Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology
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The neuronal ceroid lipofuscinoses (NCLs) are a heterogeneous group of neurodegenerative disorders with the most common phenotype consisting of early-onset progressive motor deterioration, cognitive decline, visual failure, epilepsy, cerebellar ataxia, and premature death.1
Acknowledgments
Acknowledgment: The authors thank the patients and families for help and support.
Footnotes
Supplemental data at Neurology.org
Author contributions: Joshua Hersheson: study design, clinical assessment, sample collection, acquisition and interpretation of data, manuscript drafting. Derek Burke: acquisition and interpretation of data. Robert Clayton: data acquisition. Glenn Anderson: electron microscopy. Thomas S. Jacques: pathologic examination and interpretation. Philippa Mills: study design, interpretation of data, manuscript revision. Nicholas Wood: manuscript revision. Paul Gissen: clinical assessment, manuscript revision. Peter Clayton: study design, manuscript revision. Julian Fearnley: clinical assessment. Sara E. Mole: manuscript revision. Henry Houlden: study design, manuscript revision.
Study funding: Supported by the Medical Research Council (J.H. and H.H.).
Disclosure: J. Hersheson, D. Burke, R. Clayton, G. Anderson, T. Jacques, P. Mills, N. Wood, and P. Gissen report no disclosures relevant to the manuscript. P. Clayton has the following relevant financial activities outside the submitted work: salary from Great Ormond Street Hospital Children's Charity; grant from Actelion for investigator-led project on diagnosis and monitoring of Niemann-Pick C; fees for teaching courses from Orphan Europe/Recordati Foundation for Rare Diseases; fees for lectures/consultancy from Merck Corp USA, Actelion Shares in Waters, Abbott, and Abbvie. J. Fearnley reports no disclosures relevant to the manuscript. S. Mole receives royalties from publication of The Neuronal Ceroid Lipofuscinoses (Batten Disease), 2nd ed (Oxford University Press, 2011). H. Houlden reports no disclosures relevant to the manuscript. Go to Neurology.org for full disclosures.
- Received February 18, 2014.
- Accepted in final form July 15, 2014.
- © 2014 American Academy of Neurology
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