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European Human Genetics Conference 2007 June 16 – 19, 2007 ...

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Molecular and biochemical basis of disease<br />

didate for CGH array.<br />

During this initial phase of application of the diagnostic protocol, we<br />

have identified a mutation in the TBX5 gene in a patient who was previously<br />

considered to be affected with isolated ToF. The mutation leads<br />

to aminoacid substitution of arginine into a stop codon (R279X). Careful<br />

physical examination of the patient showed subtle hand malformation<br />

in form of long first metacarpal, that can coincide with Holt Oram<br />

syndrome diagnosis. To the best of our knowledge this mutation has<br />

never been associated with ToF phenotype.<br />

P0756. Purple and Yellow. Hereditary Coproporphyria and<br />

Gilbert’s Syndrome in Czech Family.<br />

J. Prochazkova, L. Barnincova, M. Tomkova, J. Zeman, P. Martasek;<br />

Department of Pediatrics, 1st School of Medicine, Charles University, Prague,<br />

Czech Republic.<br />

Hereditary coproporphyria is a rare acute hepatic porphyria with autosomal<br />

dominant inheritance characterized by deficient activity of coproporphyrinogen<br />

III oxidase (CPO). The gene encoding human CPO<br />

has been cloned and localized to chromosome 3q11.2. The CPO gene<br />

spans 14 kb and has a single promoter and seven exons. The cDNA<br />

encodes a protein containing 354 amino acids. The enzyme is active<br />

as a homodimer of 76 kDa.<br />

Gilbert´s syndrome (GS) is a hereditary, autosomal recessive disorder<br />

with mild, unconjugated hyperbilirubinemia. In Caucasian patients, Gilbert’s<br />

syndrome is linked primarily with a TA insertion in the TATA box<br />

promoter of the UGT1A1 gene, most frequently present as A(TA)7TAA<br />

rather than A(TA)6TAA.<br />

In this study, we report on patient with hereditary coproporphyria associated<br />

with Gilbert´s syndrome. Molecular diagnosis of the regulation<br />

region of the UGT1A1 gene showed a TA insertion in the promoter.<br />

Analysis of the CPO gene revealed a small deletion of 3 bp at nucleotide<br />

1<strong>16</strong>8 (390delGly) in exon 5. This deletion removes glycine without<br />

altering the coding frame. Mutational analyses were carried out on sixteen<br />

members of proband’s family.<br />

Supported by MSMT 1M6837805002, MSMT 002<strong>16</strong>20806, GACR<br />

303/03/H065<br />

P0757. Analysis of connexin 32 gene (GJB1, Cx32) in the<br />

hereditary motor and sensory neuropathy (HMSN) patients from<br />

Bashkortostan<br />

E. G. Latypova1 , I. M. Hidiyatova1 , N. B. Krupina2 , R. V. Magjanov2 , E. K. Khusnutdinova1<br />

;<br />

1 2 Institute of Biochemistry and <strong>Genetics</strong>, Ufa, Russian Federation, Bashkir<br />

State Medical University, Ufa, Russian Federation.<br />

Hereditary motor and sensory neuropathy (HMSN) or Charcot-Marie-Tooth<br />

(CMT) disease is a clinically and genetically heterogeneous<br />

disorder of peripheral nervous system. The HMSN frequency in Bashkortostan<br />

Republic (BR , Russia, the territory of the South Urals) is<br />

10,3:100000. HMSN type I is prevalent in BR. In 104 unrelated HMSN<br />

families gene PMP22 duplication screening was carried previously and<br />

obtained that this mutation frequency in BR is 20,63% for all types of<br />

HMSN and 45,0% - for HMSN type I.<br />

In this investigation the searching of mutations in GJB1 gene in patients<br />

without PMP duplication (114 affected members from 77 unrelated<br />

families) was carried.Two mutations and one polymorphism<br />

- Pro87Ala, Arg22Gln and 45G>A we determined using SSCP analysis<br />

followed by sequencing of shifted samples. It turned out, that Pro87Ala<br />

mutation is frequent among HMSN patients from Bashkortostan, it was<br />

revealed in 13 unrelated families, that amount 12,03% for all types of<br />

HMSN and 20,63% - for HMSN type I. This mutation was the most frequent<br />

in patients of Bashkir ethnic origin (35% in Basckir patients), less<br />

frequent - in Russian (10,8%) and Tatars (3,20%). Arg22Gln mutation<br />

was defined in three patients from two families of Tatar ethnic origin<br />

(2,77% for all patients from BR and 6,45% for Tatar patients without<br />

HMSN type differentiation. Both found mutations were described previously,<br />

they cause the dominant form of HMSN type I with relatively mild<br />

clinical features. The polymorphism 45G>A revealed in two unrelated<br />

patients of Mordvinian ethnic origin, it was not describe earlier.<br />

202<br />

P0758. High throughput Genotyping: New Diagnostic<br />

Resequencing Microarray for Hereditary Spastic Paraplegia<br />

C. Dufke 1 , R. Schüle 2 , A. Seibel 2 , M. Bonin 3 , S. Poths 3 , P. Bauer 1 , L. Schöls 2 ;<br />

1 Institute of <strong>Human</strong> <strong>Genetics</strong>, Tübingen, Germany, 2 Hertie-Institute für Klinische<br />

Hirnforschung, Tübingen, Germany, 3 The Microarray Facility, Tübingen, Germany.<br />

Hereditary Spastic Paraplegia (HSP) is a heterogenous group of inherited<br />

neurological disorders. Insidiously progressive spastic weakness<br />

of the lower extremities is the common criteria in all 33 forms described<br />

so far. Autosomal dominant, autosomal recessive and X-linked mode<br />

of inheritance have been described. Clinically HSP is differentiated into<br />

pure (uncomplicated) and complex (complicated) forms, depending on<br />

isolated impairment of corticospinal tracts or more wide spread affection<br />

of neuronal circuits or systemic involvement.<br />

For proper diagnosis moleculargenetic analysis is fundamental since<br />

clinical parameters alone are not reliable in distinguishing HSP forms.<br />

In order to establish high throughput genotyping, we designed a HSP<br />

resequencing microarray (Affymetrix platform) covering the coding exons<br />

and flanking intronic sequences of the HSP genes L1CAM (SPG1),<br />

PLP1 (SPG2), Atlastin (SPG3A),Spastin (SPG4), NIPA1 (SPG6), Paraplegin<br />

(SPG7), KIF5A (SPG10), HSP60 (SPG13), BSCL2 (SPG17),<br />

Spartin (SPG20), Maspardin (SPG21),<br />

(13 - 94kb, 5 - 28 coding exons), as well as the 59 most frequent small<br />

deletions, insertions and insertion/deletions in these genes.<br />

We present data on microarray analysis of 20 autosomal dominant<br />

HSP index patients.<br />

P0759. Elucidating the molecular function of Zfyve27, the gene<br />

mutated in hereditary spastic paraplegia (SPG33)<br />

A. U. Mannan, K. Pantakani, W. Engel;<br />

Institute of <strong>Human</strong> <strong>Genetics</strong>, Goettingen, Germany.<br />

Hereditary spastic paraplegias (HSP) are a group of neurodegenerative<br />

disorders, which are clinically characterized by progressive spastic<br />

paralysis of the legs, usually caused by a length-dependent distal degeneration<br />

of the corticospinal tract axons. HSP are genetically heterogeneous<br />

and till now 35 loci have been identified. Recently, we reported<br />

a mutation in a novel endosomal protein ZFYVE27 (SPG33) in a<br />

German family with autosomal dominant HSP. ZFYVE27 was identified<br />

as a spastin interacting protein and we have characterized the interaction<br />

between these two proteins in mammalian cells. Moreover, our<br />

studies revealed that the mutated ZFYVE27 protein shows aberrant<br />

intracellular pattern in tubular structure of cells and its interaction with<br />

spastin is severely affected. Intracellular distribution studies revealed<br />

that ZFYVE27 is expressed in punctate vesicles which were both of<br />

endosomal and endoplasmic reticulum origin. Furthermore, overexpression<br />

of GFP-ZFYVE27 in fibroblast (NIH3T3) cell line, promoted<br />

neurite formation through directional membrane trafficking process. A<br />

comprehensive expression analysis of Zfyve27 through Western blot<br />

revealed high level of Zfyve27 primarily in the HSP affected tissues in<br />

mouse such as brain, cerebellum and spinal cord. To gain mechanistic<br />

insights in murine Zfyve27 function, currently, generation of loss of<br />

function mouse models by using both gene-trap and knockout strategy<br />

are in progress.Conceivably the phenotype of these mouse models<br />

might mimic the pathological features of HSP, therefore will provide<br />

us with a valuable model system to elucidate the underlying cause for<br />

HSP etiology.<br />

P0760. MLH1 promoter methylation in peripheral blood cells of<br />

12 patients clinically presenting HNPCC features<br />

M. Grabowski 1 , H. K. Schackert 2 , N. Rahner 3 , M. Ebert 4 , C. Walldorf 3 , B. Royer-Pokora<br />

5 , B. Betz 5 , W. Schmiegel 6 , M. von Knebel-Doeberitz 7 , W. Dietmaier 8 ,<br />

G. Keller 9 , B. Kerker 1 , G. Leitner 10 , E. Holinski-Feder 11 ;<br />

1 Ludwig-Maximilians-University Munich, Munich, Germany, 2 Department of<br />

Chirurgic Research, University of Dresden, Dresden, Germany, 3 Institute of<br />

<strong>Human</strong> <strong>Genetics</strong>, University of Bonn, Bonn, Germany, 4 Hospital for Gastroenterology<br />

and Hepatology, Otto-von-Guericke-University, Magdeburg, Germany,<br />

5 Institute of <strong>Human</strong> <strong>Genetics</strong>, University of Düsseldorf, Düsseldorf, Germany,<br />

6 Hospital of the University of Bochum, Bochum, Germany, 7 Institute of Pathology,<br />

University of Heidelberg, Heidelberg, Germany, 8 Institute of Pathology,<br />

University of Regensburg, Regensburg, Germany, 9 Institute of Pathology, University<br />

of Technology, Munich, Germany, 10 Center of Medical <strong>Genetics</strong>, Munich,<br />

Germany, 11 Institute of <strong>Human</strong> <strong>Genetics</strong>, Ludwig-Maximilians-University/Center

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