title: A cluster of mutations within a short triplet repeat in the C1 inhibitor gene.
abstract: Mutations in the C1 inhibitor gene that result in low functional levels of C1 inhibitor protein cause hereditary angioneurotic edema. This disease is characterized by episodic edema leading to considerable morbidity and death. Among 60 unreported kindred with the disease, four patients were discovered to have mutations clustered within a 12-bp segment of exon 5 from nucleotide 8449 to nucleotide 8460. This short segment of DNA contains three direct repeats of the triplet CAA and is immediately preceded by a similar adenosine-rich sequence (CAAGAACAC). These triplet repeats make this region susceptible to mutation by a slipped mispairing mechanism. There are two other short triplet repeat elements in the coding region for this gene, but they have not become mutated in any kindred examined. This suggests that the apparent enhanced mutation rate in this region of exon 5 may be influenced by DNA structural characteristics.
authors.affiliation: Department of Pediatrics, University of Cincinnati, Children's Hospital Research Foundation, OH 45229.
authors.forename: J J
authors.initials: JJ
authors.lastname: Bissler
authors.forename: M
authors.initials: M
authors.lastname: Cicardi
authors.forename: V H
authors.initials: VH
authors.lastname: Donaldson
authors.forename: P A
authors.initials: PA
authors.lastname: Gatenby
authors.forename: F S
authors.initials: FS
authors.lastname: Rosen
authors.forename: A L
authors.initials: AL
authors.lastname: Sheffer
authors.forename: A E
authors.initials: AE
authors.lastname: Davis
mesh_terms: D000595:Amino Acid Sequence; D000799:Angioedema / Q000097:blood / Q000235:genetics*; D001483:Base Sequence; D003174:Complement C1 Inactivator Proteins / Q000235:genetics*; D004247:DNA / Q000097:blood / Q000302:isolation & purification; D017931:DNA Primers; D004251:DNA Transposable Elements; D006801:Humans; D007962:Leukocytes / Q000378:metabolism; D008969:Molecular Sequence Data; D009154:Mutation; D016133:Polymerase Chain Reaction; D012091:Repetitive Sequences, Nucleic Acid; D017384:Sequence Deletion
chemical_list: D003174:Complement C1 Inactivator Proteins; D017931:DNA Primers; D004251:DNA Transposable Elements; D004247:DNA