| Literature DB >> 29391579 |
Hussein Sheikh Mohamoud1, Saleem Ahmed2,3, Musharraf Jelani2,3, Nuha Alrayes2, Kay Childs4, Nirmal Vadgama5, Mona Mohammad Almramhi2,3, Jumana Yousuf Al-Aama2,3, Steve Goodbourn4, Jamal Nasir6,7.
Abstract
Childhood onset clinical syndromes involving intellectual disability and dysmorphic features, such as polydactyly, suggest common developmental pathways link seemingly unrelated phenotypes. We identified a consanguineous family of Saudi origin with varying complex features including intellectual disability, speech delay, facial dysmorphism and polydactyly. Combining, microarray based comparative genomic hybridisation (CGH) to identify regions of homozygosity, with exome sequencing, led to the identification of homozygous mutations in five candidate genes (RSPH6A, ANKK1, AMOTL1, ALKBH8, TRAPPC6A), all of which appear to be pathogenic as predicted by Proven, SIFT and PolyPhen2 and segregate perfectly with the disease phenotype. We therefore looked for differences in expression levels of each protein in HEK293 cells, expressing either the wild-type or mutant full-length cDNA construct. Unexpectedly, wild-type TRAPPC6A appeared to be unstable, but addition of the proteasome inhibitor MG132 stabilised its expression. Mutations have previously been reported in several members of the TRAPP complex of proteins, including TRAPPC2, TRAPPC9 and TRAPPC11, resulting in disorders involving skeletal abnormalities, intellectual disability, speech impairment and developmental delay. TRAPPC6A joins a growing list of proteins belonging to the TRAPP complex, implicated in clinical syndromes with neurodevelopmental abnormalities.Entities:
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Year: 2018 PMID: 29391579 PMCID: PMC5794855 DOI: 10.1038/s41598-018-20658-w
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Figure 1Pedigree diagram illustrating consanguinity. DNA samples from one branch of the family (from parents IV-3 and IV-4) with three affected children (V-1, V-2 and V-4) and one healthy child (V-3) were analysed. LD = Learning Disability. PAP = Postaxial Polydactyly.
Clinical summary. The clinical data for the three affected children is summarised. H = height in cm; W = weight in kg; HC = head circumference in cm.
| Patient | Age | IQ | Skeletal abnormalities | PAP | Bilateral scar on ulnar side of both hands | Bilateral 5th toe clinodactyly | Motor milestones achieved | Speech delay and LD | Growth | Dysmorphic features |
|---|---|---|---|---|---|---|---|---|---|---|
| V-1 | 12 | 68 | Overlapping 2nd toe over 1st | ✓ | ✓ | ✓ | H = 142 W 36.7 | Broad forehead | ||
| V-2 | 11 | 67 | Type A Postaxial polydactyly -both hands and feet | ✓ | ✓ | ✓ | ✓ | ✓ | H 131.5 W 28.3 | Broad forehead; Thick upper lip; large protruding ears; |
| V-4 | 7 | 73 | Type A Postaxial polydactyly - both hands. | ✓ | ✓ | ✓ | ✓ | ✓ | H 112 W 20.4 | Large head; Broad forehead; 3 Café au lait spots |
Figure 2B allele frequency (BAF) (blue dots) is defined as the estimated number of B alleles divided by the sum of both alleles at a given SNP location. A BAF of 0 represents the genotype (A/A or A/−), 0.5 represents (A/B) and 1 represents (B/B or B/−). The green areas represent regions of homozygosity. The figure illustrates chromosomes 4, 11 and 19 with shared homozygous regions highlighted with a red box. Sample IDs: (a) mother (IV-4), (b) affected child (V-1), (c) affected child (V-2), (d) affected child (V-4), (e) father (IV-3).
Candidate genes resulting from the WES analysis. The chromosomal location, position and accession number of each gene is provided. The position of the mutation in the cDNA and protein sequence is also given.
| Chr | Gene | Exon | Physical position | Chromosomal position | RefSeq accession number | c.DNA position | Amino acid change |
|---|---|---|---|---|---|---|---|
| 11 |
| 12 | 107375868 | 11q22.3 | NM_138775 | c.G1511C | p.W504S |
| 11 |
| 9 | 94592858 | 11q21 | NM_130847 | c.G2113A | p.A705T |
| 11 |
| 2 | 113264421 | 11q22.3 | NM_178510 | c.A404C | p.H135P |
| 19 |
| 4 | 45667499 | 19q13.32 | NM_024108 | c.T319A | p.Y107N |
| 19 |
| 6 | 46299177 | 19q13.32 | NM_030785 | c.G2104A | p.E702K |
Figure 3Gene structure, Sanger sequencing and protein modelling. (a) The structure of the TRAPPC6A gene is depicted showing intron-exon boundaries and the position of the mutation cT319A reported in this study. (b) Sanger sequencing of the five candidate genes (TRAPPC6A, AMOTL1, ANKK1, RSPH6A, ALKBH8) confirms the mutations. Alignment of the primary sequence across various species indicates the relevant residues are highly conserved. (c) The crystal structure of the TRAPP3-TRAPP6A-TRAPP1-TRAPP4 subcomplex is shown. TRAPPC6A forms a heterodimer with TRAPPC3 and interacts with other subunits to form TRAPP I, TRAPP II and TRAPP III complexes. The amino acid change is shown in red. Protein structure was generated using SWISS-MODEL[33]. (d) Alignment of TRAPPC6A and TRAPPC6B sequences shows the tyrosine residue in TRAPPC6A (p.Y107N) is conserved.
Figure 4(a) Western blot of HEK293 cells transfected with constructs corresponding to the wild-type or mutant forms of all five proteins (AMOTL1, ALKBH8, RSPH6A, ANKK1, TRAPPC6A). (b) Western blots following addition of proteasomal inhibitor MG132 to HEK293 cells transfected with wild-type or mutant constructs for TRAPPC6A or AMOTL1. Tubulin is used as a loading control. A reference size ladder corresponding to the molecular weights is included. This figure was generated by cropping the original Western blots which are available on request.
Genes and Proteins Sizes. The length of cDNAs, the corresponding number of amino acids and the molecular weight of the protein for each gene is given.
| Gene | V5-tagged ORF | Amino acids | kDa |
|---|---|---|---|
|
| 2040 bp | 680 aa | 70 kDa |
|
| 2343 bp | 781 aa | 80 kDa |
|
| 2199 bp | 733 aa | 75 kDa |
|
| 567 bp | 189 aa | 20 kDa |
|
| 2916 bp | 972 aa | 100 kDa |