Eight novel ABCD1 gene mutations and three polymorphisms in patients with X-linked adrenoleukodystrophy: The first polymorphism causing an amino acid exchange
Abstract
X-ALD is a neurological disorder associated with inherited defects in the ABCD1 (ALD) gene located on Xq28 and with impaired peroxisomal very long-chain fatty acid beta-oxidation. We examined the ABCD1 gene in probands from 11 unrelated X-ALD Czech and Slovak families by the direct sequencing of cDNA or genomic PCR products. In 10 families there were 10 different mutations, eight of which were novel. The spectrum of mutations consists of six point mutations, three microdeletions (1bp, 2bp, 4 bp), and one large deletion (229bp). In the 11th family we detected two novel single-base pair substitutions in exon 1 (c.38 A>C and c.649 A>G), both causing amino acid exchanges (N13T and K217E). Expression studies revealed that only K217E is a deleterious mutation, because a plasmid encoding ALDP with K217E was ineffective in the restoration of defective beta-oxidation in X-ALD fibroblasts. The N13T amino acid exchange, on the other hand, did not affect ALDP function. Thus, N13T represents the first polymorphism causing an amino acid exchange in the ABCD1 gene. As this polymorphism was observed neither in 100 control alleles nor in 300 X-ALD patients who have been sequenced so far world-wide, it seems to be very rare or unique. Two additional novel polymorphisms were found by the sequencing of the ABCD1 gene from our patients: c.-59 C/T in the 5'untranslated region and c.2019 C/T (F673F) in exon 10. The frequencies of these two polymorphisms, were 11/150 and 2/150 control alleles, respectively.
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p.Gly608Asp was reported as the pathogenic variant in an ALD male patient, but gnomAD data show its frequency to be 124/162246 alleles, confirming that it is not a pathogenic variant.
“For example, p.Gly608Asp was reported as the pathogenic variant in an ALD male patient (Database Ref 48) [26], but data from gnomAD show its frequency to be 124/162246 alleles (X:153008483 G/A), confirming that this is not a pathogenic variant.”
From Structure and Function of the ABCD1 Variant Database: 20 Years, 940 Pathogenic Variants, and 3400 Cases of Adrenoleukodystrophy (2022) · cites this paper as [26]
The mutation c.1823 G>A in exon 8 of ABCD1 was previously shown to cause X-ALD, as it was found in the ABCD1 coding sequence in different patients.
“However, in a previous study, this mutation was clearly shown to cause X-ALD, as it was found in the ABCD1 coding sequence in different patients.53”
From The genetic landscape of X-linked adrenoleukodystrophy: inheritance, mutations, modifier genes, and diagnosis (2015) · cites this paper as [53]
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- Authors
- Dvoráková, L., Štorkánová, G., Unterrainer, G., Hujová, J., Kmoch, S., Zeman, J., Hrebícek, M., & Berger, J.
- Affiliations
- University of Vienna (AT)
- General University Hospital in Prague (CZ)
- Venue
- Human Mutation
- Publisher
- Hindawi Limited
- Published
- 2001-07
- Volume
- 18
- Issue
- 1
- Pages
- 52-60
- ISSN
- 1059-7794 (ISSN-L)
- 1098-1004
- OpenAlex
- W2034204538
- Cited by
- 23
- References
- 41
- Citations by year
- 2022: 2 · 2019: 1 · 2016: 2 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 3
- FWCI
- 0.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Human Mutation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
- Keywords
- X-linked adrenoleukodystrophy, ABCD1 gene, novel mutations, microdeletion, point mutations, amino acid substitutions, 5' untranslated region polymorphism, mutation spectrum
- MeSH terms
- ATP Binding Cassette Transporter, Subfamily D, Member 1, Adolescent, Adrenoleukodystrophy, Adult, Alleles, Child, DNA Mutational Analysis, Exons, Fatty Acids, Female, Humans, Genetic Linkage, Male, Membrane Proteins, Molecular Sequence Data, Oxidation-Reduction, Phenotype, Polymorphism, Genetic, X Chromosome, Conserved Sequence, Czech Republic, Slovakia, ATP-Binding Cassette Transporters, Palmitic Acid, 5' Untranslated Regions, Mutation, Missense, Polymorphism, Single Nucleotide, Amino Acid Motifs
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