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Background: Pontocerebellar hypoplasia is an umbrella term describing a heterogeneous group of prenatal neurodegenerative disorders mostly affecting the pons and cerebellum, with 17 types associated with 25 genes. However, some types of PCH lack sufficient information, which highlights the importance of investigating and introducing more cases to further elucidate the clinical, radiological, and biochemical features of these disorders. The aim of this study is to provide an in-depth review of PCH and to identify disease genes and their inheritance patterns in 12 distinct Iranian families with clinically confirmed PCH.

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Article Synopsis
  • O-Phosphoseryl-tRNASec selenium transferase (SepSecS) plays a crucial role in the final step of selenocysteine synthesis in archaea and eukaryotes, highlighting its importance in maintaining the selenoproteome.
  • Recent high-resolution X-ray crystallography studies reveal that the binding of tRNASec induces conformational changes in SepSecS, essential for its catalytic function, by organizing active sites and stabilizing the protein's structure.
  • The formation of the productive SepSecS•tRNASec complex is driven by electrostatic interactions, providing new insights into the mechanisms behind selenocysteine formation in these organisms.
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Pontocerebellar hypoplasia type 2D (PCH2D) caused by SEPSECS gene mutations is very rare and only described in a few case reports. In this study, we analyzed the clinical features and imaging findings of these individuals, so as to provide references for the clinic. We reported a case of PCH2D caused by a new complex heterozygote mutation in SEPSECS gene, and reviewed the literatures to summarize the clinical features and imaging findings and compare the differences between early-onset patients (EOPs) and late-onset patients (LOPs).

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Case Report: A Relatively Mild Phenotype Produced by Novel Mutations in the Gene.

Front Pediatr

January 2022

Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Mutations in the human -phosphoseryl-tRNA:selenocysteinyl-tRNA synthase gene ( are associated with progressive cerebello-cerebral atrophy (PCCA), also known as pontocerebellar hypoplasia type 2D (PCH2D). Early-onset profound developmental delay, progressive microcephaly, and hypotonia that develops toward severe spasticity have been previously reported with mutations. Herein we report a case with severe global developmental delay, myogenic changes in the lower limbs, and insomnia, but without progressive microcephaly and brain atrophy during infancy and toddlerhood in a child harboring the missense variant c.

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