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Updated: Jul 20, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Identification of the gene encoding the enzyme deficient in mucopolysaccharidosis IIIC (Sanfilippo disease type C)
Xiaolian Fan1, Huiwen Zhang, Sunqu Zhang
1Research Institute, Metabolism Program, The Hospital for Sick Children, Toronto, Ontario, M5G 1X8, Canada.
Abstract:
Mucopolysaccharidosis IIIC (MPS IIIC), or Sanfilippo C, represents the only MPS disorder in which the responsible gene has not been identified; however, the gene has been localized to the pericentromeric region of chromosome 8. In an ongoing proteomics study of mouse lysosomal membrane proteins, we identified an unknown protein whose human homolog, TMEM76, was encoded by a gene that maps to 8p11.1. A full-length mouse expressed sequence tag was expressed in human MPS IIIC fibroblasts, and its protein product localized to the lysosome and corrected the enzymatic defect. The mouse sequence was used to identify the full-length human homolog (HGSNAT), which encodes a protein with no homology to other proteins of known function but is highly conserved among plants and bacteria. Mutational analyses of two MPS IIIC cell lines identified a splice-junction mutation that accounted for three mutant alleles, and a single base-pair insertion accounted for the fourth.
Insights
Researchers identified the gene responsible for Mucopolysaccharidosis IIIC (MPS IIIC), a rare genetic disorder. The HGSNAT gene
Area of Science:
- Genetics
- Biochemistry
- Molecular Biology
Background:
- Mucopolysaccharidosis IIIC (MPS IIIC), also known as Sanfilippo C, is a lysosomal storage disorder.
- The specific gene responsible for MPS IIIC remained unidentified, although localized to chromosome 8.
Purpose of the Study:
- To identify the gene responsible for Mucopolysaccharidosis IIIC.
- To characterize the function and localization of the identified gene product.
Main Methods:
- Proteomics analysis of mouse lysosomal membrane proteins.
- Gene expression in human MPS IIIC fibroblasts.
- Sequence analysis and mutation detection in MPS IIIC cell lines.
Main Results:
- An unknown protein's human homolog, TMEM76, was identified, mapping to chromosome 8p11.1.
- Expression of a mouse sequence corrected the enzymatic defect in MPS IIIC fibroblasts, localizing to lysosomes.
- The human homolog, HGSNAT, was identified and found to be highly conserved.
- Mutational analyses revealed splice-junction and insertion mutations in MPS IIIC cell lines.
Conclusions:
- The HGSNAT gene is identified as the gene responsible for Mucopolysaccharidosis IIIC.
- The HGSNAT protein localizes to lysosomes and corrects the enzymatic defect in MPS IIIC.
- Mutations in HGSNAT cause MPS IIIC, providing a target for future diagnostics and therapies.
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