A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease

Fabry disease (FD) is a rare X-linked α-galactosidase A (GLA) deficiency, resulting in progressive lysosomal accumulation of globotriaosylceramide (Gb3) in a variety of cell types. Here, we report a novel splicing mutation (c.801 + 1G > A) that results in alternative splicing in GLA of a FD p...

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Main Authors: Ping Li, Lijuan Zhang, Na Zhao, Qiuhong Xiong, Yong-An Zhou, Changxin Wu, Han Xiao
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-02-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fgene.2019.00060/full
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author Ping Li
Lijuan Zhang
Na Zhao
Qiuhong Xiong
Yong-An Zhou
Changxin Wu
Han Xiao
author_facet Ping Li
Lijuan Zhang
Na Zhao
Qiuhong Xiong
Yong-An Zhou
Changxin Wu
Han Xiao
author_sort Ping Li
collection DOAJ
description Fabry disease (FD) is a rare X-linked α-galactosidase A (GLA) deficiency, resulting in progressive lysosomal accumulation of globotriaosylceramide (Gb3) in a variety of cell types. Here, we report a novel splicing mutation (c.801 + 1G > A) that results in alternative splicing in GLA of a FD patient with variable phenotypic presentations of renal involvement. Sequencing of the RT-PCR products from the patient’s blood sample reveals a 36-nucleotide (nt) insertion exists at the junction between exons 5 and 6 of the GLA cDNA. Splicing assay indicates that the mutated minigene produces an alternatively spliced transcript which causes a frameshift resulting in an early termination of protein expression. Immunofluorescence shows puncta in cytoplasm for mutated GLA whereas uniform staining small dots evenly distributed inside cytoplasm for wild type GLA in transfected HeLa cells. The increased senescence and decreased GLA enzyme activity suggest that the abnormalities might be due to the altered localization which further might result from the lack of the C-terminal end of GLA. Our study reveals the pathogenesis of splicing mutation c.801 + 1G > A to FD and provides scientific foundation for accurate diagnosis and precise medical intervention for FD.
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spelling doaj.art-e3c031b5a8a54884b2a15090f787c1fd2022-12-21T23:00:21ZengFrontiers Media S.A.Frontiers in Genetics1664-80212019-02-011010.3389/fgene.2019.00060416439A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry DiseasePing Li0Lijuan Zhang1Na Zhao2Qiuhong Xiong3Yong-An Zhou4Changxin Wu5Han Xiao6Institutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaInstitutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaInstitutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaInstitutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaBluttransfusion, The Second Hospital, Shanxi Medical University, Taiyuan, ChinaInstitutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaInstitutes of Biomedical Sciences, Shanxi University, Taiyuan, ChinaFabry disease (FD) is a rare X-linked α-galactosidase A (GLA) deficiency, resulting in progressive lysosomal accumulation of globotriaosylceramide (Gb3) in a variety of cell types. Here, we report a novel splicing mutation (c.801 + 1G > A) that results in alternative splicing in GLA of a FD patient with variable phenotypic presentations of renal involvement. Sequencing of the RT-PCR products from the patient’s blood sample reveals a 36-nucleotide (nt) insertion exists at the junction between exons 5 and 6 of the GLA cDNA. Splicing assay indicates that the mutated minigene produces an alternatively spliced transcript which causes a frameshift resulting in an early termination of protein expression. Immunofluorescence shows puncta in cytoplasm for mutated GLA whereas uniform staining small dots evenly distributed inside cytoplasm for wild type GLA in transfected HeLa cells. The increased senescence and decreased GLA enzyme activity suggest that the abnormalities might be due to the altered localization which further might result from the lack of the C-terminal end of GLA. Our study reveals the pathogenesis of splicing mutation c.801 + 1G > A to FD and provides scientific foundation for accurate diagnosis and precise medical intervention for FD.https://www.frontiersin.org/article/10.3389/fgene.2019.00060/fullFabry diseaseGLAsplicing mutationc.801 + 1G > Anovel mutation
spellingShingle Ping Li
Lijuan Zhang
Na Zhao
Qiuhong Xiong
Yong-An Zhou
Changxin Wu
Han Xiao
A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
Frontiers in Genetics
Fabry disease
GLA
splicing mutation
c.801 + 1G > A
novel mutation
title A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
title_full A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
title_fullStr A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
title_full_unstemmed A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
title_short A Novel α-Galactosidase A Splicing Mutation Predisposes to Fabry Disease
title_sort novel α galactosidase a splicing mutation predisposes to fabry disease
topic Fabry disease
GLA
splicing mutation
c.801 + 1G > A
novel mutation
url https://www.frontiersin.org/article/10.3389/fgene.2019.00060/full
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