AI Article Synopsis

  • Negative regulator of reactive oxygen species (NRROS) is a protein linked to microglia and macrophages, with 9 reported cases of individuals having biallelic variants.
  • One case details a severe neurodegenerative condition associated with two novel NRROS variants, one causing an amino acid change and another creating a premature stop codon.
  • Pathological findings highlighted significant grey and white matter damage, dystrophic calcifications, foamy macrophage infiltration, and the first instance of mitochondrial abnormalities seen in NRROS-related post-mortem tissue.

Article Abstract

Negative regulator of reactive oxygen species (NRROS) is a leucine-rich repeat protein expressed by microglia and perivascular macrophages. To date, 9 individuals have been reported with biallelic NRROS variants. Here, we report one individual with a severe neurodegenerative phenotype in which exome sequencing identified 2 novel variants in NRROS, a missense variant (c.185T>C, p.Leu62Pro) and a premature stop codon (c.310C>T, p.Gln104Ter). Pathological examination revealed both extensive grey and white matter involvement, dystrophic calcifications, and infiltration of foamy macrophages. This is the first reported case of NRROS variants with a mitochondrial ultrastructure abnormality noted on electron microscopy analysis of post-mortem tissue.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289721PMC
http://dx.doi.org/10.1007/s10048-022-00683-8DOI Listing

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  • One case details a severe neurodegenerative condition associated with two novel NRROS variants, one causing an amino acid change and another creating a premature stop codon.
  • Pathological findings highlighted significant grey and white matter damage, dystrophic calcifications, foamy macrophage infiltration, and the first instance of mitochondrial abnormalities seen in NRROS-related post-mortem tissue.
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Negative regulator of reactive oxygen species (NRROS) is a leucine-rich repeat-containing protein that uniquely associates with latent transforming growth factor beta-1 (TGF- β1) and anchors it on the cell surface; this anchoring is required for activation of TGF-β1 in macrophages and microglia. We report six individuals from four families with bi-allelic variants in NRROS. All affected individuals had neurodegenerative disease with refractory epilepsy, developmental regression, and reduced white matter volume with delayed myelination.

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