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

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Molecular and biochemical basis of disease<br />

aberrant expression of Connexin40 and Connexin43 and the transcription<br />

factor Nkx2.5 in vivo specifically within the sinoatrial nodal region,<br />

and show that Shox2 deficiency interferes with pacemaking function<br />

in Zebrafish embryos. Conclusion: From these results, we postulate a<br />

critical function of Shox2 in the recruitment of sinus venosus myocardium<br />

comprising the sinoatrial nodal region.<br />

P0806. Multiple sulfatase deficiency is due to hypomorphic<br />

mutations of the SUMF1 gene<br />

I. Annunziata1 , V. Bouchè1 , L. Schlotawa2 , T. Dierks2 , A. Ballabio1 ;<br />

1 2 TIGEM, Naples, Italy, Universitaet Bielefeld Universitaetsstr, Bielefeld, Germany.<br />

Sulfatases catalyze the hydrolysis of sulfate esters bonds from a wide<br />

variety of substrates. Several human inherited diseases are caused<br />

by the deficiency of individual sulfatases. Multiple sulfatase deficiency<br />

(MSD) is a rare autosomal recessive disorder characterized by the<br />

simultaneous deficiency of all known sulfatases. MSD patients carry<br />

mutations of the Sulfatase Modifying Factor 1 (SUMF1) gene encoding<br />

the α-formylglycin generating enzyme (FGE) which is required for<br />

the post-translational modification of sulfatases. Residual sulfatase activities<br />

are detectable, at variable levels, in all MSD patients. We have<br />

used a recently developed Sumf1 KO mouse line which completely<br />

devoid of all sulfatase activities to investigate on the nature of the residual<br />

sulfatase activities detected in MSD patients. Four mutations<br />

(i.e. S155P, R224W, R345C, R349W) found in homozygosis in MSD<br />

patients were over-expressed, using viral-mediated gene delivery, in<br />

Sumf1-/- mouse embryonic fibroblasts (MEFs). The results obtained<br />

indicate that mutant SUMF1 cDNAs encode stable SUMF1 proteins<br />

which are of the appropriate molecular weight and are properly localized<br />

in the endoplasmic reticulum. Expression of these cDNAs in<br />

Sumf1-/- MEFs results in low, albeit significant, FGE activity, and in<br />

partial rescue of sulfatase activities. These data indicate that MSD is<br />

due to hypomorphic SUMF1 mutations and suggest that a complete<br />

loss of SUMF1 function is likely to be lethal in humans.<br />

P0807. Frequency of LHON mutations in mitochondrial disease<br />

phenotypes from Centre Portugal<br />

M. M. Grazina 1,2 , J. M. Pratas 2 , S. Oliveira 2 , M. Oliveira 2 , L. Diogo 3 , P. Garcia 3 ,<br />

C. Macário 4 , C. R. Oliveira 1,2 ;<br />

1 Faculty of Medicine, Coimbra, Portugal, 2 Centre for Neuroscience and Cell<br />

Biology, Coimbra, Portugal, 3 Paediatric Hospital, Coimbra, Portugal, 4 University<br />

Hospitals, Coimbra, Portugal.<br />

INTRODUCTION: Leber’s hereditary optic neuropathy (LHON) is a<br />

maternally mitochondrial disorder, characterized by bilateral visual<br />

loss, most frequently found in young males. Classical LHON is mainly<br />

associated to mitochondrial DNA (mtDNA) mutations G11778A,<br />

G3460A and T14484C, localized in the coding regions for ND4, ND1<br />

and ND6 (complex I subunits of mitochondrial respiratory chain), respectively.<br />

Other mutations (secondary) have also been described in<br />

LHON cases.<br />

METHODS: We have studied a total of 648 subjects, counting with<br />

46 healthy family members. The techniques employed included PCR,<br />

RFLP and sequencing analysis. We investigated 7 point mutations,<br />

described as primary (G3460A, G11778A, T14484C) or secondary<br />

(T42<strong>16</strong>C, A4917G, G13708A, G15257A), associated previously to<br />

LHON.<br />

RESULTS: We have found 40 positive cases (6.2%), corresponding to<br />

the analysis of 52 tissues. Considering the total number of cases studied,<br />

the frequencies found were: 0.002; 0.012; 0.003; 0.034; 0.026;<br />

0.014 and 0.012, for mutations G3460A, G11778A, T14484C; T42<strong>16</strong>C,<br />

A4917G, G13708A and G15257A, respectively.<br />

DISCUSSION: The most frequent mtDNA alterations found, among<br />

primary and secondary mutations studied, were G11778A and<br />

T42<strong>16</strong>C, respectively. The primary mutations were found only in LHON<br />

or LHON-plus cases. Secondary mutations were observed in a wide<br />

variety of phenotypes, as expected. On the other hand, the primary<br />

mutations were found isolated, whereas secondary mutations were<br />

frequently encountered in combinations.<br />

21<br />

P0808. Mutations in mtDNA in Children with manifestations of<br />

mitochondrial encephalomyopaties<br />

J. Pilch 1 , M. Asman 2 , E. Jamroz 1 , M. Kajor 3 , E. Kotrys-Puchalska 4 , M. Goss 4 ,<br />

M. Krzak 2 , M. Tarnowski 2 , J. Witecka 2 , J. Gmiński 4 , A. L. Sieroń 2 , E. Marszał 1 ;<br />

1 Department of Child Neurology, Medical University of Silesia, Katowice, Poland,<br />

2 Department of General & Molecular Biology & <strong>Genetics</strong>, Medical University<br />

of Silesia, Katowice, Poland, 3 Department of Anatomopathology, Medical<br />

University of Silesia, Katowice, Poland, 4 Department of Biochemistry, Medical<br />

University of Silesia, Katowice, Poland.<br />

Mitochondrial encephalomyopaties are composed disorders with wide<br />

range of clinical manifestations. Lack of specific correlation between<br />

genotype and phenotype makes the genetic diagnostic even more difficult.<br />

Particularly tedious is identification of mutations in mitochondrial<br />

DNA. In years 2004 to 2006 in Department of Child Neurology muscle<br />

biopsies were performed in a group of sick children with manifestations<br />

of mitochondrial encephalomyopaties. In the biopsies the biochemical,<br />

histopathological, and ultrastructural analyses have been conducted.<br />

The cellular respiratory chain enzymes activities were assayed in muscles<br />

and skin fibroblasts. Based on clinical manifestations and results<br />

of enzymatic assays a group of 21 sick children was selected for further<br />

molecular studies.<br />

Aim of the study: The goal was to identify mutations in mitochondrial<br />

DNA isolated from muscle biopsies of affected children.<br />

Material and methods: Molecular analysis performed in two steps for<br />

entire mitochondrial DNA. First step was to screen the mitochondrial<br />

DNA for any mismatches by heteroduplex analysis using endonuclease<br />

SURVEYOR kit (Trangenomic, Inc., Omaha, NE, USA). DNA fragments<br />

showing mismatches were subjected to DNA sequencing using<br />

ABI PRISM 310 DNA analyzer.<br />

Results: The most common changes found in all analyzed fragments<br />

of mitochondrial DNA were polymorphisms. Mutations were detected<br />

in few genes e.g.: a) <strong>16</strong>S rRNA (in 8 children); b) subunits ND2, ND4L,<br />

ND5, and ND6 of complex I (in 6); c) tRNA for leucine (in 1); and d)<br />

tRNA for proline (in 1). Further analysis is necessary for comparing<br />

genotypes with clinical phenotypes to final confirmation of pathogenic<br />

character of detected mutations.<br />

P0809. Mutational analysis of the mitochondrial 12SrRNA and<br />

tRNASer(UCN) genes in patients with aminoglycoside-induced<br />

and nonsyndromic hearing loss from Volga-Ural region and<br />

Siberia (Russia)<br />

L. U. Dzhemileva 1 , O. L. Posukh 2 , N. A. Barashkov 3 , A. M. Tazetdinov 1 , S. A.<br />

Fedorova 3 , N. R. Maximova 3 , E. E. Fedotova 3 , V. N. Tadinova 4 , E. K. Khusnutdinova<br />

1 ;<br />

1 Institute of biochemistry and genetics, Ufa, Russian Federation, 2 Institute of<br />

Cytology and <strong>Genetics</strong>, Siberian Branch of Russian Academy of Sciences,<br />

Novosibirsk, Russian Federation, 3 Yakutsk Research Centre, Siberian Branch<br />

of Russian Academy of Medical Sciences, Yakutsk, Russian Federation, 4 Republican<br />

Altai Children’s Hospital, Gorno-Altaisk, Russian Federation.<br />

Several mtDNA mutations have been found to be associated with<br />

nonsyndromic sensorineural hearing loss (NSHL). The m.1555G>A<br />

(12SrRNA) was confirmed as the main cause of aminoglycoside induced<br />

deafness in different populations. The m.7445A>G, m.7472_<br />

7473insC, m.7510T>C, m.7511T>C (tRNASer(UCN)) were reported to<br />

be associated with NSHL. Pathogenicity of some other variations in<br />

12SrRNA and tRNASer(UCN) genes associated with NSHL has not<br />

yet been confirmed (http://www.mitomap.org). We report here the results<br />

of mutational screening for 12S rRNA and tRNASer(UCN) genes<br />

among Cx26- and Cx30-negative deaf individuals of different ethnicity<br />

from some regions of Russia. Previously, 301 unrelated patients<br />

(70 with aminoglycoside-induced deafness, and 231 with NSHL) from<br />

Volga-Ural region, 78 unrelated patients with NSHL from the Republic<br />

Sakha (Yakutia, northeastern Siberia), and 1<strong>19</strong> deaf patients (75 unrelated<br />

families) from the Republic Altai (south Siberia) were analyzed<br />

for Cx26 and Cx30 mutations. Different variations at the 961 position in<br />

12S rRNA gene have been found among deaf individuals from Volga-<br />

Ural region. Four patients of Tatar ethnicity, one with m.961delTinsCn,<br />

and three with m.961delTinsC, two Russian patients, one with<br />

m.961T>G, and another with m.961T>A, were detected. Moreover, the<br />

m.7444G>A (tRNASer(UCN)) was found in one Russian patient with<br />

NSHL. The m.1555G>A (12S rRNA) was detected in one Yakut patient<br />

(Republic Sakha). Finally, m.7445G>C (tRNASer(UCN)) was found in<br />

two sibs of one Kazakh family (Altai region) in whom moderate sen-

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