Marfan syndrome caused by a mutation in FBN1 that gives rise to cryptic splicing and a 33 nucleotide insertion in the
S Hutchinson1, B P Wordsworth, P A Handford
1Department of Biochemistry, University of Oxford, OX1 3QU, UK.
Abstract:
We have studied a patient with Marfan syndrome whose mutation was not detected by heteroduplex analysis. Primary cultured patient fibroblasts were metabolically labelled and found to secrete fibrillin-1 defectively when compared with an age-matched control. Sequencing of patient cDNA, isolated by reverse transcription-polymerase chain reaction of patient fibroblast RNA, detected a 33-bp insertion. The reading frame of the mutant allele was maintained and predicted the insertion of 11 amino acids at the beginning of calcium-binding epidermal growth factor-like domain 29. Direct sequencing of genomic DNA detected a heterozygous G+1-->A transversion in intron 46 of FBN1. The 11 amino acid insertion was the consequence of the usage of a cryptic splice site 33-bp downstream of the mutation. This is the first reported case of a splicing defect in FBN1 leading to the production of a full-length fibrillin-1 transcript containing a large amino acid insertion.
Insights
A novel splicing defect in the FBN1 gene causes Marfan syndrome. This study identifies a unique mutation leading to abnormal fibrillin-1 protein production, impacting connective tissue structure.
Area of Science:
- Genetics
- Molecular Biology
- Biochemistry
Background:
- Marfan syndrome is a genetic disorder affecting connective tissue, primarily caused by mutations in the FBN1 gene.
- Fibrillin-1 is a crucial component of extracellular matrix microfibrils.
- Diagnostic methods like heteroduplex analysis may not detect all FBN1 mutations.
Observation:
- A patient with Marfan syndrome presented with a mutation undetectable by standard heteroduplex analysis.
- Fibroblast cultures from the patient showed defective secretion of fibrillin-1 compared to controls.
- Analysis revealed a 33-base pair insertion in the patient's FBN1 cDNA.
Findings:
- The identified mutation involved a G+1-->A transversion in intron 46 of the FBN1 gene.
- This intronic mutation activated a cryptic splice site, leading to an 11-amino acid insertion in epidermal growth factor-like domain 29 of fibrillin-1.
- This represents the first reported instance of a splicing defect in FBN1 resulting in a full-length transcript with a significant amino acid insertion.
Implications:
- This discovery expands the spectrum of FBN1 mutations associated with Marfan syndrome.
- Understanding novel splicing defects is critical for accurate genetic diagnosis and counseling.
- Further research into the functional consequences of this specific fibrillin-1 variant is warranted.
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