Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1

Hereditary mixed polyposis syndrome (HMPS) is characterized by apparent autosomal dominant inheritance of multiple types of colorectal polyp, with colorectal carcinoma occurring in a high proportion of affected individuals. Here, we use genetic mapping, copy-number analysis, exclusion of mutations b...

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Hoofdauteurs: Jaeger, E, Leedham, S, Lewis, A, Segditsas, S, Becker, M, Cuadrado, P, Davis, H, Kaur, K, Heinimann, K, Howarth, K, East, J, Taylor, J, Thomas, H, Tomlinson, I
Formaat: Journal article
Taal:English
Gepubliceerd in: 2012
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author Jaeger, E
Leedham, S
Lewis, A
Segditsas, S
Becker, M
Cuadrado, P
Davis, H
Kaur, K
Heinimann, K
Howarth, K
East, J
Taylor, J
Thomas, H
Tomlinson, I
author_facet Jaeger, E
Leedham, S
Lewis, A
Segditsas, S
Becker, M
Cuadrado, P
Davis, H
Kaur, K
Heinimann, K
Howarth, K
East, J
Taylor, J
Thomas, H
Tomlinson, I
author_sort Jaeger, E
collection OXFORD
description Hereditary mixed polyposis syndrome (HMPS) is characterized by apparent autosomal dominant inheritance of multiple types of colorectal polyp, with colorectal carcinoma occurring in a high proportion of affected individuals. Here, we use genetic mapping, copy-number analysis, exclusion of mutations by high-throughput sequencing, gene expression analysis and functional assays to show that HMPS is caused by a duplication spanning the 3′ end of the SCG5 gene and a region upstream of the GREM1 locus. This unusual mutation is associated with increased allele-specific GREM1 expression. Whereas GREM1 is expressed in intestinal subepithelial myofibroblasts in controls, GREM1 is predominantly expressed in the epithelium of the large bowel in individuals with HMPS. The HMPS duplication contains predicted enhancer elements; some of these interact with the GREM1 promoter and can drive gene expression in vitro. Increased GREM1 expression is predicted to cause reduced bone morphogenetic protein (BMP) pathway activity, a mechanism that also underlies tumorigenesis in juvenile polyposis of the large bowel. © 2012 Nature America, Inc. All rights reserved.
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spelling oxford-uuid:76efc203-4640-4f33-9ea5-a76c4c828e6c2022-03-26T20:19:45ZHereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:76efc203-4640-4f33-9ea5-a76c4c828e6cEnglishSymplectic Elements at Oxford2012Jaeger, ELeedham, SLewis, ASegditsas, SBecker, MCuadrado, PDavis, HKaur, KHeinimann, KHowarth, KEast, JTaylor, JThomas, HTomlinson, IHereditary mixed polyposis syndrome (HMPS) is characterized by apparent autosomal dominant inheritance of multiple types of colorectal polyp, with colorectal carcinoma occurring in a high proportion of affected individuals. Here, we use genetic mapping, copy-number analysis, exclusion of mutations by high-throughput sequencing, gene expression analysis and functional assays to show that HMPS is caused by a duplication spanning the 3′ end of the SCG5 gene and a region upstream of the GREM1 locus. This unusual mutation is associated with increased allele-specific GREM1 expression. Whereas GREM1 is expressed in intestinal subepithelial myofibroblasts in controls, GREM1 is predominantly expressed in the epithelium of the large bowel in individuals with HMPS. The HMPS duplication contains predicted enhancer elements; some of these interact with the GREM1 promoter and can drive gene expression in vitro. Increased GREM1 expression is predicted to cause reduced bone morphogenetic protein (BMP) pathway activity, a mechanism that also underlies tumorigenesis in juvenile polyposis of the large bowel. © 2012 Nature America, Inc. All rights reserved.
spellingShingle Jaeger, E
Leedham, S
Lewis, A
Segditsas, S
Becker, M
Cuadrado, P
Davis, H
Kaur, K
Heinimann, K
Howarth, K
East, J
Taylor, J
Thomas, H
Tomlinson, I
Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title_full Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title_fullStr Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title_full_unstemmed Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title_short Hereditary mixed polyposis syndrome is caused by a 40-kb upstream duplication that leads to increased and ectopic expression of the BMP antagonist GREM1
title_sort hereditary mixed polyposis syndrome is caused by a 40 kb upstream duplication that leads to increased and ectopic expression of the bmp antagonist grem1
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