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Novel PLVAP Mutation in Protein Losing Enteropathy
Orhan Gorukmez1, Ozlem Gorukmez1, Kaan Demiroren1
1Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Insights
Genetic mutations in the PLVAP gene cause protein-losing enteropathy (PLE) and Diarrhea 10 (DIAR10). A novel frameshift mutation in PLVAP was identified in a fatal infant PLE case.
Area of Science:
- Genetics
- Gastroenterology
- Molecular Biology
Background:
- Protein-losing enteropathy (PLE) is a rare disorder characterized by excessive protein loss in the gastrointestinal tract.
- Diarrhea 10 (DIAR10) is a severe form of PLE linked to genetic mutations.
- Mutations in the Plasmalemma Vesicle Associated Protein (PLVAP) gene have recently been identified as a cause of DIAR10.
Observation:
- A case of fatal PLE in an infant is presented.
- Whole Exome Sequencing (WES) revealed a novel homozygous frameshift mutation (c.339dupT; p.Ala114Cysfs*9) in the PLVAP gene.
- This mutation resulted in a premature stop codon in exon 1 of PLVAP.
Findings:
- The identified PLVAP mutation (c.339dupT; p.Ala114Cysfs*9) is novel and has not been previously reported.
- This represents the fifth reported case of a PLVAP mutation associated with PLE and DIAR10.
- The findings confirm PLVAP as a critical gene in intestinal barrier function and PLE pathogenesis.
Implications:
- This study expands the spectrum of known PLVAP mutations causing DIAR10.
- Understanding the genetic basis of PLE can aid in diagnosis and genetic counseling.
- Further research into PLVAP function may reveal therapeutic targets for intestinal barrier disorders.
Abstract:
Introduction: A genetic cause of the protein-losing enteropathy (PLE) disease Diarrhea 10 (DIAR10) are mutations in the recently described PLVAP (plasmalemma vesicle protein). Case report: An infant with fatal PLE had a novel homozygous frameshift mutation (c.339dupT; p.Ala114Cysfs*9) leading to a premature stop codon in exon 1 of the PLVAP (NM_031310) gene detected by Whole Exome Sequencing (WES). Conclusion: The frameshift mutation (PLVAP; c.339dupT; p.Ala114Cysfs*9) we have described in our patient has not been previously reported. This is the fifth case reported with a mutation in PLVAP associated with PLE and DIAR10.
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