© 1994 Oxford University Press
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A de novo 13 nt deletion, a newly identified C647W missense mutation and a deletion of exon 18 in infantile onset glycogen storage disease type II (GSDII)
New York University Medical Center, Department of Medicine, Division of Medical Genetics 550 First Avenue, New York, NY 10016, USA 1NYS Institute for Basic Research in Developmental Disabilities 1050 Forest Hill Road, Staten Island, NY 10314, USA 2UCLA/Davis, Department of Pediatrics/Medical Genetics Sacramento, CA, USA
*To whom correspondence should be addressed
Received February 16, 1994; Revised April 30, 1994; Accepted April 30, 1994
We identified the presumably rare event of de novo mutation in an autosomal recessive disorder, glycogen storage disease type II (GSDII). GSDII results from inherited deficiency of acid
-glucosidase (acid maltase) and both the expressed and structural gene (designated GAA) have been isolated. The mutation was a deletion of 13 nt of coding sequence (
nt 14561468) on the paternally derived allele of the proband. The
nt 14561468 results in a reading frameshift and a premature termination signal upstream of the enzyme catalytic site. Paternity was confirmed by presence of two downstream, uncommon amino acid substitutions (E689K, W746C) in both proband and father and by comparison of nine short tandem repeats. The maternal allele carried a newly identified deleterious C647W missense mutation in a highly conserved area of the protein. The C647W mutation was also found in a second unrelated proband, heteroallelic with a deletion extending from IVS17 to IVS18.
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