Abstract
Hereditary sensory and autonomic neuropathy type 2 (HSAN2) is a group of extremely rare autosomal recessive neurological disorders characterized by predominant sensory dysfunction and attendant severe complications, such as limb destruction. Our study reports a Chinese patient who met the diagnostic criteria for HSAN2 and harbored a homozygous mutation in the WNK1 gene (NM_213655.4: c.2689 G > T; p. Glu897*), Which led to nonsense-mediated mRNA decay of the transcript. Sanger sequencing revealed that the mutation segregates with disease status in the pedigree. These results expanded the spectrum of mutations in the WNK1 gene by identifying a novel mutation in a Chinese patient, providing a valuable reference for clinical diagnosis and treatment.
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References
Rivière J-B, Verlaan DJ, Shekarabi M, Lafrenière RG, Bénard M, Der Kaloustian VM, et al. A mutation in the HSN2 gene causes sensory neuropathy type II in a Lebanese family. Ann Neurol. 2004;56:572–5. https://doi.org/10.1002/ana.20237
Takagi M, Ozawa T, Hara K, Naruse S, Ishihara T, Shimbo J, et al. New HSN2 mutation in Japanese patient with hereditary sensory and autonomic neuropathy type 2. Neurology. 2006;66:1251–2. https://doi.org/10.1212/01.wnl.0000208415.90685.cd
Roddier K, Thomas T, Marleau G, Gagnon AM, Dicaire MJ, St-Denis A, et al. Two mutations in the HSN2 gene explain the high prevalence of HSAN2 in French Canadians. Neurology. 2005;64:1762–7. https://doi.org/10.1212/01.WNL.0000161849.29944.43
Lafreniere RG, MacDonald MLE, Dube M-P, MacFarlane J, O’Driscoll M, Brais B, et al. Identification of a novel gene (HSN2) causing hereditary sensory and autonomic neuropathy type II through the Study of Canadian Genetic Isolates. Am J Hum Genet. 2004;74:1064–73. https://doi.org/10.1086/420795
Davidson GL, Murphy SM, Polke JM, Laura M, Salih MAM, Muntoni F, et al. Frequency of mutations in the genes associated with hereditary sensory and autonomic neuropathy in a UK cohort. J Neurol. 2012;259:1673–85. https://doi.org/10.1007/s00415-011-6397-y
Kurth I. Hereditary sensory and autonomic neuropathy type II. In: Adam MP, Feldman J, Mirzaa GM, Pagon RA, Wallace SE, Amemiya A, editors. GeneReviews®, Seattle (WA): University of Washington, Seattle; 1993.
Peces R, Peces C, Espinosa L, Mena R, Blanco C, Tenorio-Castaño J, et al. A Spanish family with Gordon syndrome due to a variant in the acidic motif of WNK1. Genes. 2023;14:1878. https://doi.org/10.3390/genes14101878
Shekarabi M, Girard N, Rivière J-B, Dion P, Houle M, Toulouse A, et al. Mutations in the nervous system–specific HSN2 exon of WNK1 cause hereditary sensory neuropathy type II. J Clin Invest. 2008;118:2496–505. https://doi.org/10.1172/JCI34088
Shimizu M, Shibuya H. WNK1/HSN2 mediates neurite outgrowth and differentiation via a OSR1/GSK3β-LHX8 pathway. Sci Rep. 2022;12:15858. https://doi.org/10.1038/s41598-022-20271-y
Coen K, Pareyson D, Auer-Grumbach M, Buyse G, Goemans N, Claeys KG, et al. Novel mutations in the HSN2 gene causing hereditary sensory and autonomic neuropathy type II. Neurology. 2006;66:748–51. https://doi.org/10.1212/01.wnl.0000201191.57519.47
de Filette J, Hasaerts D, Seneca S, Gheldof A, Stouffs K, Keymolen K, et al. Polyneuropathy in a young Belgian patient: a novel heterozygous mutation in the WNK1/HSN2 gene. Neurol Genet. 2016;2:e42. https://doi.org/10.1212/NXG.0000000000000042
Shima T, Yamamoto Y, Kanazawa N, Murata K-Y, Ito H, Kondo T, et al. Repeated hyperhidrosis and chilblain-like swelling with ulceration of the fingers and toes in hereditary sensory and autonomic neuropathy type II. J Dermatol. 2018;45:e308–9. https://doi.org/10.1111/1346-8138.14336
Yuan J-H, Hashiguchi A, Yoshimura A, Sakai N, Takahashi MP, Ueda T, et al. WNK1/HSN2 founder mutation in patients with hereditary sensory and autonomic neuropathy: a Japanese cohort study. Clin Genet. 2017;92:659–63. https://doi.org/10.1111/cge.13037
Cho H-J, Kim BJ, Suh Y-L, An J-Y, Ki C-S. Novel mutation in the HSN2 gene in a Korean patient with hereditary sensory and autonomic neuropathy type 2. J Hum Genet. 2006;51:905–8. https://doi.org/10.1007/s10038-006-0033-1
Pacheco-Cuellar G, González-Huerta LM, Valdés-Miranda JM, Peláez-González H, Zenteno-Bacheron S, Cazarin-Barrientos J, et al. Hereditary sensory and autonomic neuropathy II due to novel mutation in the HSN2 gene in Mexican families. J Neurol. 2011;258:1890–2. https://doi.org/10.1007/s00415-011-6025-x
Potulska-Chromik A, Kabzińska D, Lipowska M, Kostera-Pruszczyk A, Kochański A. A novel homozygous mutation in the WNK1/HSN2 gene causing hereditary sensory neuropathy type 2. Acta Biochim Pol. 2012;59:413–5.
Rahmani B, Fekrmandi F, Ahadi K, Ahadi T, Alavi A, Ahmadiani A, et al. A novel nonsense mutation in WNK1/HSN2 associated with sensory neuropathy and limb destruction in four siblings of a large Iranian pedigree. BMC Neurol. 2018;18:195. https://doi.org/10.1186/s12883-018-1201-6
Wang JJ, Yu B, Li Z. The coexistence of a novel WNK1 variant and a copy number variation causes hereditary sensory and autonomic neuropathy type IIA. BMC Med Genet. 2019;20:91. https://doi.org/10.1186/s12881-019-0828-5
Gao LH, Li SS, Fu WZ. Hereditary sensory and autonomic neuropathy II due to mutation in the WNK1 gene in a Chinese family. Chin J Intl Med. 2016;55:953–5. https://doi.org/10.3760/cma.j.issn.0578-1426.2016.12.010
Pastore S, Harripaul R, Azam M, Vincent JB. A novel biallelic single base insertion in WNK1 in a Pakistani family with congenital insensitivity to pain. J Hum Genet. 2020;65:493–6. https://doi.org/10.1038/s10038-020-0734-x
Acknowledgements
The authors thank the family members for participating in this study.
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Ningxia Key Research and Development Program for Special Projects 2021BEG03032.
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Siqing Ma contributed in the conception and design of the study, literature search, experimental studies, and drafting the manuscript. Chunbo Ji contributed in clinical data acquisition and review. Jinlan Li contributed in clinical data acquisition and review. Jie Zhou contributed in clinical data acquisition and review. Jianying Zhu contributed in clinical data acquisition and review. Ping Yang contributed in the conception and design of the study, literature search, experimental studies, manuscript editing, and review. All authors read and approved the final manuscript.
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This study was conducted in accordance with the Declaration of Helsinki guidelines and was approved by the institutional review board of the General Hospital of Ningxia Medical University. Participants gave written consent to participate after being informed of the nature of the research.
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Ma, S., Ji, C., Li, J. et al. A novel mutation in the WNK1/HSN2 gene causing hereditary sensory and autonomic neuropathy type 2 in Chinese patient. J Hum Genet 70, 223–226 (2025). https://doi.org/10.1038/s10038-024-01310-0
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DOI: https://doi.org/10.1038/s10038-024-01310-0