Nonamyloidogenic TTR gene variants c.76G>A and c.337‐18G>C are not associated with idiopathic small‐fiber neuropathy

Author:

Konecki Céline1ORCID,Francou Bruno1,Chappell Kenneth1,Augey Lucie1,Beaudonnet Guillemette2,Cauquil Cécile23,Dimitri‐Boulos Dalia3,Not Adeline3,Adam Clovis2,Poinsignon Vianney1,Verstuyft Céline1,Adams David23ORCID,Echaniz‐Laguna Andoni23ORCID,Labeyrie Céline23ORCID

Affiliation:

1. Génétique Moléculaire Pharmacogénétique et Hormonologie Bicêtre University Hospital, Public Hospital Network of Paris Le Kremlin‐Bicêtre France

2. Referral Center for Familial Amyloid Polyneuropathy and Other Rare Peripheral Neuropathies and Department of Neurology Bicêtre University Hospital, Public Hospital Network of Paris Le Kremlin‐Bicêtre France

3. Service de Neurologie Bicêtre University Hospital, Public Hospital Network of Paris Le Kremlin‐Bicêtre France

Abstract

AbstractBackground and PurposeSmall‐fiber neuropathy (SFN) affects only unmyelinated and thin myelinated fibers. It may be caused by amyloidogenic mutations of the transthyretin (TTR) gene, but not all TTR gene variants are pathogenic. The nonamyloidogenic c.76G>A (rs1800458) and c.337‐18G>C (rs36204272) variants of TTR were recently reported to be associated with SFN. We investigated this putative association by analyzing TTR gene sequencing data retrospectively for two cohorts of patients, one with SFN and a control group.MethodsIn this retrospective single‐center study, we analyzed the frequency of the c.76G>A and c.337‐18G>C TTR gene variants in a cohort of patients meeting a strict definition of SFN, with or without dysautonomia, a control cohort of patients investigated for nonneurological conditions, and the gnomAD international database.ResultsWe included 55 SFN patients in this study, 17 of whom had dysautonomia. The allelic frequencies of the two variants in our cohort of 55 SFN patients were 7.27% for c.76G>A TTR and 5.25% for c.337‐18G>C. The frequencies of both variants were statistically similar in the 337 control patients and the gnomAD database.ConclusionsThe c.76G>A and c.337‐18G>C TTR gene variants are not associated with SFN.

Publisher

Wiley

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