Document Detail


Intragenic deletion in the LARGE gene causes Walker-Warburg syndrome.
MedLine Citation:
PMID:  17436019     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intragenic homozygous deletions in the Large gene are associated with a severe neuromuscular phenotype in the myodystrophy (myd) mouse. These mutations result in a virtual lack of glycosylation of alpha-dystroglycan. Compound heterozygous LARGE mutations have been reported in a single human patient, manifesting with mild congenital muscular dystrophy (CMD) and severe mental retardation. These mutations are likely to retain some residual LARGE glycosyltransferase activity as indicated by residual alpha-dystroglycan glycosylation in patient cells. We hypothesized that more severe LARGE mutations are associated with a more severe CMD phenotype in humans. Here we report a 63-kb intragenic LARGE deletion in a family with Walker-Warburg syndrome (WWS), which is characterized by CMD, and severe structural brain and eye malformations. This finding demonstrates that LARGE gene mutations can give rise to a wide clinical spectrum, similar as for other genes that have a role in the post-translational modification of the alpha-dystroglycan protein.
Authors:
Jeroen van Reeuwijk; Prabhjit K Grewal; Mustafa A M Salih; Daniel Beltrán-Valero de Bernabé; Jenny M McLaughlan; Caroline B Michielse; Ralf Herrmann; Jane E Hewitt; Alice Steinbrecher; Mohamed Z Seidahmed; Mohamed M Shaheed; Abdullah Abomelha; Han G Brunner; Hans van Bokhoven; Thomas Voit
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2007-04-14
Journal Detail:
Title:  Human genetics     Volume:  121     ISSN:  0340-6717     ISO Abbreviation:  Hum. Genet.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-13     Completed Date:  2007-09-26     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7613873     Medline TA:  Hum Genet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  685-90     Citation Subset:  IM    
Affiliation:
Department of Human Genetics 855, Radboud University Nijmegen Medical Center, Box 9101, 6500 HB Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Base Sequence
Brain / abnormalities
Consanguinity
DNA Mutational Analysis
Dystroglycans / chemistry,  metabolism
Exons
Eye Abnormalities / genetics
Female
Gene Dosage
Glycosylation
Humans
Infant
Infant, Newborn
Linkage (Genetics)
Male
Muscular Dystrophies / congenital*,  genetics*,  metabolism,  pathology
N-Acetylglucosaminyltransferases / genetics*
Pedigree
Phenotype
Protein Processing, Post-Translational
Sequence Deletion
Syndrome
Grant Support
ID/Acronym/Agency:
//Wellcome Trust
Chemical
Reg. No./Substance:
0/DAG1 protein, human; 146888-27-9/Dystroglycans; EC 2.4.1.-/LARGE protein, human; EC 2.4.1.-/N-Acetylglucosaminyltransferases
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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