Identification of 83 novel alpha-mannosidosis-associated sequence variants: functional analysis of MAN2B1 missense

Hilde Monica Frostad Riise Stensland1, Helle Bagterp Klenow, Lam Van Nguyen

  • 1Division of Child and Adolescent Health, Department of Medical Genetics, University Hospital of North-Norway, Tromsø, Norway. hilde.monica.stensland@unn.no

Human Mutation
|December 14, 2011
PubMed

Insights

Alpha-mannosidosis, a lysosomal storage disorder, is linked to MAN2B1 gene mutations. Researchers identified 96 variants in 130 patients, revealing a common c.2248C>T mutation likely spread by founder effects.

Area of Science:

  • Genetics
  • Biochemistry
  • Rare Diseases

Background:

  • Alpha-mannosidosis is a rare lysosomal storage disorder.
  • It results from a deficiency in the lysosomal alpha-mannosidase enzyme, encoded by the MAN2B1 gene.
  • Understanding the genetic basis and mutation spectrum is crucial for diagnosis and research.

Purpose of the Study:

  • To identify and characterize sequence variants in the MAN2B1 gene in alpha-mannosidosis patients.
  • To determine the mutation spectrum and frequency of variants in a global cohort.
  • To investigate the origin and spread of a common recurrent mutation.

Main Methods:

  • Sequence analysis of the MAN2B1 gene in 130 unrelated patients from 30 countries.
  • Identification and cataloging of disease-associated sequence variants.
  • Haplotype analysis to investigate the origin of the c.2248C>T variant.
  • In vitro expression and enzyme activity assays for selected missense mutations.

Main Results:

  • Identified 96 disease-associated variants in 130 patients, including 83 novel variants, expanding the known mutation spectrum.
  • Characterized 256 of 260 mutant alleles (98.5%), with c.2248C>T (p.Arg750Trp) being the most frequent (27.3% of alleles).
  • Haplotype analysis indicated that c.2248C>T arose on a few ancestral haplotypes and spread via founder effects, with distinct haplotype distributions compared to controls.
  • Ten missense variants retained some MAN2B1 activity above background, while most were inactive.

Conclusions:

  • The study significantly expands the known mutation spectrum of alpha-mannosidosis.
  • The recurrent c.2248C>T variant is a major contributor to the disease, likely spread through founder effects.
  • Further studies are needed to fully evaluate the pathogenicity of variants with residual enzyme activity.

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