CLN5

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CLN5

CLN5 is a gene associated with a form of neuronal ceroid lipofuscinosis (NCL), a group of progressive neurodegenerative disorders commonly referred to as Batten disease. These disorders are characterized by the accumulation of lipopigments in the body's tissues, leading to a variety of symptoms including vision loss, seizures, and cognitive decline.

Function

The CLN5 gene encodes a protein that is believed to play a role in lysosomal function, although its exact function is not fully understood. The lysosome is an organelle responsible for breaking down waste materials and cellular debris. Mutations in the CLN5 gene disrupt normal lysosomal function, leading to the accumulation of lipopigments and the symptoms associated with NCL.

Clinical Significance

Mutations in the CLN5 gene cause a variant of late-infantile neuronal ceroid lipofuscinosis (LINCL), which typically presents in children between the ages of 4 and 7. Symptoms include progressive vision loss, motor decline, seizures, and cognitive impairment. The disease is inherited in an autosomal recessive pattern, meaning that two copies of the mutated gene are required for the disease to manifest.

Diagnosis

Diagnosis of CLN5-related NCL is based on clinical evaluation, genetic testing, and sometimes enzyme assays. Genetic testing can confirm the presence of mutations in the CLN5 gene, which is crucial for accurate diagnosis and genetic counseling.

Treatment

Currently, there is no cure for CLN5-related NCL. Treatment is symptomatic and supportive, focusing on managing seizures, vision loss, and other symptoms. Research is ongoing to find more effective treatments, including gene therapy and enzyme replacement therapy.

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Contributors: Prab R. Tumpati, MD