disease 1,042 words KG: ent-dise-987aa139
Contents

Alexander Disease Genetic Variants

Disease Info
Exon 1 mutations (R79C, R79H)Most common cause of infantile form — disrupts the N-terminal head domain critical for filament assembly
Exon 4 mutations (R239C, R239H)Variable onset, often juvenile
Exon 5-6 mutations (L350P, R416W)Associated with adult form
Exon 8 hotspot (c.806+1G>A splice site)Common in adult-onset cases
C-terminal mutationsDisrupt filament assembly and cause more severe disease
Splice site mutationsVariable, depends on effect on splicing
GFAPPrimary structural protein, mutant form aggregates
Alpha B-crystallin (CRYAB)Co-aggregates in Rosenthal fibers, mutation in GFAP causes its recruitment
DJ-1 (PARK7)Stress protein recruited to Rosenthal fibers — links to PD pathways
VimentinIntermediate filament co-expressed during development, co-aggregates
Kir4.1 (KCNJ10)Potassium channel lost from astrocyte membranes in AxD
DatabasesOMIMOrphanetClinicalTrialsPubMed

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