title: Modular variations of the human major histocompatibility complex class III genes for serine/threonine kinase RP, complement component C4, steroid 21-hydroxylase CYP21, and tenascin TNX (the RCCX module). A mechanism for gene deletions and disease associations.
abstract: The frequent variations of human complement component C4 gene size and gene numbers, plus the extensive polymorphism of the proteins, render C4 an excellent marker for major histocompatibility complex disease associations. As shown by definitive RFLPs, the tandemly arranged genes RP, C4, CYP21, and TNX are duplicated together as a discrete genetic unit termed the RCCX module. Duplications of the RCCX modules occurred by the addition of genomic fragments containing a long (L) or a short (S) C4 gene, a CYP21A or a CYP21B gene, and the gene fragments TNXA and RP2. Four major RCCX structures with bimodular L-L, bimodular L-S, monomodular L, and monomodular S are present in the Caucasian population. These modules are readily detectable by TaqI RFLPs. The RCCX modular variations appear to be a root cause for the acquisition of deleterious mutations from pseudogenes or gene segments in the RCCX to their corresponding functional genes. In a patient with congenital adrenal hyperplasia, we discovered a TNXB-TNXA recombinant with the deletion of RP2-C4B-CYP21B. Elucidation of the DNA sequence for the recombination breakpoint region and sequence analyses yielded definitive proof for an unequal crossover between TNXA from a bimodular chromosome and TNXB from a monomodular chromosome.
authors: Children's Hospital Research Foundation, Columbus, Ohio 43205, USA.
authors: Z
authors: Z
authors: Yang
authors: A R
authors: AR
authors: Mendoza
authors: T R
authors: TR
authors: Welch
authors: W B
authors: WB
authors: Zipf
authors: C Y
authors: CY
authors: Yu
mesh_terms: D000312:Adrenal Hyperplasia, Congenital / Q000235:genetics; D001171:Arthritis, Juvenile / Q000235:genetics; D001483:Base Sequence; D003181:Complement C4 / Q000235:genetics*; D004247:DNA; D017353:Gene Deletion; D020440:Gene Duplication; D006801:Humans; D008285:Major Histocompatibility Complex / Q000235:genetics*; D008969:Molecular Sequence Data; D012150:Polymorphism, Restriction Fragment Length; D017346:Protein Serine-Threonine Kinases / Q000235:genetics*; D012689:Sequence Homology, Nucleic Acid; D013255:Steroid 21-Hydroxylase / Q000235:genetics*; D019063:Tenascin / Q000235:genetics*; D014407:Tumor Cells, Cultured
chemical_list: D003181:Complement C4; D019063:Tenascin; D004247:DNA; D013255:Steroid 21-Hydroxylase; D017346:Protein Serine-Threonine Kinases