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Novel POMGNT1 point mutations and intragenic rearrangements associated with muscle-eye-brain disease.


ABSTRACT: Congenital muscular dystrophies due to defects in genes encoding proteins involved in ?-dystroglycan (?-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 ?-dystroglycan, have been associated with altered ?-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 ?-dystroglycanopathy phenotypes in children and foetuses, and hence for directing the genetic analysis.

SUBMITTER: Saredi S 

PROVIDER: S-EPMC3405532 | biostudies-literature | 2012 Jul

REPOSITORIES: biostudies-literature

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Novel POMGNT1 point mutations and intragenic rearrangements associated with muscle-eye-brain disease.

Saredi S S   Ardissone A A   Ruggieri A A   Mottarelli E E   Farina L L   Rinaldi R R   Silvestri E E   Gandioli C C   D'Arrigo S S   Salerno F F   Morandi L L   Grammatico P P   Pantaleoni C C   Moroni I I   Mora M M  

Journal of the neurological sciences 20120502 1-2


Congenital muscular dystrophies due to defects in genes encoding proteins involved in α-dystroglycan (α-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 α-  ...[more]

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