C-terminal deletions in the ALAS2 gene lead to gain of function and cause X-linked dominant protoporphyria without anemia or iron overload. |
Authors: |
Whatley, Sharon D Ducamp, Sarah Gouya, Laurent Grandchamp, Bernard Beaumont, Carole Badminton, Michael N Elder, George H Holme, S Alexander Anstey, Alexander V Parker, Michelle Corrigall, Anne V Meissner, Peter N Hift, Richard J Marsden, Joanne T Ma, Yun Mieli-Vergani, Giorgina Deybach, Jean-Charles Puy, Hervé
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Citation: |
Whatley SD, etal., Am J Hum Genet. 2008 Sep;83(3):408-14. doi: 10.1016/j.ajhg.2008.08.003. Epub 2008 Sep 4. |
RGD ID: |
18337287 |
Pubmed: |
PMID:18760763 (View Abstract at PubMed) |
PMCID: |
PMC2556430 (View Article at PubMed Central) |
DOI: |
DOI:10.1016/j.ajhg.2008.08.003 (Journal Full-text) |
All reported mutations in ALAS2, which encodes the rate-regulating enzyme of erythroid heme biosynthesis, cause X-linked sideroblastic anemia. We describe eight families with ALAS2 deletions, either c.1706-1709 delAGTG (p.E569GfsX24) or c.1699-1700 delAT (p.M567EfsX2), resulting in frameshifts that lead to replacement or deletion of the 19-20 C-terminal residues of the enzyme. Prokaryotic expression studies show that both mutations markedly increase ALAS2 activity. These gain-of-function mutations cause a previously unrecognized form of porphyria, X-linked dominant protoporphyria, characterized biochemically by a high proportion of zinc-protoporphyrin in erythrocytes, in which a mismatch between protoporphyrin production and the heme requirement of differentiating erythroid cells leads to overproduction of protoporphyrin in amounts sufficient to cause photosensitivity and liver disease.
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Genes (Rattus norvegicus) |
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Alas2 (5'-aminolevulinate synthase 2) |
Genes (Mus musculus) |
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Alas2 (aminolevulinic acid synthase 2, erythroid) |
Genes (Homo sapiens) |
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ALAS2 (5'-aminolevulinate synthase 2) |
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