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Updated: May 7, 2026

Experimental Approaches to Study Mitochondrial Localization and Function of a Nuclear Cell Cycle Kinase, Cdk1
Published on: February 25, 2016
Increased protein stability of CDKN1C causes a gain-of-function phenotype in patients with IMAGe syndrome
Naoki Hamajima1, Yoshikazu Johmura, Satoshi Suzuki
1Department of Pediatrics, Nagoya City West Medical Center, Nagoya, Aichi, Japan.
Abstract:
Mutations in the proliferating cell nuclear antigen (PCNA)-binding domain of the CDKN1C gene were recently identified in patients with IMAGe syndrome. However, loss of PCNA binding and suppression of CDKN1C monoubiquitination by IMAGe-associated mutations hardly explain the reduced-growth phenotype characteristic of IMAGe syndrome. We demonstrate here that IMAGe-associated mutations in the CDKN1C gene dramatically increased the protein stability. We identified a novel heterozygous mutation, c.815T>G (p.Ile272Ser), in the CDKN1C gene in three siblings manifesting clinical symptoms associated with IMAGe syndrome and their mother (unaffected carrier). PCNA binding to CDKN1C was disrupted in the case of p.Ile272Ser, and for two other IMAGe-associated mutations, p.Asp274Asn and p.Phe276Val. Intriguingly, the IMAGe-associated mutant CDKN1C proteins were fairly stable even in the presence of cycloheximide, whereas the wild-type protein was almost completely degraded via the proteasome pathway, as shown by the lack of degradation with addition of a proteasome inhibitor, MG132. These results thus suggested that the reduced-growth phenotype of IMAGe syndrome derives from CDKN1C gain-of-function due to IMAGe-associated mutations driving increased protein stability.
Insights
IMAGe syndrome mutations in the CDKN1C gene increase protein stability, explaining the characteristic reduced-growth phenotype. This gain-of-function mechanism, not previously understood, offers new insights into the disorder.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Mutations in the CDKN1C gene's PCNA-binding domain are linked to IMAGe syndrome.
- Previous understanding suggested PCNA binding loss and altered monoubiquitination explained the phenotype.
- This hypothesis did not fully account for the observed growth reduction.
Purpose of the Study:
- To investigate the molecular mechanism underlying IMAGe syndrome.
- To determine how CDKN1C mutations lead to the characteristic reduced-growth phenotype.
- To explore the role of protein stability in IMAGe syndrome pathogenesis.
Main Methods:
- Identification of a novel CDKN1C mutation (c.815T>G, p.Ile272Ser) in affected siblings and an unaffected carrier.
- Assessment of PCNA binding disruption in IMAGe-associated CDKN1C mutants.
- Protein stability assays using cycloheximide and proteasome inhibitor MG132.
Main Results:
- IMAGe-associated CDKN1C mutations significantly increase protein stability.
- PCNA binding is disrupted by mutations like p.Ile272Ser, p.Asp274Asn, and p.Phe276Val.
- Mutant CDKN1C proteins resist degradation, unlike wild-type, indicating enhanced stability.
Conclusions:
- The reduced-growth phenotype in IMAGe syndrome is likely caused by CDKN1C gain-of-function.
- Increased protein stability of CDKN1C is the key mechanism driving IMAGe syndrome.
- This finding reframes the understanding of IMAGe syndrome pathogenesis from loss-of-function to gain-of-function.
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