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Structural Protein Effects Underpinning Cognitive Developmental Delay of the PURA p.Phe233del Mutation Modelled by Artificial Intelligence and the Hybrid Quantum Mechanics–Molecular Mechanics Framework
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Abstract
A whole-exome capture and next-generation sequencing was applied to an 11 y/o patient with a clinical history of congenital hypotonia, generalized motor and cognitive neurodevelopmental delay, and severe cognitive deficit, and without any identifiable Syndromic pattern, and to her parents, we disclosed a de novo heterozygous pathogenic mutation, c.697_699del p.Phe233del (rs786204835)(ACMG classification PS2, PM1, PM2, PP5), harbored in the PURA gene (MIM*600473) (5q31.3), associated with Autosomal Dominant Mental Retardation 31 (MIM # 616158). We used the significant improvement in the accuracy of protein structure prediction recently implemented in AlphaFold that incorporates novel neural network architectures and training procedures based on the evolutionary, physical, and geometric constraints of protein structures. The wild-type (WT) sequence and the mutated sequence, missing the Phe233, were reconstructed. The predicted local Distance Difference Test (lDDT) for the PURAwt and the PURA–Phe233del showed that the occurrence of the Phe233del affects between 220–320 amino acids. The distortion in the PURA structural conformation in the ~5 Å surrounding area after the p.Phe233del produces a conspicuous disruption of the repeat III, where the DNA and RNA helix unwinding capability occurs. PURA Protein–DNA docking corroborated these results in an in silico analysis that showed a loss of the contact of the PURA–Phe233del III repeat domain model with the DNA. Together, (i) the energetic and stereochemical, (ii) the hydropathic indexes and polarity surfaces, and (iii) the hybrid Quantum Mechanics–Molecular Mechanics (QM–MM) analyses of the PURA molecular models demarcate, at the atomic resolution, the specific surrounding region affected by these mutations and pave the way for future cell-based functional analysis. To the best of our knowledge, this is the first report of a de novo mutation underpinning a PURA syndrome in a Latin American patient and highlights the importance of predicting the molecular effects in protein structure using artificial intelligence algorithms and molecular and atomic resolution stereochemical analyses.
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Highly accurate protein structure prediction with AlphaFold
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Metadata
- Authors
- López-Rivera, J. J., Rodríguez-Salazar, L., Soto-Ospina, A., Estrada-Serrato, C., Serrano, D., Chaparro-Solano, H. M., Londoño, O., Rueda, P. A., Ardila, G., Villegas-Lanau, A., Godoy-Corredor, M., Cuartas, M., Vélez, J. I., Vidal, O. M., Isaza-Ruget, M. A., & Arcos-Burgos, M.
- Affiliations
- INPAC Research Group, Fundación Universitaria Sanitas, Bogotá 111321, Colombia
- Grupo de Bioinformática, Laboratorio de Clínica Colsanitas, Bogotá 110221, Colombia
- Universidad de Antioquia (CO)
- Grupo de Genética Médica, Clínica Universitaria Colombia y Clínica Pediátrica Colsanitas, Bogotá 111321, Colombia
- Genética Molecular (GenMol), Facultad de Ciencias Exactas y Naturales, Universidad de Antioquia, Medellín 050012, Colombia
- Laboratorio Clínico y de Patología, Clínica Colsanitas, Bogotá 110221, Colombia
- Grupo de Investigación Estudios en Psicología, Departamento de Psicología, Escuela de Humanidades, Universidad EAFIT, Medellín 050022, Colombia
- Universidad del Norte, Barranquilla 080001, Colombia
- Universidad del Norte (CO)
- Fundación Universitaria Sanitas (CO)
- Grupo de Investigación en Psiquiatría (GIPSI), Departamento de Psiquiatría, Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia, Medellín 050012, Colombia
- ORCID
- Venue
- Brain Sciences
- Publisher
- MDPI AG
- Published
- 2022-06-30
- Volume
- 12
- Issue
- 7
- Pages
- 871
- ISSN
- 2076-3425 (ISSN-L)
- PMC
- PMC9313109
- OpenAlex
- W4283757303
- Cited by
- 17
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 9 · 2023: 4
- FWCI
- 2.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain Sciences (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Repository University of Antioquia (University of Antioquia) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Keralty
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Structure and Dynamics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- PURA gene, de novo mutations, congenital hypotonia, neurodevelopmental delay, protein structure prediction, AlphaFold, protein-DNA docking
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