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© 1993 Oxford University Press

RESEARCH-ARTICLE

Missense mutations impair intracellular processing of fibrillin and microfibril assembly in Marfan syndrome

T. Aoyama1, K. Tynan2, H.C. Dietz5, U. Francke2,3,4 and H. Furthmayr1,*

1Department of Pathology Baltimore, MD 21205, USA 2Howard Hughes Medical Institute Baltimore, MD 21205, USA 3Department of Genetics Baltimore, MD 21205, USA 4Department of Pediatrics, Stanford University Stanford, CA 94305, USA 5Department of Pediatrics, The Johns Hopkins University School of Medicine Baltimore, MD 21205, USA

*To whom correspondence should be addressed

Received October 20, 1993; Accepted October 22, 1993

Dermal fibroblasts from nine Marfan syndrome patients with missense mutations in the fibrillin–1 gene (FBN1) produced nearly normal amounts of fibrillin as determined by quantitative pulse–chase experiments. However, six of the seven mutations involving substitutions of highly conserved cysteine residues exhibited lower rates of intracellular transport and secretion. This effect is likely due to improper folding, since intracellular fibrillin processing was also affected by the reducing agent dithiothreitol. Normal secretion patterns were seen in three mutations that either change the conformation of EGF–like domains or change consensus amino acids required for Ca+ +-binding. In all nine fibroblast strains, however, the deposition of fibrillin in the extracellular matrix was reduced to 50% of normal in two and to less than 30% in seven of the nine samples studied. The protein alterations caused by these missense mutations are associated with moderate to severe features of Marfan syndrome and a dominant negative mechanism is suggested to play a major role in their pathogenesis.


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