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Human Molecular Genetics Advance Access published online on March 3, 2005

Human Molecular Genetics, doi:10.1093/hmg/ddi094
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© The Author 2005. Published by Oxford University Press. All rights reserved

Article

A unique exonic splice enhancer mutation in a family with X-linked mental retardation and epilepsy points to a novel role of the renin receptor

Juliane Ramser 1, Fatima E. Abidi 2, Celine A. Burckle 3, Claus Lenski 4, Helga Toriello 5, Gaiping Wen 6, Herbert A. Lubs 7, Stefanie Engert 4, Roger E. Stevenson 2, Alfons Meindl 8*, Charles E. Schwartz 2, and Genevieve Nguyen 3

1 Institute of Human Genetics, Ludwig-Maximilians-University, Munich 80336, Germany; Department of Obstetrics and Gynaecology, Technical University, Munich 81675, Germany
2 J.C. Self Research Institute, Greenwood Genetic Center, Greenwood, South Carolina 29646, USA
3 Institut National de la Santé et de la Recherche Médicale INSERM U36, Collège de France, Paris 75231, France
4 Institute of Human Genetics, Ludwig-Maximilians-University, Munich 80336, Germany
5 Spectrum Health, Grand Rapids, Michigan 49503, USA
6 Institute for Molecular Biotechnology, Jena 07745, Germany
7 J.C. Self Research Institute, Greenwood Genetic Center, Greenwood, South Carolina 29646, USA; Mailman Center Child Development, University of Miami School of Medicine, Miami, Florida 33101, USA
8 Department of Human Genetics, Ludwig-Maximilians-University, Goethestr. 29, Munich 80336, Germany; Department of Obstetrics and Gynaecology, Technical University, Munich 81675, Germany

* To whom correspondence should be addressed.
Alfons Meindl, E-mail: alfons{at}pedgen.med.uni-muenchen.de


   Abstract

The renin angiotensin system is essential for blood pressure control and water-electrolyte balance. Until the discovery of the renin receptor, renin was believed to be mainly a circulating enzyme with a unique function, the cleavage of angiotensinogen. We report a unique mutation in the renin receptor gene (ATP6AP2) present in patients with X-linked mental retardation and epilepsy (XMRE, OMIM #300423) but absent in 1200 control X chromosomes. A silent mutation (c. 321C>T, p. D107D) residing in a putative exonic splicing enhancer site resulted in inefficient inclusion of exon 4 in 50% of renin receptor mRNA, as demonstrated by quantitative RT-PCR. Analysis of membrane associated-receptor molecular forms showed the presence of full-length and truncated proteins in the patient. Functional analysis demonstrated that the mutated receptor could bind renin and increase renin catalytic activity, similar to the wild-type receptor, but resulted in a modest and reproducible impairment of ERK1/2 activation. Thus, our findings confirm the importance of the renin-angiotensin system in cognitive processes and indicate a novel specific role for the renin receptor in cognitive functions and brain development.


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