Publications by authors named "Ayten Gulec"

Introduction: In consanguineous marriages, different homozygous variants in a single gene may occur in the same family. This may lead to blended phenotypes. This study presents a family in which different rare mechanisms come together as a result of consanguineous marriage.

View Article and Find Full Text PDF

ObjectivesTo evaluate the demographic, clinical, laboratory, and prognostic data of children with acute disseminated encephalomyelitis with respect to anti-myelin oligodendrocyte glycoprotein (MOG) antibody status.MethodsAcute disseminated encephalomyelitis patients (n = 245) from 24 centers followed up between 2010 and 2022 were evaluated retrospectively. The short- and long-term outcome characteristics (disease severity and course, clinical relapse, and recovery rates) were assessed.

View Article and Find Full Text PDF

The cytoskeleton, composed of microtubules, intermediate filaments and actin filaments is vital for various cellular functions, particularly within the nervous system, where microtubules play a key role in intracellular transport, cell morphology, and synaptic plasticity. Tubulin-specific chaperones, including tubulin folding cofactors (TBCA, TBCB, TBCC, TBCD, TBCE), assist in the proper formation of α/β-tubulin heterodimers, essential for microtubule stability. Pathogenic variants in these chaperone-encoding genes, especially TBCD, have been linked to Progressive Encephalopathy with Brain Atrophy and Thin Corpus Callosum (PEBAT, OMIM #604,649), a severe neurodevelopmental disorder.

View Article and Find Full Text PDF

Objectives: Tangier disease (TD) is a rare autosomal recessive condition characterized by high-density lipoprotein (HDL) deficiency; involving symptoms of polyneuropathy, hyperplastic orange-yellow tonsils, vision disorder, and sudden cardiac death. The major clinical symptoms of TD may not all be co-present. This study evaluates patients diagnosed with TD in childhood to improve the possibility of early diagnosis of asymptomatic cases by reporting our patients' clinical characteristics in order to minimize delayed diagnosis and emphasize the importance of TD, easily detected by HDL measurement.

View Article and Find Full Text PDF

In most cases there is a single etiological factor causing neuromotor developmental delay and epilepsy while sometimes more than one gene may be involved. These include the autosomal recessive inherited CAMSAP1 gene, which is associated with cortical developmental malformations such as pachygyria and lissencephaly and the autosomal dominant inherited NBEA gene, which plays crucial roles in vesicle trafficking as well as synapse structure and function. Loss of function of both genes together is a well-known disease mechanism.

View Article and Find Full Text PDF

SMA (spinal muscular atrophy) is an autosomal recessive neuromuscular disease that causes muscle atrophy and weakness. SMA is diagnosed by a homozygous deletion in exon 7 of the gene. However, mutations in genes located in the SMA region, such as , and may also contribute to the severity of the disease.

View Article and Find Full Text PDF

Objectives: To present a case series of novel variants in patients presenting with genetic epileptic and developmental encephalopathy.

Background: CHD2 gene encodes an ATP-dependent enzyme, chromodomain helicase DNA-binding protein 2, involved in chromatin remodeling. Pathogenic variants in CHD2 are linked to early-onset conditions such as developmental and epileptic encephalopathy, drug-resistant epilepsies, and neurodevelopmental disorders.

View Article and Find Full Text PDF
Article Synopsis
  • Biallelic loss-of-function variants in the TBC1D2B gene have been linked to cognitive impairment and seizures in individuals, often accompanied by gingival overgrowth.
  • This study reports on five new cases of TBC1D2B variants, including analysis of molecular and clinical features in a total of ten subjects, revealing different types of mutations and their impact on the TBC1D2B protein levels.
  • The TBC1D2B disorder is characterized by progressive neurological decline, gingival overgrowth, and abnormal jaw morphology, potentially linked to defects in autophagy and the endolysosomal system affecting neuronal health.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess the clinical and demographic characteristics, as well as treatment options, for pediatric patients with chronic inflammatory demyelinating polyneuropathy (CIDP) in Turkey over an 11-year period.
  • A total of 43 patients were reviewed, showing that both first-line treatments (IVIg alone vs. IVIg combined with steroids) were equally effective in improving patient outcomes, as indicated by significant reductions in the modified Rankin scale scores after treatment.
  • Additionally, patients with abnormal MRI findings had worse pretreatment scores compared to those with normal MRI, suggesting that imaging results may correlate with disease severity at diagnosis.
View Article and Find Full Text PDF

Background: Congenital myasthenic syndromes (CMS) are composed of numerous hereditary disorders involving genetic mutations in proteins essential to the integrity of neuromuscular transmission. The symptoms of CMS vary according to the age at onset of symptoms, and the type and severity of muscle weakness. Effective treatment and genetic counseling depend upon the underlying pathogenic molecular mechanism and subtype of CMS.

View Article and Find Full Text PDF