Novel POMGNT1 point mutations and intragenic rearrangements associated with muscle-eye-brain disease. |
Authors: |
Saredi, S Ardissone, A Ruggieri, A Mottarelli, E Farina, L Rinaldi, R Silvestri, E Gandioli, C D'Arrigo, S Salerno, F Morandi, L Grammatico, P Pantaleoni, C Moroni, I Mora, M
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Citation: |
Saredi S, etal., J Neurol Sci. 2012 Jul 15;318(1-2):45-50. doi: 10.1016/j.jns.2012.04.008. Epub 2012 May 2. |
RGD ID: |
11065512 |
Pubmed: |
(View Article at PubMed) PMID:22554691 |
DOI: |
Full-text: DOI:10.1016/j.jns.2012.04.008 |
Congenital muscular dystrophies due to defects in genes encoding proteins involved in alpha-dystroglycan (alpha-DG) glycosylation are a heterogeneous group of muscle disorders variably associated with central nervous system and eye abnormalities. One of the more severe is muscle-eye-brain disease (MEB). Mutations in genes coding for proven or putative glycosyltransferases (POMT1, POMT2, POMGnT1, fukutin, FKRP, and LARGE), the DPM3 gene encoding a DOL-P-Man synthase subunit, and the DAG1 gene encoding alpha-dystroglycan, have been associated with altered alpha-DG glycosylation. We report new POMGnT1 mutations and evaluate protein expression in 3 patients and 2 foetuses with variably severe MEB features. We identify two new point mutations (c.643C>T, c.1863delC), one new intragenic rearrangement (deletion of exons 2-8), and a new intron retention (between exons 21 and 22) resulting from a known point mutation c.1895+1G>T. Our study provides further evidence that rearrangements of the POMGnT1 gene are relatively common. Importantly, if heterozygous, they can be missed on standard genomic DNA sequencing. POMGNT1 protein analysis in 3 patients showed that the severity of the phenotype does not correlate with protein expression. Cerebral MRI is important for identifying MEB and alpha-dystroglycanopathy phenotypes in children and foetuses, and hence for directing the genetic analysis.
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