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Mutations Impairing GSK3-Mediated MAF Phosphorylation Cause Cataract, Deafness, Intellectual Disability, Seizures, and a Down Syndrome-like Facies.


ABSTRACT: Transcription factors operate in developmental processes to mediate inductive events and cell competence, and perturbation of their function or regulation can dramatically affect morphogenesis, organogenesis, and growth. We report that a narrow spectrum of amino-acid substitutions within the transactivation domain of the v-maf avian musculoaponeurotic fibrosarcoma oncogene homolog (MAF), a leucine zipper-containing transcription factor of the AP1 superfamily, profoundly affect development. Seven different de novo missense mutations involving conserved residues of the four GSK3 phosphorylation motifs were identified in eight unrelated individuals. The distinctive clinical phenotype, for which we propose the eponym Aymé-Gripp syndrome, is not limited to lens and eye defects as previously reported for MAF/Maf loss of function but includes sensorineural deafness, intellectual disability, seizures, brachycephaly, distinctive flat facial appearance, skeletal anomalies, mammary gland hypoplasia, and reduced growth. Disease-causing mutations were demonstrated to impair proper MAF phosphorylation, ubiquitination and proteasomal degradation, perturbed gene expression in primary skin fibroblasts, and induced neurodevelopmental defects in an in vivo model. Our findings nosologically and clinically delineate a previously poorly understood recognizable multisystem disorder, provide evidence for MAF governing a wider range of developmental programs than previously appreciated, and describe a novel instance of protein dosage effect severely perturbing development.

SUBMITTER: Niceta M 

PROVIDER: S-EPMC4570552 | biostudies-literature | 2015 May

REPOSITORIES: biostudies-literature

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Mutations Impairing GSK3-Mediated MAF Phosphorylation Cause Cataract, Deafness, Intellectual Disability, Seizures, and a Down Syndrome-like Facies.

Niceta Marcello M   Stellacci Emilia E   Gripp Karen W KW   Zampino Giuseppe G   Kousi Maria M   Anselmi Massimiliano M   Traversa Alice A   Ciolfi Andrea A   Stabley Deborah D   Bruselles Alessandro A   Caputo Viviana V   Cecchetti Serena S   Prudente Sabrina S   Fiorenza Maria T MT   Boitani Carla C   Philip Nicole N   Niyazov Dmitriy D   Leoni Chiara C   Nakane Takaya T   Keppler-Noreuil Kim K   Braddock Stephen R SR   Gillessen-Kaesbach Gabriele G   Palleschi Antonio A   Campeau Philippe M PM   Lee Brendan H L BH   Pouponnot Celio C   Stella Lorenzo L   Bocchinfuso Gianfranco G   Katsanis Nicholas N   Sol-Church Katia K   Tartaglia Marco M  

American journal of human genetics 20150409 5


Transcription factors operate in developmental processes to mediate inductive events and cell competence, and perturbation of their function or regulation can dramatically affect morphogenesis, organogenesis, and growth. We report that a narrow spectrum of amino-acid substitutions within the transactivation domain of the v-maf avian musculoaponeurotic fibrosarcoma oncogene homolog (MAF), a leucine zipper-containing transcription factor of the AP1 superfamily, profoundly affect development. Seven  ...[more]

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