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2008 Barcelona - European Society of Human Genetics

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Clinical genetics<br />

P01.160<br />

characterization <strong>of</strong> the Exostosin-1 (EXt1) promoter<br />

I. Jennes1 , W. Wuyts1,2 ;<br />

1 2 University <strong>of</strong> Antwerp, Antwerp, Belgium, University Hospital <strong>of</strong> Antwerp, Antwerp,<br />

Belgium.<br />

Introduction<br />

Multiple osteochondromas (MO) is an autosomal dominant skeletal<br />

disorder characterized by the formation <strong>of</strong> multiple cartilage-capped<br />

protuberances .<br />

MO is genetically heterogeneous and is associated with a mutation in<br />

the EXT1 or EXT2 tumour suppressor genes . Both genes are ubiquitously<br />

expressed and encode proteins that function as glycosyltransferases<br />

in the biosynthesis <strong>of</strong> heparan sulphate .<br />

At present, very little is known about the transcriptional regulation <strong>of</strong><br />

the EXT genes . To elucidate transcriptional regulation <strong>of</strong> EXT1, we<br />

isolated and characterized the EXT1 promoter .<br />

Methods and results<br />

Theoretical analysis <strong>of</strong> the 10 kb upstream <strong>of</strong> the EXT1 start codon was<br />

performed with promoter prediction programs TSSG, TSSW, FPROM,<br />

BDGP, Promoter 2 .0 Prediction Server and Web Promoter Scan . This<br />

showed presence <strong>of</strong> a CpG island containing CG and CAAT boxes but<br />

no TATA box which, characteristic for a housekeeping gene . Two potential<br />

functional promoter regions were identified located respectively<br />

~2 .650 bp and ~900 bp upstream <strong>of</strong> the start codon .<br />

Overlapping PCR fragments <strong>of</strong> the 10 kb putative EXT1 promoter region<br />

were generated and cloned in the pGL4 .72 Luciferase Reporter<br />

Vector . Promoter activity was determined by luciferase assays after<br />

transfection in <strong>Human</strong> Embryonic Kidney (HEK) cells . This situated<br />

the actual core promoter within the fragment containing the predicted<br />

sequence ~900 bp upstream <strong>of</strong> the start codon. Further fine mapping<br />

<strong>of</strong> the core promoter and potential regulatory sites was achieved by<br />

generating additional subclones, which were subsequently analyzed<br />

for promoter activity and analyzed for protein binding capacities . This<br />

allowed identification <strong>of</strong> EXT1 promoter binding proteins.<br />

P01.161<br />

mutation screening for autosomal recessive malignant<br />

osteopetrosis<br />

S. Akbaroghli 1 , T. Majidizadeh 1 , M. Dehghan Manshadi 1 , M. Rostami 1 , M. Nateghi<br />

1 , M. Sanati 2 , M. Houshamnd 2,1 ;<br />

1 Special Medical Center, Tehran, Islamic Republic <strong>of</strong> Iran, 2 National Institute <strong>of</strong><br />

Genetic Engineering & Biotechnology, Tehran, Islamic Republic <strong>of</strong> Iran.<br />

Osteopetrosis is a congenital disorder characterized by defective or<br />

absent osteoclasts, the cells that break down bone . In healthy bone,<br />

a balance is achieved between the production <strong>of</strong> bone by osteoblasts,<br />

and the break down <strong>of</strong> bone by osteoclasts . In osteopetrosis, osteoclasts<br />

don’t function normally, and the production <strong>of</strong> bone by osteoblasts<br />

leads to bones that are abnormally dense and brittle . Osteopetrosis<br />

may result from conditions which interfere with the production <strong>of</strong><br />

osteoclasts and their ability to remove bone .<br />

Several forms <strong>of</strong> osteopetrosis exist . The most common form is autosomal<br />

dominant . The most severe form <strong>of</strong> osteopetrosis is termed<br />

infantile osteopetrosis, as affected individuals usually have difficulties<br />

soon after birth, inherited in an autosomal recessive pattern . The disease<br />

is very rare, with about 1/300,000 children having severe osteopetrosis<br />

. The candidate genes for Osteopetrosis are TCIRG1, CLCN7<br />

genes . The spectrum <strong>of</strong> CLCN7-related osteopetrosis includes infantile<br />

malignant CLCN7-related autosomal recessive osteopetrosis,<br />

intermediate autosomal and autosomal dominant osteopetrosis type<br />

II . Mutations <strong>of</strong> the TCIRG1 gene are the most frequent cause <strong>of</strong> AR<br />

osteopetrosis . TCIRG1 encoding the a3 subunit <strong>of</strong> the vacuolar proton<br />

pump is located on chromosome 11q13 consists <strong>of</strong> 20 exons .<br />

In present study DNA was received from a consanguineous couple<br />

who had 1 affected child from who no sample was available and they<br />

were referred us for screening the problem if any, in the fetus . For each<br />

sample we performed genetic analysis <strong>of</strong> hot spot axons <strong>of</strong> TCIRG1<br />

by direct sequence analysis . We reported a new mutation in TCIRG1<br />

gene .<br />

P01.162<br />

A novel homozygous cOLL11A2 deletion causes a c-terminal<br />

protein truncation without mRNA decay in a turkish patient<br />

O. Z. Uyguner1 , H. Kayserili1 , G. Guven1 , M. U. Emiroglu1 , N. Baserer1 , B.<br />

Wollnik2 ;<br />

1 2 Istanbul University, Istanbul, Turkey, University <strong>of</strong> Cologne, Cologne, Germany.<br />

Otospondylomegaepiphyseal dysplasia (OSMED, OMIM 215150) is a<br />

rare autosomal recessive disorder <strong>of</strong> bone growth and development<br />

that results in disproportionate shortness <strong>of</strong> the limbs with abnormally<br />

large knees and elbows, severe hearing loss, and distinctive facial<br />

features presenting mid-face hypoplasia, depressed nasal bridge with<br />

anteverted nares . Cleft palate and micrognathia are also the common<br />

findings. The phenotype is very similar to non-ophthalmic Stickler or<br />

Stickler Type III (OMIM 184840), which displays more subtle signs .<br />

Recessive mutations on collagen peptide coding gene, COL11A2, are<br />

responsible for OSMED while dominant mutations are associated with<br />

Stickler Type III . Furthermore, mutations in the COL11A2 gene have<br />

been also found in patients with isolated cleft palate, Robin sequences,<br />

micrognathia, and non-ophthalmic Stickler syndrome . In this study, two<br />

cousins with OSMED were clinically assessed and mutations testing<br />

on patient’s cDNA identified the novel homozygous c.2763delT in exon<br />

38 <strong>of</strong> the COL11A2 gene . The deletion which causes a frame shift after<br />

position 425 and a premature stop after additional 62 amino acids<br />

(p.P425PfsX62) was confirmed on genomic level in both patients and<br />

was not found in 200 ethnically matched control chromosomes .<br />

P01.163<br />

mutations <strong>of</strong> the sequestosome 1 gene associated with Paget‘s<br />

disease in patients from salamanca, spain<br />

E. Corral Moro 1 , L. Corral Gudino 2 , J. García Aparicio 2 , S. Ciria Abad 1 , N.<br />

Alonso López 1 , J. del Pino Montes 2 , R. González Sarmiento 1 ;<br />

1 Unidad de Medicina Molecular-Departamento de Medicina, Universidad de<br />

Salamanca, Salamanca, Spain, 2 Servicio de Reumatología, Hospital Universitario<br />

de Salamanca, Salamanca, Spain.<br />

Paget´s disease <strong>of</strong> bone (PDB) is a common condition characterized<br />

by focal abnormalities <strong>of</strong> increased bone turnover .<br />

Mutations in the sequestosome 1/p62 gene (SQSTM1) are associated<br />

with Paget linked to the 5q35 .<br />

Mutations described to date cluster within the C- terminal ubiquitin-associated<br />

(UBA) domain <strong>of</strong> p62 and patients with truncating mutations<br />

<strong>of</strong> p62 in or close to the UBA domain generally suffer more severe<br />

disease than those with missense mutations .<br />

We investigated a cohort <strong>of</strong> 20 familial PDB patients for sequestosome<br />

mutations .<br />

We identificated three mutations within exon 8: P392L, M404T, previously<br />

reported by other groups, and A426V ,a novel missense mutation<br />

. All three <strong>of</strong> these mutations affect the ubiquitin-associated (UBA)<br />

domain <strong>of</strong> the protein which is involved in the ubiquitin binding .<br />

Moreover, analysis <strong>of</strong> exon 6 detected a G to C substitution at position<br />

+822, resulting in a glutamic acid to aspartic acid substitution at codon<br />

426 . This mutation affects the PEST sequence, important for the span<br />

life to the protein . Actually, more studies are under way to examine the<br />

effect <strong>of</strong> his mutation .<br />

P01.164<br />

mutations, duplications and deletions, upstream, downstream<br />

and overlapping the sHOX gene in Leri-Weill dyschondrosteosis<br />

or short stature patients <strong>of</strong> the Balearic islands<br />

J. Rosell1 , J. Ferragut2 , M. Caimari2 , N. Govea1 , M. Bernues1 , A. Perez-Granero1<br />

, D. Heine-Suñer1 ;<br />

1 2 <strong>Genetics</strong> Hospital Universitari Son Dureta, Palma de Mallorca, Spain, Paediatrics<br />

Hospital Universitari Son Dureta, Palma de Mallorca, Spain.<br />

The SHOX gene is located on the pseudoautosomal regions (PAR1)<br />

<strong>of</strong> the X and Y chromosomes . Mutations and deletions <strong>of</strong> SHOX have<br />

been shown to be associated with Leri-Weill dyschondrosteosis (LWD)<br />

and idiopathic short stature (ISS) . Recently, it has been shown that deletions<br />

downstream within in the PAR1 region and that do not include<br />

the SHOX gene can be also associated with LWD . We have studied a<br />

total <strong>of</strong> 120 ISS and LWD patients and their families from the Balearic<br />

islands population . The presence <strong>of</strong> deletions has been determined<br />

using microsatellites that are located upstream and/or MLPA (SALSA<br />

18C) which can detect downstream deletions . Mutations have been

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