摘要
Human MutationVolume 7, Issue 3 p. 187-192 Mutation UpdateFree Access Molecular basis of congenital erythropoietic porphyria: Mutations in the human uroporphyrinogen III synthase gene Weiming Xu, Weiming Xu Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Search for more papers by this authorKenneth H. Astrin, Kenneth H. Astrin Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Search for more papers by this authorRobert J. Desnick, Corresponding Author Robert J. Desnick Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029; Fax: 212-360-1809Search for more papers by this author Weiming Xu, Weiming Xu Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Search for more papers by this authorKenneth H. Astrin, Kenneth H. Astrin Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Search for more papers by this authorRobert J. Desnick, Corresponding Author Robert J. Desnick Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029Department of Human Genetics, Mount Sinai School of Medicine, New York, New York 10029; Fax: 212-360-1809Search for more papers by this author First published: 1996 https://doi.org/10.1002/(SICI)1098-1004(1996)7:3<187::AID-HUMU1>3.0.CO;2-8Citations: 30AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Congenital erythropoietic porphyria (CEP) is an autosomal recessive inborn error of metabolism that results from the markedly deficient activity of the fourth enzyme in the heme biosynthetic pathway, uroporphyrinogen III synthase (URO-synthase). To date, 17 mutations have been described including 11 missense, one nonsense, two mRNA splicing defects, one deletion and two coding region insertions. Most mutations have been identified in one or a few unrelated families with the exception of C73R and L4F which occurred in 29.6% and 9.3% of the 54 mutant alleles studied, respectively. Interestingly, analysis of the mutant alleles identified only 83% of the causative mutations, suggesting that about 20% of the mutations causing CEP lie elsewhere in the gene. Of note, mutation V82F, resulting from a G to T transversion of the last nucleotide of exon 4, caused both a missense mutation and an aberrantly spliced RNA transcript. Prokaryotic expression of the mutant URO-synthase alleles identified those with significant residual activity, thereby permitting genotype/phenotype predictions for this clinically heterogeneous disease. © 1996 Wiley-Liss, Inc. References Astrin KH, Warner CA, Yoo HW, Goodfellow PJ, Tsai SF, Desnick RJ (1991) Regional assignment of the human uroporphyrinogen III synthase (UROS) gene to chromosome 10q25-q26.3. Hum Genet 87: 18– 22. Barker DF, Shafer M, White R (1984) Restriction sites containing CpG show a higher frequency of polymorphism in human DNA. Cell 36: 131– 138. Battersby AR, Fookes CJR, Gustafson-Potter KE, McDonald E, Matcham GWJ (1982a) Biosynthesis of porphyrins and related macrocycles. Part 18. Proof by spectroscopy and synthesis that unrearranged hydroxymethylbilane is the product from deaminase and substrate for cosynthase in the biosynthesis of uroporphyrinogen III. J Chem Soc Perkin Trans 1: 2427– 2444. Battersby AR, Fookes CJR, Gustafson-Potter KE, McDonald E, Matcham GWJ (1982b) Biosynthesis of porphyrins and related macrocycles. Part 17. Chemical and enzymatic transformation of isomeric aminomethylbilanes into uroporphyrinogens: Proof that unrearranged bilane is the preferred enzymatic substrate and detection of a transient intermediate. J Chem Soc Perkin Trans 1: 2413– 2426. Bensidhoum M, Ged CM, Poirier C, Guénet J-L, and de Verneuil H (1994) The cDNA sequence of mouse uroporphyrinogen III synthase and assignment to mouse chromosome 7. Mamm Genome 5, 728– 730. Bickers DR, Pathak MA (1987) The Porphyrias. In TB Fitzpatrick, AZ Eisen, K Wolff, IM Freedberg, KF Austen (eds): Dermatology in General Medicine. New York: McGraw-Hill, pp 1679– 1680. Boulechfar S, Silva VD, Deybach JC, Nordmann Y, Grandchamp B, Verneuil HD (1992) Heterogeneity of mutations in the uroporphyrinogen III synthase gene in congenital erythropoietic porphyria. Hum Genet 88: 320– 324. Cooper DN, Krawczak (1990) The mutational spectrum of single base-pair substitutions causing human genetic disease: Patterns and predictions. Hum Genet 85: 55– 74. de Verneuil H, Deybach JC, Grandchamp B, Nordmann Y (1989) Coexistence of two point mutations in the uroporphyrinogen III synthase gene in one case of congenital erythropoietic porphyria. Blood 74: 105A (abst). Desnick RJ, Anderson KE (1995) Heme Biosynthesis and its disorders: Porphyrias and sideroblastic anemias. In R Hoffman, EJ Benz, SJ Shattil, B Furie, HJ Cohen (eds): Hematology: Basic Principles and Practice. 2nd Ed. New York: Churchill Livingstone, pp 523– 545. Deybach JC, de Verneuil H, Phung N, Nordmann Y, Puissant A, Boffety B (1981) Congenital erythropoietic porphyria (Günther's disease), enzymatic studies on two cases of late onset. J Lab Clin Med 97: 551– 558. Deybach JC, Verneuil HD, Boulechfar S, Grandchamp B, Nordmann Y (1990) Point mutations in the uroporphyrinogen III synthase gene in congenital erythropoietic porphyria (Günther's disease). Blood 75: 1763– 1765. Horiguchi Y, Horio T, Yamamoto M, Tanaka T, Seki Y, Imamura S (1989) Late onset erythropoietic porphyria. Br J Dermatol 121: 255– 262. Lakich D, Kazazian HH, Antonarakis SE, Gitschier J (1993) Inversions disrupting the factor VIII gene are a common cause of severe haemophilia A. Nature Genet 5: 236– 241. Kappas A, Sassa S, Galbraith RA, Nordmann Y (1995) The Porphyrias. In CS Scriver, AL Beaudet, WS Sly, D Valle (eds): The Metabolic and Molecular Bases of Inherited Disease. 7th Ed. New York: McGraw-Hill, pp 2103– 2160. Moore MR, McColl KEL, Rimington C, Goldberg A (1987) Disorders of Porphyrin Metabolism. New York, Plenum. Romeo G, Levin EY (1969) Uroporphyrinogen III cosynthase in human congenital erythropoietic porphyria. Proc Natl Acad Sci USA 63: 856– 863. Tsai SF, Bishop DF, Desnick RJ (1987a) Coupled-enzyme and direct assays for uroporphyrinogen III synthase activity in human erythrocytes and cultured lymphoblasts. Anal Bioch 166: 120– 133. Tsai SF, Bishop DF, Desnick RJ (1987b) Purification and properties of uroporphyrinogen III synthase from human erythrocytes. J Biol Chem 262: 1268– 1273. Tsai SF, Bishop DF, Desnick RJ (1988) Human uroporphyrinogen III synthase: Molecular cloning, nucleotide sequence and expression of a full length cDNA. Proc Natl Acad Sci USA 85: 7049– 7053. Verstraeten L, Van Regemorter N, Pardou A, de Verneuil H, Da Silva V, Rodesch F, Vermeylen D, Donner C, Noel JC, Nordmann Y, Hassoun A (1993) Biochemical diagnosis of a fatal case of Günter's disease in a newborn with hydrops foetalis. Eur J Clin Chem Clin Biochem 31: 121– 128. Warner CA, Yoo HW, Tsai SF, Roberts AG, Desnick RJ (1990) Congenital erythropoietic porphyria: Characterization of the genomic structure and identification of mutations in the uroporphyrinogen III synthase gene. Am J Hum Genet 47: A83. Warner CA, Yoo HW, Roberts AG, Desnick RJ (1992a) Congenital erythropoietic porphyria: Identification and expression of exonic mutations in the uroporphyrinogen III synthase gene. J Clin Invest 89: 693– 700. Warner CA, Poh-Fitzpatrick MB, Zaider EF, Tsai S-F, Desnick RJ (1992b) Congenital erythropoietic porphyria: A mild variant with low uroporphyrin I levels due to a missense mutation (A66V) encoding residual uroporphyrinogen III synthase activity. Arch Dermatol 128: 1243– 1248. Xu W, Warner CA, Desnick RJ (1995a) Congenital erythropoietic porphyria: Identification and expression of ten mutations in the uroporphyrinogen III synthase gene. J Clin Invest 95: 905– 912. Xu W, Kozak AC, Desnick RJ (1995b) Uroporphyrinogen III synthase: Molecular cloning, nucleotide sequence, expression of a mouse full-length cDNA and its regional assignment to mouse chromosome 7. Genomics 26: 556– 562. Citing Literature Volume7, Issue31996Pages 187-192 ReferencesRelatedInformation