PMID- 10408532 OWN - NLM STAT- MEDLINE DCOM- 19990809 LR - 20190514 IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 53 IP - 1 DP - 1999 Jul 13 TI - Genetic heterogeneity in Italian families with familial hemiplegic migraine. PG - 26-33 AB - OBJECTIVE: To verify linkage to chromosome 19p13, to detect mutations in the CACNA1A gene, and to correlate genetic results to their clinical phenotypes in Italian families with familial hemiplegic migraine (FHM). BACKGROUND: FHM is an autosomal dominant disease, classified as a subtype of migraine with aura. Only a proportion of FHM patients have been associated with chromosome 19p13. Among these, four missense mutations within the CACNA1A gene in five unrelated families have been described. METHODS: A linkage study was performed in 19 patients affected by FHM from five families by studying microsatellite markers associated with the 19p13 region. All familial and seven additional sporadic patients with FHM were analyzed to search for mutations within the CACNA1A gene by applying the double gradient-denaturant gradient electrophoresis technique. RESULTS: Lod score values did not establish significantly linkage to chromosome 19. However, seven new genetic variants were detected: six were new polymorphisms. The seventh was a missense mutation present in family 1, and it was associated with a hemiplegic migraine phenotype without unconsciousness and cerebellar ataxia. Because this missense mutation is absent in the general population and cosegregates with the disease, it may be a pathologic mutation. CONCLUSIONS: Genetic heterogeneity of FHM has been shown in familial and sporadic FHM patients of Italian origin. The new missense mutation-G4644T-is associated with milder clinical features compared with typical FHM. FAU - Carrera, P AU - Carrera P AD - IRCCS H San Raffaele, Laboratorio Biologia Molecolare Clinica, Italy. carrera.paola@hsr.it FAU - Piatti, M AU - Piatti M FAU - Stenirri, S AU - Stenirri S FAU - Grimaldi, L M AU - Grimaldi LM FAU - Marchioni, E AU - Marchioni E FAU - Curcio, M AU - Curcio M FAU - Righetti, P G AU - Righetti PG FAU - Ferrari, M AU - Ferrari M FAU - Gelfi, C AU - Gelfi C LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - 0 (CACNA1A protein, human) RN - 0 (Cacna1a protein, rat) RN - 0 (Calcium Channels) RN - 0 (Genetic Markers) RN - 9007-49-2 (DNA) SB - IM CIN - Neurology. 1999 Jul 13;53(1):3-4. PMID: 10408526 MH - Adolescent MH - Adult MH - Amino Acid Sequence MH - Amino Acid Substitution MH - Animals MH - Calcium Channels/*genetics MH - Cerebellar Ataxia MH - Child MH - Chromosome Mapping MH - *Chromosomes, Human, Pair 19 MH - DNA/blood MH - Exons MH - Female MH - Genetic Linkage MH - Genetic Markers MH - Hemiplegia/*genetics MH - Humans MH - Introns MH - Male MH - Microsatellite Repeats MH - Middle Aged MH - Migraine Disorders/*genetics MH - Molecular Sequence Data MH - Mutagenesis, Site-Directed MH - *Mutation, Missense MH - Pedigree MH - Polymerase Chain Reaction MH - Rabbits MH - Rats MH - Sequence Alignment EDAT- 1999/07/17 00:00 MHDA- 1999/07/17 00:01 CRDT- 1999/07/17 00:00 PHST- 1999/07/17 00:00 [pubmed] PHST- 1999/07/17 00:01 [medline] PHST- 1999/07/17 00:00 [entrez] AID - 10.1212/wnl.53.1.26 [doi] PST - ppublish SO - Neurology. 1999 Jul 13;53(1):26-33. doi: 10.1212/wnl.53.1.26.