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Mutations in PIGB Cause an Inherited GPI Biosynthesis Defect with an Axonal Neuropathy and Metabolic Abnormality in Severe Cases.


ABSTRACT: Proteins anchored to the cell surface via glycosylphosphatidylinositol (GPI) play various key roles in the human body, particularly in development and neurogenesis. As such, many developmental disorders are caused by mutations in genes involved in the GPI biosynthesis and remodeling pathway. We describe ten unrelated families with bi-allelic mutations in PIGB, a gene that encodes phosphatidylinositol glycan class B, which transfers the third mannose to the GPI. Ten different PIGB variants were found in these individuals. Flow cytometric analysis of blood cells and fibroblasts from the affected individuals showed decreased cell surface presence of GPI-anchored proteins. Most of the affected individuals have global developmental and/or intellectual delay, all had seizures, two had polymicrogyria, and four had a peripheral neuropathy. Eight children passed away before four years old. Two of them had a clinical diagnosis of DOORS syndrome (deafness, onychodystrophy, osteodystrophy, mental retardation, and seizures), a condition that includes sensorineural deafness, shortened terminal phalanges with small finger and toenails, intellectual disability, and seizures; this condition overlaps with the severe phenotypes associated with inherited GPI deficiency. Most individuals tested showed elevated alkaline phosphatase, which is a characteristic of the inherited GPI deficiency but not DOORS syndrome. It is notable that two severely affected individuals showed 2-oxoglutaric aciduria, which can be seen in DOORS syndrome, suggesting that severe cases of inherited GPI deficiency and DOORS syndrome might share some molecular pathway disruptions.

SUBMITTER: Murakami Y 

PROVIDER: S-EPMC6698938 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Mutations in PIGB Cause an Inherited GPI Biosynthesis Defect with an Axonal Neuropathy and Metabolic Abnormality in Severe Cases.

Murakami Yoshiko Y   Nguyen Thi Tuyet Mai TTM   Baratang Nissan N   Raju Praveen K PK   Knaus Alexej A   Ellard Sian S   Jones Gabriela G   Lace Baiba B   Rousseau Justine J   Ajeawung Norbert Fonya NF   Kamei Atsushi A   Minase Gaku G   Akasaka Manami M   Araya Nami N   Koshimizu Eriko E   van den Ende Jenneke J   Erger Florian F   Altmüller Janine J   Krumina Zita Z   Strautmanis Jurgis J   Inashkina Inna I   Stavusis Janis J   El-Gharbawy Areeg A   Sebastian Jessica J   Puri Ratna Dua RD   Kulshrestha Samarth S   Verma Ishwar C IC   Maier Esther M EM   Haack Tobias B TB   Israni Anil A   Baptista Julia J   Gunning Adam A   Rosenfeld Jill A JA   Liu Pengfei P   Joosten Marieke M   Rocha María Eugenia ME   Hashem Mais O MO   Aldhalaan Hesham M HM   Alkuraya Fowzan S FS   Miyatake Satoko S   Matsumoto Naomichi N   Krawitz Peter M PM   Rossignol Elsa E   Kinoshita Taroh T   Campeau Philippe M PM  

American journal of human genetics 20190627 2


Proteins anchored to the cell surface via glycosylphosphatidylinositol (GPI) play various key roles in the human body, particularly in development and neurogenesis. As such, many developmental disorders are caused by mutations in genes involved in the GPI biosynthesis and remodeling pathway. We describe ten unrelated families with bi-allelic mutations in PIGB, a gene that encodes phosphatidylinositol glycan class B, which transfers the third mannose to the GPI. Ten different PIGB variants were f  ...[more]

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