An unusual class of PITX2 mutations in Axenfeld-Rieger syndrome
✍ Scribed by Irfan Saadi; Rafael Toro; Adisa Kuburas; Elena Semina; Jeffrey C. Murray; Andrew F. Russo
- Book ID
- 101705653
- Publisher
- John Wiley and Sons
- Year
- 2006
- Tongue
- English
- Weight
- 358 KB
- Volume
- 76
- Category
- Article
- ISSN
- 1542-0752
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
BACKGROUND
Mutations in the PITX2 homeobox gene are known to contribute to Axenfeld‐Rieger syndrome (ARS), an autosomal‐dominant developmental disorder. Although most mutations are in the homeodomain and result in a loss of function, there is a growing subset in the C‐terminal domain that has not yet been characterized. These mutations are of particular interest because the C‐terminus has both inhibitory and stimulatory activities.
METHODS
In this study we used a combination of in vitro DNA binding and transfection reporter assays to investigate the fundamental issue of whether C‐terminal mutations result in gain or loss of function at a cellular level.
RESULTS
We report a new frameshift mutation in the PITX2 allele that predicts a truncated protein lacking most of the C‐terminal domain (D122FS). This newly reported mutant and another ARS C‐terminal mutant (W133Stop) both have greater binding than wild‐type to the bicoid element. Of interest, the mutants yielded ∼5‐fold greater activation of the prolactin promoter in CHO cells, even though the truncated proteins were expressed at lower levels than the wild‐type protein. The truncated proteins also had greater than wild‐type activity in 2 other cell lines, including the LS8 oral epithelial line that expresses the endogenous Pitx2 gene.
CONCLUSIONS
The results indicate that the PITX2 C‐terminal domain has inhibitory activity and support the notion that ARS may also be caused by gain‐of‐function mutations. Birth Defects Research (Part A), 2006. © 2006 Wiley‐Liss, Inc.
📜 SIMILAR VOLUMES
Disease-causing mutations affecting either one of the transcription factor genes, PITX2 or FOXC1, have been previously identified in patients with Axenfeld-Rieger syndrome (AR). We identified a family who segregate novel mutations in both PITX2 (p.Ser233Leu) and FOXC1 (c.609delC). The most severely
## Abstract Axenfeld‐Rieger Syndrome (ARS) is a genetically heterogeneous birth defect characterized by malformation of the anterior segment of the eye associated with glaucoma. Mutation of the __PITX2__ homeobox gene has been identified as a cause of ARS. We report a novel Arg5Trp missense mutatio
## Abstract This study reports a 25‐year follow‐up of a patient with De Hauwere syndrome (Axenfeld–Rieger anomaly, hydrocephalus, and hearing loss) whose intelligence is normal. Short stature and hyperlaxity of joints later leading to severe joint pain were noted. Mutation analysis of candidate gen