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Saito-Ohara F, Fukuda Y, Ito M, Agarwala KL, Hayashi M, Matsuo M, Imoto I, Yamakawa K, Nakamura Y, Inazawa J. The Xq22 inversion breakpoint interrupted a novel Ras-like GTPase gene in a patient with Duchenne muscular dystrophy and profound mental retardation. Am J Hum Genet 2002; 71:637-45. [PMID: 12145744 PMCID: PMC379199 DOI: 10.1086/342208] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2002] [Accepted: 06/05/2002] [Indexed: 11/03/2022] Open
Abstract
A male patient with profound mental retardation, athetosis, nystagmus, and severe congenital hypotonia (Duchenne muscular dystrophy [DMD]) was previously shown to carry a pericentric inversion of the X chromosome, 46,Y,inv(X)(p21.2q22.2). His mother carried this inversion on one X allele. The patient's condition was originally misdiagnosed as cerebral palsy, and only later was it diagnosed as DMD. Because the DMD gene is located at Xp21.2, which is one breakpoint of the inv(X), and because its defects are rarely associated with severe mental retardation, the other clinical features of this patient were deemed likely to be associated with the opposite breakpoint at Xq22. Our precise molecular-cytogenetic characterization of both breakpoints revealed three catastrophic genetic events that had probably influenced neuromuscular and cognitive development: deletion of part of the DMD gene at Xp21.2, duplication of the human proteolipid protein gene (PLP) at Xq22.2, and disruption of a novel gene. The latter sequence, showing a high degree of homology to the Sec4 gene of yeast, encoded a putative small guanine-protein, Ras-like GTPase that we have termed "RLGP." Immunocytochemistry located RLGP at mitochondria. We speculate that disruption of RLGP was responsible for the patient's profound mental retardation.
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Affiliation(s)
- Fumiko Saito-Ohara
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Yoji Fukuda
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Masahiro Ito
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Kishan Lal Agarwala
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Masaharu Hayashi
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Masafumi Matsuo
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Issei Imoto
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Kazuhiro Yamakawa
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Yusuke Nakamura
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
| | - Johji Inazawa
- Department of Molecular Cytogenetics, Medical Research Institute, Tokyo Medical and Dental University, Department of Pediatrics, Tokyo Metropolitan Bokutoh Hospital, Department of Clinical Pathology, Tokyo Metropolitan Institute for Neuroscience, and Human Genome Center, Institute of Medical Science, The University of Tokyo, Tokyo; Laboratory for Neurogenetics, RIKEN Brain Science Institute, Saitama, Japan; and Division of Genetics, International Center for Medical Research, Kobe University School of Medicine, Kobe, Japan
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