of pathological subcellular markers further strengthens the validity of our genomic insights. This research enhances our understanding of CLN8 disorders, emphasizing the need for comprehensive genomic analyses to elucidate the complexity of phenotypic presentations and guide tailored therapeutic strategies. The identification of new likely pathogenic mutations underscores the dynamic nature of CLN8-related NCL and the importance of individualized approaches to patient management. |
| dc.format.extent.es.fl_str_mv | 7 p. |
| dc.format.mimetype.es.fl_str_mv | application/pdf |
| dc.identifier.citation.es.fl_str_mv | Baltar F, Simoes C, Garagorry F y otros. Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report. Frontiers in Pediatrics [en línea]. 2024;12. 7 p. |
| dc.identifier.doi.none.fl_str_mv | 10.3389/fped.2024.1379254 |
| dc.identifier.eissn.none.fl_str_mv | 2296-2360 |
| dc.identifier.uri.none.fl_str_mv | https://hdl.handle.net/20.500.12008/56063 |
| dc.language.iso.none.fl_str_mv | en eng |
| dc.publisher.es.fl_str_mv | Frontiers Media |
| dc.relation.none.fl_str_mv | Frontiers in Pediatrics. 2024;12 |
| dc.rights.license.none.fl_str_mv | Licencia Creative Commons Atribución (CC - By 4.0) |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
| dc.subject.es.fl_str_mv | Genomics Whole genome sequencing Neurological disorders Neurodegeneration CLN8 Ceroid lipofuscinosis |
| dc.subject.other.es.fl_str_mv | LIPOFUSCINOSIS CEROIDEAS NEURONALES MUTACIÓN GENÉTICA GENÓMICA NIÑO HUMANOS ENFERMEDADES DEL SISTEMA NERVIOSO ENFERMEDADES NEURODEGENERATIVAS ENFERMEDADES RARAS |
| dc.title.none.fl_str_mv | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| dc.type.es.fl_str_mv | Artículo |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article |
| dc.type.version.none.fl_str_mv | info:eu-repo/semantics/publishedVersion |
| description | Background Neuronal Ceroid Lipofuscinosis (NCL) disorders, recognized as the primary cause of childhood dementia globally, constitute a spectrum of genetic abnormalities. CLN8, a subtype within NCL, is characterized by cognitive decline, motor impairment, and visual deterioration. This study focuses on an atypical case with congenital onset and a remarkably slow disease progression. Methods Whole-genome sequencing at 30× coverage was employed as part of a national genomics program to investigate the genetic underpinnings of rare diseases. This genomic approach aimed to challenge established classifications (vLINCL and EPMR) and explore the presence of a continuous phenotypic spectrum associated with CLN8. Results The whole-genome sequencing revealed two novel likely pathogenic mutations in the CLN8 gene on chromosome 8p23.3. These mutations were not previously associated with CLN8-related NCL. Contrary to established classifications (vLINCL and EPMR), our findings suggest a continuous phenotypic spectrum associated with CLN8. Pathological subcellular markers further validated the genomic insights. Discussion The identification of two previously undescribed likely pathogenic CLN8 gene mutations challenges traditional classifications and highlights a more nuanced phenotypic spectrum associated with CLN8. Our findings underscore the significance of genetic modifiers and interactions with unrelated genes in shaping variable phenotypic outcomes. The inclusion of pathological subcellular markers further strengthens the validity of our genomic insights. This research enhances our understanding of CLN8 disorders, emphasizing the need for comprehensive genomic analyses to elucidate the complexity of phenotypic presentations and guide tailored therapeutic strategies. The identification of new likely pathogenic mutations underscores the dynamic nature of CLN8-related NCL and the importance of individualized approaches to patient management. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | COLIBRI_592737a9368bac6c8b117ab6299e243c |
| identifier_str_mv | Baltar F, Simoes C, Garagorry F y otros. Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report. Frontiers in Pediatrics [en línea]. 2024;12. 7 p. 10.3389/fped.2024.1379254 2296-2360 |
| instacron_str | Universidad de la República |
| institution | Universidad de la República |
| instname_str | Universidad de la República |
| language | eng |
| language_invalid_str_mv | en |
| network_acronym_str | COLIBRI |
| network_name_str | COLIBRI |
| oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/56063 |
| publishDate | 2024 |
| reponame_str | COLIBRI |
| repository.mail.fl_str_mv | karina.camps@seciu.edu.uy |
| repository.name.fl_str_mv | COLIBRI - Universidad de la República |
| repository_id_str | 4771 |
| rights_invalid_str_mv | Licencia Creative Commons Atribución (CC - By 4.0) |
| spelling | Baltar Federico, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de Neuropediatría y Departamento de GenéticaSimoes Camila, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Departamento Básico de Medicina; Institut Pasteur de Montevideo (Uruguay). Unidad de BioinformáticaGaragorry Francisco, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Unidad Académica de Anatomía PatológicaGraña Martín, Institut Pasteur de Montevideo (Uruguay). Unidad de BioinformáticaRodríguez Soledad, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de GenéticaAunchayna María Haydée, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Unidad Académica de Anatomía PatológicaTapié Alejandra, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de GenéticaCerisola Alfredo, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de NeuropediatríaGonzález Gabriel, Universidad de la República (Uruguay). Facultad de Medicina. Unidad Académica de NeuropediatríaNaya Hugo, Universidad de la República (Uruguay). Facultad de Agronomía. Departamento de Producción Animal y Pasturas; Institut Pasteur de Montevideo (Uruguay). Unidad de BioinformáticaSpangenberg Lucía, Universidad de la República (Uruguay). Facultad de Medicina. Hospital de Clínicas. Departamento Básico de Medicina; Institut Pasteur de Montevideo (Uruguay). Unidad de BioinformáticaRaggio Víctor, Universidad de la República (Uruguay). Facultad de Medicina. Departamento de Genética2026-07-15T14:13:16Z2026-07-15T14:13:16Z2024Baltar F, Simoes C, Garagorry F y otros. Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report. Frontiers in Pediatrics [en línea]. 2024;12. 7 p.https://hdl.handle.net/20.500.12008/5606310.3389/fped.2024.13792542296-2360Background Neuronal Ceroid Lipofuscinosis (NCL) disorders, recognized as the primary cause of childhood dementia globally, constitute a spectrum of genetic abnormalities. CLN8, a subtype within NCL, is characterized by cognitive decline, motor impairment, and visual deterioration. This study focuses on an atypical case with congenital onset and a remarkably slow disease progression. Methods Whole-genome sequencing at 30× coverage was employed as part of a national genomics program to investigate the genetic underpinnings of rare diseases. This genomic approach aimed to challenge established classifications (vLINCL and EPMR) and explore the presence of a continuous phenotypic spectrum associated with CLN8. Results The whole-genome sequencing revealed two novel likely pathogenic mutations in the CLN8 gene on chromosome 8p23.3. These mutations were not previously associated with CLN8-related NCL. Contrary to established classifications (vLINCL and EPMR), our findings suggest a continuous phenotypic spectrum associated with CLN8. Pathological subcellular markers further validated the genomic insights. Discussion The identification of two previously undescribed likely pathogenic CLN8 gene mutations challenges traditional classifications and highlights a more nuanced phenotypic spectrum associated with CLN8. Our findings underscore the significance of genetic modifiers and interactions with unrelated genes in shaping variable phenotypic outcomes. The inclusion of pathological subcellular markers further strengthens the validity of our genomic insights. This research enhances our understanding of CLN8 disorders, emphasizing the need for comprehensive genomic analyses to elucidate the complexity of phenotypic presentations and guide tailored therapeutic strategies. The identification of new likely pathogenic mutations underscores the dynamic nature of CLN8-related NCL and the importance of individualized approaches to patient management.Submitted by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-14T17:38:00Z No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Two compound heterozygous variants in the CLN8 gene.pdf: 3767403 bytes, checksum: 27201967a198a6f29ca346595ed7e29d (MD5)Approved for entry into archive by Almiñana María Cecilia (marialminana@gmail.com) on 2026-07-14T19:19:22Z (GMT) No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Two compound heterozygous variants in the CLN8 gene.pdf: 3767403 bytes, checksum: 27201967a198a6f29ca346595ed7e29d (MD5)Made available in DSpace by Luna Fabiana (fabiana.luna@seciu.edu.uy) on 2026-07-15T14:13:16Z (GMT). No. of bitstreams: 2 license_rdf: 25630 bytes, checksum: e7132498e7c1fe99f7096667baa99b25 (MD5) Two compound heterozygous variants in the CLN8 gene.pdf: 3767403 bytes, checksum: 27201967a198a6f29ca346595ed7e29d (MD5) Previous issue date: 20247 p.application/pdfenengFrontiers MediaFrontiers in Pediatrics. 2024;12Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessLicencia Creative Commons Atribución (CC - By 4.0)GenomicsWhole genome sequencingNeurological disordersNeurodegenerationCLN8Ceroid lipofuscinosisLIPOFUSCINOSIS CEROIDEAS NEURONALESMUTACIÓNGENÉTICAGENÓMICANIÑOHUMANOSENFERMEDADES DEL SISTEMA NERVIOSOENFERMEDADES NEURODEGENERATIVASENFERMEDADES RARASTwo compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case reportArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaBaltar, FedericoSimoes, CamilaGaragorry, FranciscoGraña, MartínRodríguez, SoledadAunchayna, María HaydéeTapié, AlejandraCerisola, AlfredoGonzález, GabrielNaya, HugoSpangenberg, LucíaRaggio, VíctorLICENSElicense.txtlicense.txttext/plain; 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- Universidad de la Repúblicafalse |
| spellingShingle | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report Baltar, Federico Genomics Whole genome sequencing Neurological disorders Neurodegeneration CLN8 Ceroid lipofuscinosis LIPOFUSCINOSIS CEROIDEAS NEURONALES MUTACIÓN GENÉTICA GENÓMICA NIÑO HUMANOS ENFERMEDADES DEL SISTEMA NERVIOSO ENFERMEDADES NEURODEGENERATIVAS ENFERMEDADES RARAS |
| status_str | publishedVersion |
| title | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| title_full | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| title_fullStr | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| title_full_unstemmed | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| title_short | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| title_sort | Two compound heterozygous variants in the CLN8 gene are responsible for neuronal cereidolipofuscinoses disorder in a child: a case report |
| topic | Genomics Whole genome sequencing Neurological disorders Neurodegeneration CLN8 Ceroid lipofuscinosis LIPOFUSCINOSIS CEROIDEAS NEURONALES MUTACIÓN GENÉTICA GENÓMICA NIÑO HUMANOS ENFERMEDADES DEL SISTEMA NERVIOSO ENFERMEDADES NEURODEGENERATIVAS ENFERMEDADES RARAS |
| url | https://hdl.handle.net/20.500.12008/56063 |