Human Molecular Genetics, Vol 7, 1449-1452, Copyright © 1998 by Oxford University Press
B Doray, R Salomon, J Amiel, A Pelet, R Touraine, M Billaud, T Attie, B Bachy, A Munnich and S Lyonnet
Hirschsprung disease (HSCR) is a frequent neurocristopathy characterized by
the absence of submucosal and myenteric plexuses in a variable length of
the gastrointestinal tract. Pedigrees and segregation analyses suggested
the involvement of one or several dominant genes with low penetrance in
HSCR. Considering that RET and glial cell line-derived neurotrophic factor
(GDNF) mutations have been reported in the disease, we regarded the other
RET ligand, neurturin (NTN), as an attractive candidate gene, especially as
it shares large homologies with GDNF. Here, we report on the finding of a
heterozygous missense NTN mutation in a large non-consanguineous family
including four children affected with a severe aganglionosis phenotype
extending up to the small intestine. Interestingly, it appears that the NTN
mutation reported here is not sufficient to cause HSCR, and this multiplex
family also segregates a RET mutation. This cascade of independent and
additive genetic events fits well with the multigenic pattern of
inheritance expected in HSCR, and further support the role of RET ligands
in development of the enteric nervous system.
ARTICLES
Mutation of the RET ligand, neurturin, supports multigenic inheritance in Hirschsprung disease [published erratum appears in Hum Mol Genet 1998 Oct;7(11):1831]
Unite de Recherches sur les Handicaps Genetiques de l'Enfant, INSERM U393, Paris, France.
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