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This study aimed to investigate the clinical and molecular features of\n                      <jats:italic>TFG<\/jats:italic>\n                      mutations in a Taiwanese HSP cohort.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Genetic analysis of\n                      <jats:italic>TFG<\/jats:italic>\n                      was conducted in 242 unrelated Taiwanese HSP patients using a targeted resequencing panel covering the entire coding regions of\n                      <jats:italic>TFG<\/jats:italic>\n                      . Functional assays were performed using an\n                      <jats:italic>in vitro<\/jats:italic>\n                      cell model to assess the impact of\n                      <jats:italic>TFG<\/jats:italic>\n                      variants on protein function. Additionally, other representative TFG mutant proteins were examined to understand the broader implications of\n                      <jats:italic>TFG<\/jats:italic>\n                      mutations in HSP.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study identified a novel homozygous\n                      <jats:italic>TFG<\/jats:italic>\n                      c.177A&gt;C (p.(Lys59Asn)) variant in a family with adolescent\u2010onset, pure form HSP. Functional analysis revealed that the Lys59Asn TFG variant, similar to other HSP\u2010associated TFG mutants, exhibited a low affinity between TFG monomers and abnormal assembly of TFG homo\u2010oligomers. These structural alterations led to aberrant intracellular distribution, compromising TFG's protein secretion function and resulting in decreased cellular viability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>\n                      These findings confirm that the homozygous\n                      <jats:italic>TFG<\/jats:italic>\n                      c.177A&gt;C (p.(Lys59Asn)) variant is a novel cause of SPG57. The study expands our understanding of the clinical and mutational spectrum of\n                      <jats:italic>TFG<\/jats:italic>\n                      \u2010associated diseases, highlighting the functional defects associated with this specific\n                      <jats:italic>TFG<\/jats:italic>\n                      variant. Overall, this research contributes to the broader comprehension of the genetic and molecular mechanisms underlying HSP.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acn3.52113","type":"journal-article","created":{"date-parts":[[2024,6,5]],"date-time":"2024-06-05T01:39:37Z","timestamp":1717551577000},"page":"1909-1920","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Characterization of a novel\n                    <scp>\n                      <i>TFG<\/i>\n                    <\/scp>\n                    variant causing autosomal recessive pure hereditary spastic paraplegia"],"prefix":"10.1002","volume":"11","author":[{"given":"Cheng\u2010Tsung","family":"Hsiao","sequence":"first","affiliation":[{"name":"Department of Neurology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"Department of Neurology National Yang Ming Chiao Tung University School of Medicine  Taipei 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