BMC Medical Genetics | |
1031-1034delTAAC (Leu125Stop): a novel familial UBE3A mutation causing Angelman syndrome in two siblings showing distinct phenotypes | |
Wilson Araujo Silva2  Maria José Maldonado1  Liane de Rosso Giuliani1  Daniel Onofre Vidal3  Cristiane Ayres Ferreira3  Greice Andreotti De Molfetta2  | |
[1] Department of Pediatrics, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;CTC – Centro de Terapia Celular da Fundação Hemocentro de Ribeirão Preto, Laboratório de Genética Molecular e Bioinformática, Depto. De Genética, Rua Tenente Catão Roxo, 2501, 14051-140, Ribeirão Preto, São Paulo, Brazil;Regional Blood Center of Ribeirao Preto and National Institute of Science and Technology in Cell Therapy, Ribeirao Preto, Brazil | |
关键词: HRM; Distinct phenotypes; Novel mutation; Imprinting; UBE3A gene; Angelman syndrome; | |
Others : 1177755 DOI : 10.1186/1471-2350-13-124 |
|
received in 2011-12-19, accepted in 2012-12-13, 发布年份 2012 | |
【 摘 要 】
Background
More than 50 mutations in the UBE3A gene (E6-AP ubiquitin protein ligase gene) have been found in Angelman syndrome patients with no deletion, no uniparental disomy, and no imprinting defect.
Case Presentation
We here describe a novel UBE3A frameshift mutation in two siblings who have inherited it from their asymptomatic mother. Despite carrying the same UBE3A mutation, the proband shows a more severe phenotype whereas his sister shows a milder phenotype presenting the typical AS features.
Conclusions
We hypothesized that the mutation Leu125Stop causes both severe and milder phenotypes. Potential mechanisms include: i) maybe the proband has an additional problem (genetic or environmental) besides the UBE3A mutation; ii) since the two siblings have different fathers, the UBE3A mutation is interacting with a different genetic variant in the proband that, by itself, does not cause problems but in combination with the UBE3A mutation causes the severe phenotype; iii) this UBE3A mutation alone can cause either typical AS or the severe clinical picture seen in the proband.
【 授权许可】
2012 De Molfetta et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150504023252355.pdf | 3325KB | download | |
Figure 4. | 100KB | Image | download |
Figure 3. | 118KB | Image | download |
Figure 2. | 39KB | Image | download |
Figure 1. | 74KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
Figure 3.
Figure 4.
【 参考文献 】
- [1]Clayton-Smith J, Pembrey ME: Angelman syndrome. J Med Genet 1992, 29:412-415.
- [2]Williams CA: Neurological aspects of the Angelman syndrome. Brain Dev 2005, 27:88-94.
- [3]Wagstaff J, Shugart YY, Lalande M: Linkage analysis in familial Angelman syndrome. Am J Hum Genet 1993, 53:105-112.
- [4]Horsthemke B, Wagstaff J: Mechanisms of imprinting of the Prader–Willi/Angelman region. Am J Med Genet 2008, 146A:2041-2052.
- [5]Fang P, Lev-Lehman E, Tsai TF, Matsuura T, Benton CS, Sutcliffe JS, Christian L, Kubota T, Halley DJ, Meijers-Hijboer H, Langlois S, Graham JJ, Beuten J, Willems PJ, Ledbetter DH, Beaudet A: The spectrum of mutations in UBE3A causing Angelman syndrome. Hum Mol Genet 1999, 8:129-135.
- [6]Greer PL, Hanayama R, Bloodgood BL, Mardinly AR, Lipton DM, Flavell SW, Kim TK, Griffith EC, Waldon Z, Maehr R, Ploegh HL, Chowdhury S, Worley PF, Steen J, Greenberg ME: The Angelman Syndrome protein UBE3A regulates synapse development by ubiquitinating arc. Cell 2010, 140:704-716.
- [7]White HE, Hall VJ, Cross NCP: Methylation-sensitive high-resolution melting-curve analysis of the SNRPN gene as a diagnostic screen for Prader-Willi and Angelman syndromes. Clin Chem 2007, 53:1960-1962.
- [8]Malzac P, Webber H, Moncla A, Graham JM, Kukolich M, Williams C, Pagon RA, Ramsdell LA, Kishino T, Wagstaff J: Mutation analysis of UBE3A in Angelman syndrome patients. Am J Hum Genet 1998, 62:1353-1360.
- [9]Kubota T, Das S, Christian SL, Baylin SB, Herman JG, Ledbetter DH: Methylation-specific PCR simplifies imprinting analysis. Nat Genet 1997, 16:16-17.
- [10]Wojdacz TK, Dobrovic A: Methylation sensitive high resolution melting (MS-MS-HRM): a new approach for sensitive and high-throughput assessment of methylation. Nucleic Acids Res 2007, 35:e41.
- [11]Kishino T, Lalande M, Wagstaff J: UBE3A/E6-AP mutations cause Angelman syndrome. Nat Genet 1997, 15:70-73.
- [12]Matsuura T, Sutcliffe JS, Frang P, Galjaard R-J, Jiang Y-H, Benton CS, Rommens JM, Beaudet AL: De novo truncating mutations in E6-AP ubiquitin-protein ligase gene (UBE3Ar in Angelman syndrome. Nat Genet 1997, 15:74-77.
- [13]Fung DCY, YU B, Cheong KF, Smith A, Trent RJ: UBE3A “mutations” in two unrelated and phenotypically different Angelman syndrome patients. Hum Genet 1998, 102:487-492.
- [14]Baumer A, Balmer B, Schinzel A: Screening for UBE3A gene mutations in a group of Angelman syndrome patients selected according a non-stringent clinical criteria. Hum Genet 1999, 105:598-602.
- [15]Moncla A, Malzac P, Livet M-O, Voelckel M-A, Mancini J, Delaroziere JC, Philip N, Mattei J-F: Angelman syndrome resulting from UBE3A mutations in 14 patients from eight families: clinical manifestations and genetic counseling. J Med Genet 1999, 36:554-560.
- [16]Huibregtse JM, Scheffner M, Beaudenon S, Howley PM: A family of proteins structurally and functionally related to the E6-AP ubiquitinprotein ligase. PNAS 1995, 92:2563-2567.
- [17]Molfetta GA, Hojas MVM, Silva-Jr WA, Wagstaff J, Pina-Neto JM: Discordant phenotypes in first cousins with UBE3A mutation. Am J Med Genet 2004, 127(3):258-262.
- [18]LaSalle JM, Ritchie RJ, Glatt H, Lalande M: Clonal heterogeneity at allelic methylation sites diagnostic for Prader-Willi and Angelman syndromes. PNAS 1998, 95(4):1675-1680.
- [19]Balmer D, LaSalle JM: Clonal maintenance of imprinted expression of SNRPN and IPW in normal lymphocytes: correlation with allele-specific methylation of SNRPN intron 1 but not intron 7. Hum Genet 2001, 108(2):116-122.
- [20]Wittwer CT, Reed GH, Gundry CN, Vandersteen JG, Pryor RJ: High-resolution genotyping by amplicon melting analysis using LCGreen. Clin Chem 2003, 49:853-860.