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Human Molecular Genetics, 2002, Vol. 11, No. 25 3237-3248
© 2002 Oxford University Press

Loss of holocytochrome c-type synthetase causes the male lethality of X-linked dominant micro-phthalmia with linear skin defects (MLS) syndrome

Siddharth K. Prakash1,{dagger}, Trena A. Cormier2,{dagger}, Alanna E. McCall3, Jesus J. Garcia3, Rebecca Sierra4, Bisong Haupt4, Huda Y. Zoghbi1,3,4,5 and Ignatia B. Van den Veyver1,6,*

1Department of Molecular and Human Genetics, 2Interdepartmental Program in Cell and Molecular Biology, 3Howard Hughes Medical Institute, 4Department of Pediatrics, 5Division of Neuroscience and 6Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX, USA

Received August 26, 2002; Accepted October 7, 2002

Girls with MLS syndrome have microphthalmia with linear skin defects of face and neck, sclerocornea, corpus callosum agenesis and other brain anomalies. This X-linked dominant, male-lethal condition is associated with heterozygous deletions of a critical region in Xp22.31, from the 5' untranslated region of MID1 at the telomeric boundary to the ARHGAP6 gene at the centromeric boundary. HCCS, encoding human holocytochrome c-type synthetase, is the only gene located entirely inside the critical region. Because single gene analysis is not feasible in MLS patients (all have deletions), we generated a deletion of the equivalent region in the mouse to study the molecular basis of this syndrome. This deletion inactivates mouse Hccs, whose homologs in lower organisms (cytochrome c or c1 heme lyases) are essential for function of cytochrome c or c1 in the mitochondrial respiratory chain. Ubiquitous deletions generated in vivo lead to lethality of hemizygous, homozygous and heterozygous embryos early in development. This lethality is rescued by expression of the human HCCS gene from a transgenic BAC, resulting in viable homozygous, heterozygous and hemizygous deleted mice with no apparent phenotype. In the presence of the HCCS transgene, the deletion is easily transmitted to subsequent generations. We did obtain a single heterozygous deleted female that does not express human HCCS, which is analogous to the low prevalence of the heterozygous MLS deletion in humans. Through the study of these genetically engineered mice we demonstrate that loss of HCCS causes the male lethality of MLS syndrome.

* To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Baylor College of Medicine, 6550 Fannin, Suite 901, Houston TX 77030, USA. Tel: +1 7137984914; Fax: +1 7137985060; Email: iveyver{at}bcm.tmc.edu

{dagger} The authors wish it to be known that, in their opinion, the two first authors should be regarded as joint First Authors.


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