A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family

Abstract Background Congenital cataract is the leading cause of blindness in children worldwide. Approximately half of all congenital cataracts have a genetic basis. Protein aggregation is the single most important factor in cataract formation. Methods A four-generation Chinese family diagnosed with...

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Main Authors: Zixun Song, Nuo Si, Wei Xiao
Format: Article
Language:English
Published: BMC 2018-10-01
Series:BMC Medical Genetics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12881-018-0695-5
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author Zixun Song
Nuo Si
Wei Xiao
author_facet Zixun Song
Nuo Si
Wei Xiao
author_sort Zixun Song
collection DOAJ
description Abstract Background Congenital cataract is the leading cause of blindness in children worldwide. Approximately half of all congenital cataracts have a genetic basis. Protein aggregation is the single most important factor in cataract formation. Methods A four-generation Chinese family diagnosed with autosomal dominant congenital cataracts and microphthalmia was recruited at the Shengjing Hospital of China Medical University. Genomic DNA was extracted from the peripheral blood of the participants. All coding exons and flanking regions of seven candidate genes (CRYAA, CRYBA4, CRYBB2, CRYGC, GJA8, MAF, and PITX3) were amplified and sequenced. Restriction fragment length polymorphism (RFLP) assays were performed to confirm the candidate causative variant, c.35G > T in the CRYAA gene. We constructed pcDNA3.1(+)-CRYAA expression plasmids containing either the wild-type or the R12L mutant alleles and respectively transfected them into HEK293T cells and into HeLa cells. Western blotting was performed to determine protein expression levels and protein solubility. Immunofluorescence was performed to determine protein sub-cellular localization. Results A heterozygous variant c.35G > T was identified in exon 1 of CRYAA, which resulted in a substitution of arginine to leucine at codon 12 (p.R12L). The nucleotide substitution c.35G > T was co-segregated with the disease phenotype in the family. The mutant R12L-CRYAA in HEK293T cells showed a significant increase in the expression level of the CRYAA protein compared with the wild-type cells. Moreover, a large amount of the mutant protein aggregated in the precipitate where the wild-type protein was not detected. Immunofluorescence studies showed that the overexpressed mutant CRYAA in HeLa cells formed large cytoplasmic aggregates and aggresomes. Conclusions In summary, we described a case of human congenital cataract and microphthalmia caused by a novel mutation in the CRYAA gene, which substituted an arginine at position 12 in the N-terminal region of αA-crystallin. The molecular mechanisms that underlie the pathogenesis of human congenital cataract may be characterized by the prominent effects of the p.R12L mutation on αA-crystallin aggregation and solubility. Our study also expands the spectrum of known CRYAA mutations.
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spelling doaj.art-ef80dac621d54d18b17e6a85d29e492b2022-12-21T21:31:51ZengBMCBMC Medical Genetics1471-23502018-10-011911810.1186/s12881-018-0695-5A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese familyZixun Song0Nuo Si1Wei Xiao2Department of Ophthalmology, Shengjing Hospital, China Medical UniversityMcKusick-Zhang Center for Genetic Medicine, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical CollegeDepartment of Ophthalmology, Shengjing Hospital, China Medical UniversityAbstract Background Congenital cataract is the leading cause of blindness in children worldwide. Approximately half of all congenital cataracts have a genetic basis. Protein aggregation is the single most important factor in cataract formation. Methods A four-generation Chinese family diagnosed with autosomal dominant congenital cataracts and microphthalmia was recruited at the Shengjing Hospital of China Medical University. Genomic DNA was extracted from the peripheral blood of the participants. All coding exons and flanking regions of seven candidate genes (CRYAA, CRYBA4, CRYBB2, CRYGC, GJA8, MAF, and PITX3) were amplified and sequenced. Restriction fragment length polymorphism (RFLP) assays were performed to confirm the candidate causative variant, c.35G > T in the CRYAA gene. We constructed pcDNA3.1(+)-CRYAA expression plasmids containing either the wild-type or the R12L mutant alleles and respectively transfected them into HEK293T cells and into HeLa cells. Western blotting was performed to determine protein expression levels and protein solubility. Immunofluorescence was performed to determine protein sub-cellular localization. Results A heterozygous variant c.35G > T was identified in exon 1 of CRYAA, which resulted in a substitution of arginine to leucine at codon 12 (p.R12L). The nucleotide substitution c.35G > T was co-segregated with the disease phenotype in the family. The mutant R12L-CRYAA in HEK293T cells showed a significant increase in the expression level of the CRYAA protein compared with the wild-type cells. Moreover, a large amount of the mutant protein aggregated in the precipitate where the wild-type protein was not detected. Immunofluorescence studies showed that the overexpressed mutant CRYAA in HeLa cells formed large cytoplasmic aggregates and aggresomes. Conclusions In summary, we described a case of human congenital cataract and microphthalmia caused by a novel mutation in the CRYAA gene, which substituted an arginine at position 12 in the N-terminal region of αA-crystallin. The molecular mechanisms that underlie the pathogenesis of human congenital cataract may be characterized by the prominent effects of the p.R12L mutation on αA-crystallin aggregation and solubility. Our study also expands the spectrum of known CRYAA mutations.http://link.springer.com/article/10.1186/s12881-018-0695-5Congenital cataractsMutationCRYAA gene
spellingShingle Zixun Song
Nuo Si
Wei Xiao
A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
BMC Medical Genetics
Congenital cataracts
Mutation
CRYAA gene
title A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
title_full A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
title_fullStr A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
title_full_unstemmed A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
title_short A novel mutation in the CRYAA gene associated with congenital cataract and microphthalmia in a Chinese family
title_sort novel mutation in the cryaa gene associated with congenital cataract and microphthalmia in a chinese family
topic Congenital cataracts
Mutation
CRYAA gene
url http://link.springer.com/article/10.1186/s12881-018-0695-5
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