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Human Molecular Genetics, 2003, Vol. 12, No. 3 357-364
© 2003 Oxford University Press

Mutations in a novel gene Dymeclin (FLJ20071) are responsible for Dyggve–Melchior–Clausen syndrome

Vincent El Ghouzzi1,{dagger}, Nathalie Dagoneau1,{dagger}, Esther Kinning2,{dagger}, Christel Thauvin-Robinet1,{dagger}, Wassim Chemaitilly1,{dagger}, Catherine Prost-Squarcioni3, Lihadh I. Al-Gazali4, Alain Verloes5, Martine Le Merrer1, Arnold Munnich1, Richard C. Trembath2 and Valérie Cormier-Daire1,*

1Department of Medical Genetics and INSERM U393, Hôpital Necker Enfants Malades, 75015 Paris, France, 2Division of Medical Genetics, Departments of Genetics and Medicine, Adrian Building University of Leicester, Leicester LEI 7RH, UK, 3CNRS UPRES 3410, Faculté de Médecine, Hôpital Avicennes, 93009 Bobigny Cedex, France, 4Faculty of Medicine, United Arab Emirates University, PO Box 17666 Al Ain, United Arab Emirates and 5Department of Medical Genetics, Hôpital Robert Debré, 75019 Paris, France

Received October 28, 2002; Accepted November 22, 2002

Dyggve–Melchior–Clausen syndrome (DMC) is a rare autosomal-recessive disorder, the gene for which maps to chromosome 18q21.1. DMC is characterized by the association of a spondylo-epi-metaphyseal dysplasia and mental retardation. Electron microscopic study of cutaneous cells of an affected child showed dilated rough endoplasmic reticulum, enlarged and aberrant vacuoles and numerous vesicles. As the etiology of the disorder is unknown, we have used a positional cloning strategy to identify the DMC gene. We detected seven deleterious mutations within a gene predicted from a human transcript (FLJ20071) in 10 DMC families. The mutations were nonsense mutations (R194X, R204X, L219X, Q483X), splice site or frameshift mutations (K626N+92aa to stop). The DMC gene transcript is widely distributed but appears abundant in chondrocytes and fetal brain. The predicted protein product of the DMC gene yields little insight into its likely function, showing no significant homology to any known protein family. However, the carboxy terminal end comprises a cluster of dileucine motifs, highly conserved across species. We conclude that DMC syndrome is consequent upon loss of function of a gene that we propose to name Dymeclin, which may have a role in process of intracellular digestion of proteins.

* To whom correspondence should be addressed. Tel: +33 144495163; Fax: +33 144495150; Email: cormier{at}necker.fr

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


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