Highlights
- •We found a novel homozygous two-base deletion in the APTX gene.
- •An aberrantly spliced mRNA was created with a cryptic splice site.
- •The aberrant mRNA retained a frameshift mutation and encoded a truncated protein.
- •Immunoblotting did not detect the truncated protein.
- •Patients with a truncation mutation can also have a later onset of ataxia.
Abstract
Introduction
Early onset ataxia with ocular motor apraxia and hypoalbuminemia (EAOH)/ataxia with
oculomotor apraxia 1 (AOA1) is an autosomal recessive disorder caused by mutations
in the APTX gene. In contrast to the recent progress on the molecular mechanism of aprataxin
in DNA repair, the genotype and phenotype correlation has not been fully established.
A previous study demonstrated that patients with truncation mutations had earlier
onset of disease than those with missense mutations
Methods
Genomic DNA analysis was performed in a consanguineous family with relatively late-onset
EAOH/AOA1. In addition, mRNA and protein analyses were performed.
Results
The proband of the family had a homozygous two-base deletion in the middle of exon
3. Reverse-transcriptase–polymerase-chain-reaction (RT-PCR) assays of mRNA revealed
an aberrantly spliced mRNA with a cryptic splice site located four bases upstream
of the deletion site. The newly identified mRNA retained a frameshift mutation and
encoded a truncated protein. Immunoblot analysis did not detect the truncated protein
in the patient's fibroblasts, possibly because it was unstable.
Conclusions
Although patients with truncation mutations had an earlier onset of disease, our findings
suggest that patients with a truncation mutation resulting in an undetectable protein
level can also have a later onset of disease.
Keywords
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Article info
Publication history
Published online: April 29, 2017
Accepted:
April 28,
2017
Received in revised form:
April 14,
2017
Received:
December 3,
2016
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.