Human Molecular Genetics, Vol 8, 2303-2309, Copyright © 1999 by Oxford University Press
E Kondo-Iida, K Kobayashi, M Watanabe, J Sasaki, T Kumagai, H Koide, K Saito, M Osawa, Y Nakamura and T Toda
Fukuyama-type congenital muscular dystrophy (FCMD), one of the most common
autosomal recessive disorders in the Japanese population, is characterized
by congenital muscular dystrophy in combination with cortical dysgenesis
(micropolygyria). Recently, we identified, on chromosome 9q31, the gene
responsible for FCMD, which encodes a novel 461 amino acid protein which we
have termed fukutin. Most FCMD-bearing chromosomes examined to date (87%)
have been derived from a single ancestral founder, whose mutation consisted
of a 3 kb retrotransposal insertion in the 3' non-coding region of the
fukutin gene. FCMD is the first human disease known to be caused primarily
by an ancient retrotransposal integration. We under-took a systematic
analysis of the FCMD gene in 107 unrelated patients, and identified four
novel non- founder mutations in five of them: one missense, one nonsense,
one L1 insertion and a 1 bp insertion. The frequency of severe phenotypes,
including Walker-Walberg syndrome-like manifestations such as hydrocephalus
and microphthalmia, was significantly higher among probands who were
compound heterozygotes carrying a point mutation on one allele and the
founder mutation on the other, than it was among probands who were
homozygous for the 3 kb retrotransposon. Remarkably, we detected no FCMD
patients with non-founder (point) mutations on both alleles of the gene,
and suggest that such cases might be embryonic- lethal. This could explain
why few FCMD cases are reported in non- Japanese populations. Our results
provided strong evidence that loss of function of fukutin is the major
cause of FCMD, and appeared to shed some light on the mechanism responsible
for the broad clinical spectrum seen in this disease.
ARTICLES
Novel mutations and genotype-phenotype relationships in 107 families with Fukuyama-type congenital muscular dystrophy (FCMD)
Laboratory of Genome Medicine and
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