BIOGRAPHY
Prof Andrea Németh is a Clinician Scientist at the University of Oxford, and a Consultant in Neurogenetics at the Oxford University Hospitals NHS Trust. She trained at the Royal Free Hospital School of Medicine, and also undertook an intercalated BSc in Biochemistry and Neuropharmacology at the Royal Free and University College London. She then moved to Professor Kay Davies lab in Oxford as an MRC Clinical Training Fellow, completing her DPhil at the University of Oxford in 1995. Following this she was awarded a prestigious MRC Clinician Scientist Fellowship which she did at the Wellcome Trust Centre for Human Genetics in Oxford. During this time she developed a particular her interest in ataxias and other movement disorders, going on to characterise several novel genetic ataxia syndromes. Prof Nemeth completed her clinical training in Genetics whilst a Clinical Lecturer at the University of Oxford, before becoming a Consultant in Neurogenetics and joining the NDCN. In addition to MRC funding, her research has been funded by Ataxia UK, Action Medical Research, the Henry Smith Charity, the John Fell Fund, the Oxford Biomedical Research Centre, NIHR, the European Huntingtons Disease Network and Enroll-HD.
Andrea H Németh
BSc; MB.BS; DPhil (Oxon); FRCP
Professor and Consultant in Neurogenetics
Understanding brain function from genomic data
Research Interests
The main focus of my research is to understand the genetic basis of central nervous system development and disease, A key area is the study of cerebellar ataxias, but this work also encompasses other movement disorders such as dystonia, Parkinsonism and chorea as well learning disability, epilepsy and spasticity.
Early work used positional cloning approaches to identifying novel genes associated with neurological disorders but this methodology has largely been replaced with next generation sequencing (NGS) and my lab was the first to identify mutations causing a cerebellar ataxia (SCAR14) using whole genome sequencing.
My lab went on to develop NGS for diagnostics in ataxias and retinal degeneration (Nature Reviews Neurology - view article here and Neurology Today - view article here) and led to its introduction into the NHS Oxford Regional Molecular Genetics Laboratories.
NGS also enabled the identification of the first patients with a clinical diagnosis of ataxic cerebral palsy which has contributed to an emerging field of molecular diagnostics for this complex condition.
More recently, my lab has identified several new cerebellar ataxia disorders including those associated with mutations in EBF3, GRM1 and ITPR1 as well as a recent collaboration identifying mutations in PPP2R5D causing intellectual disability with early-onset Parkinsonism. Currently, we are focussing on further data emerging from the 100,000 Genomes project.
The collection of neurogenetic patient cohorts has led to several collaborative studies on biomarkers including developing objective smart phone-based gait biomarkers in collaboration with Prof Helen Dawes team at Oxford Brookes University; investigating imaging biomarkers for FRDA in collaboration with Prof Paola Giunti and team at UCL, London; and investigating small molecule treatment for FRDA in collaboration with Prof Richard Wade-Martins, DPAG, Oxford (funded by LifeArcUK). We are also part of the Huntington Disease HD Generation clinical trial (https://www.ndcn.ox.ac.uk/news/ground-breaking-studyl-for-huntington2019s-disease-under-way).
Other interests include improving human cellular models of the neurogenetic disorders we have identified, using CRISPR/Cas9 gene editing in human embryonic stem cells, to understand how mutations lead to abnormal brain development and function.
Key publications
Genetic testing in Neurology
Journal article
Lefroy H. et al, (2020), Medicine (United Kingdom), 48, 545 - 549
Clinical application of next-generation sequencing to the practice of neurology.
Journal article
Rexach J. et al, (2019), Lancet Neurol, 18, 492 - 503
Dominant Mutations in GRM1 Cause Spinocerebellar Ataxia Type 44
Journal article
Watson LM. et al, (2017), The American Journal of Human Genetics, 101, 451 - 458
De Novo Mutations in EBF3 Cause a Neurodevelopmental Syndrome
Journal article
Sleven H. et al, (2017), The American Journal of Human Genetics, 100, 138 - 150
A GAA repeat expansion reporter model of Friedreich's ataxia recapitulates the genomic context and allows rapid screening of therapeutic compounds
Journal article
Lufino MMP. et al, (2013), Human Molecular Genetics, 22, 5173 - 5187
Next generation sequencing for molecular diagnosis of neurological disorders using ataxias as a model
Journal article
Németh AH. et al, (2013), Brain, 136, 3106 - 3118
Recessive Mutations in SPTBN2 Implicate β-III Spectrin in Both Cognitive and Motor Development
Journal article
Lise S. et al, (2012), PLoS Genetics, 8, e1003074 - e1003074
Senataxin, the ortholog of a yeast RNA helicase, is mutant in ataxia-ocular apraxia 2
Journal article
Moreira M-C. et al, (2004), Nature Genetics, 36, 225 - 227
Autosomal Recessive Cerebellar Ataxia with Oculomotor Apraxia (Ataxia‐Telangiectasia–Like Syndrome) Is Linked to Chromosome 9q34
Journal article
Nemeth AH. et al, (2000), The American Journal of Human Genetics, 67, 1320 - 1326
Recent publications
Normal and pathogenic variation of RFC1 repeat expansions: implications for clinical diagnosis.
Journal article
Dominik N. et al, (2023), Brain, 146, 5060 - 5069
Subthalamic nucleus shows opposite functional connectivity pattern in Huntington’s and Parkinson’s disease
Journal article
Evangelisti S. et al, (2023), Brain Communications, 5
Clinical Phenotype in Individuals With Birk-Landau-Perez Syndrome Associated With Biallelic SLC30A9 Pathogenic Variants.
Journal article
Steel DBD. et al, (2023), Neurology, 100, e2214 - e2223
Detection and Characterization of a De Novo Alu Retrotransposition Event Causing NKX2-1-Related Disorder.
Journal article
Magrinelli F. et al, (2023), Mov Disord, 38, 347 - 353
Repeat expansions in NOP56 are a cause of spinocerebellar ataxia Type 36 in the British population.
Journal article
Lam T. et al, (2023), Brain Commun, 5
Highlighting the Dystonic Phenotype Related to GNAO1.
Journal article
Wirth T. et al, (2022), Mov Disord, 37, 1547 - 1554
Whole genome sequencing in a Knobloch syndrome family confirms the molecular diagnosis.
Journal article
Patel CK. et al, (2022), Ophthalmic Genet, 43, 201 - 209
Autosomal Recessive Cerebellar Atrophy and Spastic Ataxia in Patients With Pathogenic Biallelic Variants in GEMIN5.
Journal article
Rajan DS. et al, (2022), Front Cell Dev Biol, 10
Variants in ATP6V0A1 cause progressive myoclonus epilepsy and developmental and epileptic encephalopathy
Journal article
Bott LC. et al, (2021), Brain Communications, 3
Loss of function mutations in GEMIN5 cause a neurodevelopmental disorder.
Journal article
Kour S. et al, (2021), Nat Commun, 12