Rare Noncoding Mutations Extend the Mutational Spectrum in the PGAP3 Subtype of Hyperphosphatasia with Mental Retardation Syndrome
File(s)Knaus_et_al-2016-Human_Mutation.pdf (1.05 MB)
Published version
Author(s)
Type
Journal Article
Abstract
HPMRS or Mabry syndrome is a heterogeneous glycosylphosphatidylinositol (GPI) anchor deficiency that is caused by an impairment of synthesis or maturation of the GPI-anchor. The expressivity of the clinical features in HPMRS varies from severe syndromic forms with multiple organ malformations to mild nonsyndromic intellectual disability. In about half of the patients with the clinical diagnosis of HPMRS, pathogenic mutations can be identified in the coding region in one of the six genes, one among them is PGAP3. In this work, we describe a screening approach with sequence specific baits for transcripts of genes of the GPI pathway that allows the detection of functionally relevant mutations also including introns and the 5' and 3' UTR. By this means, we also identified pathogenic noncoding mutations, which increases the diagnostic yield for HPMRS on the basis of intellectual disability and elevated serum alkaline phosphatase. In eight affected individuals from different ethnicities, we found seven novel pathogenic mutations in PGAP3. Besides five missense mutations, we identified an intronic mutation, c.558-10G>A, that causes an aberrant splice product and a mutation in the 3'UTR, c.*559C>T, that is associated with substantially lower mRNA levels. We show that our novel screening approach is a useful rapid detection tool for alterations in genes coding for key components of the GPI pathway.
Date Issued
2016-05-19
Date Acceptance
2016-04-03
Citation
Human Mutation, 2016, 37 (8), pp.737-744
ISSN
1098-1004
Publisher
Wiley
Start Page
737
End Page
744
Journal / Book Title
Human Mutation
Volume
37
Issue
8
Copyright Statement
© 2016 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Subjects
Mabry syndrome
PGAP3
Hyperphosphatasia with Mental Retardation
Intellectual Disability
Noncoding Mutations
Genetics & Heredity
Genetics
Clinical Sciences
Publication Status
Published