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Four novel PEPD alleles causing prolidase deficiency
P Ledoux1, C Scriver, P Hechtman
1Department of Biology, McGill University, Montreal, Quebec, Canada.
Abstract:
Mutations at the PEPD locus cause prolidase deficiency (McKusick 170100), a rare autosomal recessive disorder characterized by iminodipeptiduria, skin ulcers, mental retardation, and recurrent infections. Four PEPD mutations from five severely affected individuals were characterized by analysis of reverse-transcribed, PCR-amplified (RT-PCR) cDNA. We used SSCP analysis on four overlapping cDNA fragments covering the entire coding region of the PEPD gene and detected abnormal SSCP bands for the fragment spanning all or part of exons 13-15 in three of the probands. Direct sequencing of the mutant cDNAs showed a G-->A, 1342 substitution (G448R) in two patients and a 3-bp deletion (delta E452 or delta E453) in another. In the other two probands the amplified products were of reduced size. Direct sequencing of these mutant cDNAs revealed a deletion of exon 5 in one patient and of exon 7 in the other. Intronic sequences flanking exons 5 and 7 were identified using inverse PCR followed by direct sequencing. Conventional PCR and direct sequencing then established the intron-exon borders of the mutant genomic DNA revealing two splice acceptor mutations: a G-->C substitution at position -1 of intron 4 and an A-->G substitution at position -2 of intron 6. Our results indicate that the severe form of prolidase deficiency is caused by multiple PEPD alleles. In this report we attempt to begin the process of describing these alleles and cataloging their phenotypic expression.
Insights
Prolidase deficiency, a rare genetic disorder, is caused by mutations in the PEPD gene. This study identifies and characterizes four novel PEPD mutations, expanding the understanding of this condition.
Area of Science:
- Genetics
- Molecular Biology
- Biochemistry
Background:
- Prolidase deficiency (McKusick 170100) is a rare autosomal recessive disorder.
- It is characterized by iminodipeptiduria, skin ulcers, mental retardation, and recurrent infections.
- Mutations in the PEPD gene are the cause of this disorder.
Purpose of the Study:
- To characterize mutations in the PEPD gene in individuals with severe prolidase deficiency.
- To identify and describe novel PEPD alleles and their associated phenotypic expressions.
Main Methods:
- Reverse-transcription PCR (RT-PCR) amplification of cDNA.
- Single-strand conformation polymorphism (SSCP) analysis.
- Direct sequencing of cDNA and genomic DNA.
- Inverse PCR to identify intronic sequences.
Main Results:
- Four distinct PEPD mutations were identified in five individuals.
- Mutations included a missense mutation (G448R), a small in-frame deletion (delta E452/453), an exon 5 deletion, and an exon 7 deletion.
- Two splice acceptor mutations in introns 4 and 6 were identified as the cause of the exon deletions.
Conclusions:
- Severe prolidase deficiency results from multiple PEPD alleles.
- This study contributes to the cataloging of PEPD mutations and their phenotypic manifestations.