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Published on: August 15, 2019
Spectrum of PEX6 mutations in Zellweger syndrome spectrum patients
Merel S Ebberink1, Janet Kofster, Ronald J A Wanders
1University of Amsterdam, Academic Medical Center, Department of Clinical Chemistry, Laboratory Genetic Metabolic Diseases, Amsterdam, The Netherlands.
Insights
Zellweger spectrum disorders, a peroxisome biogenesis disorder subgroup, are often caused by PEX6 gene mutations. A new high-resolution melting assay identified 77 PEX6 mutations in 75 patients, advancing genetic diagnostics for these severe conditions.
Area of Science:
- Genetics
- Molecular Biology
- Biochemistry
Background:
- Zellweger spectrum disorders (ZSS) are a group of severe, multi-systemic inherited diseases.
- ZSS are peroxisome biogenesis disorders, with mutations in PEX genes causing impaired peroxisome function.
- Mutations in the PEX6 gene are the second most frequent cause of ZSS.
Purpose of the Study:
- To develop and implement a novel method for identifying sequence variations in the PEX6 gene.
- To analyze the PEX6 gene in a cohort of patients with ZSS.
Main Methods:
- Developed a post-PCR high-resolution melting (HRM) curve assay for PEX6 gene scanning.
- Utilized selective sequencing to confirm identified sequence variations.
- Analyzed PEX6 genes from 75 patients belonging to the PEX6 complementation group.
Main Results:
- Identified a total of 77 distinct mutations within the PEX6 gene.
- Discovered 47 novel mutations not previously reported in the literature.
- Characterized 14 polymorphic variants in the PEX6 gene.
Conclusions:
- The developed HRM assay is an effective tool for PEX6 mutation screening.
- This study expands the spectrum of known PEX6 mutations associated with ZSS.
- Findings contribute to improved genetic diagnosis and understanding of ZSS pathogenesis.
Abstract:
The autosomal recessive Zellweger syndrome spectrum (ZSS) disorders comprise a main subgroup of the peroxisome biogenesis disorders. The ZSS disorders can be caused by mutations in any of 12 different currently identified PEX genes resulting in severe, often lethal, multi-systemic disorders. Defects in the PEX6 gene are the second most common cause for ZSS disorders. The encoded protein PEX6 belongs to the AAA ATPase family and contains two AAA cassettes and an AAA protein family signature. The PEX6 gene consists of 17 exons and previously mutations in the PEX6 gene were found to be scattered over all exons. We developed a post-PCR high-resolution melting (HRM) curve assay to scan the PEX6 gene for potential sequence variations followed by selective sequencing to identify these. We analyzed the PEX6 genes of 75 patients assigned to the PEX6 complementation group. We identified a total of 77 different mutations of which 47 mutations have not been reported previously, and 14 polymorphic variants.
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