RTN2 variants cause distal motor neuropathy with lower limb spasticity
A new study published in Brain identified homozygous loss-of-function variants in RTN2, which encodes an endoplasmic reticulum (ER)-shaping protein involved in autophagy upon ER stress, among 14 individuals from 7 consanguineous families suffering from distal hereditary motor neuropathy with pyramidal features, including weakness in the distal and lower limbs; lower limb spasticity and hyperreflexia; and axonal motor neuropathy. Various analysis showed that RTN2 deficiency is responsible for a distinct form of autosomal recessive distal heretidary motor neuropathy with lower limb spasticity. Futher pathophysiological information showed that RTN2 mutations likely caused alterations to ER calcium homeostasis.
- Brain. 2024 Jul 5;147(7):2334-2343