title: p.H1069Q mutation in ATP7B and biochemical parameters of copper metabolism and clinical manifestation of Wilson's disease.
abstract: We compared the effect of the p.H1069Q mutation and other non-p.H1069Q mutations in ATP7B on the phenotypic expression of Wilson's disease (WD), and assessed whether the clinical phenotype of WD in compound heterozygotes depends on the type of mutation coexisting with the p.H1069Q. One hundred forty-two patients with clinically, biochemically, and genetically diagnosed WD were studied. The mutational analysis of ATP7B was performed by direct sequencing. A total number of 26 mutations in ATP7B were identified. The p.His1069Gln was the most common mutation (allelic frequency: 72%). Seventy-three patients were homozygous for this mutation. Of compound heterozygotes, 37 had frameshift/nonsense mutation, and 20 had other missense mutation on one of their ATP7B alleles. Twelve patients had two non-p.H1069Q mutations. Patients homozygous for the p.H1069Q mutation had the less severe disturbances of copper metabolism and the latest presentation of first WD symptoms. The most severely disturbed copper metabolism and the earliest age at initial disease manifestation was noticed in non-p.H1069Q patients. In compound heterozygotes, the type of mutation coexisting with the p.H1069Q to a small extent influenced WD phenotype. The phenotype of WD varied considerably among patients with the same genotype. The p.H1069Q mutation is associated with late WD manifestation and with a mild disruption of copper metabolism. In compound heterozygotes, the phenotype of WD to a small extent depends on the type of mutation coexisting with the p.H1069Q. Besides genotype, additional modifying factors seem to determine WD manifestations.
authors.affiliation: Second Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland.
authors.forename: Graznya
authors.initials: G
authors.lastname: Gromadzka
authors.forename: Harmut H J
authors.initials: HH
authors.lastname: Schmidt
authors.forename: Janine
authors.initials: J
authors.lastname: Genschel
authors.forename: Bettina
authors.initials: B
authors.lastname: Bochow
authors.forename: M
authors.initials: M
authors.lastname: Rodo
authors.forename: Beatek
authors.initials: B
authors.lastname: Tarnacka
authors.forename: Thomas
authors.initials: T
authors.lastname: Litwin
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Chabik
authors.forename: Anna
authors.initials: A
authors.lastname: Członkowska
mesh_terms: D000251:Adenosine Triphosphatases / Q000235:genetics*; D000293:Adolescent; D000328:Adult; D000483:Alleles; D027682:Cation Transport Proteins / Q000235:genetics*; D002570:Ceruloplasmin / Q000378:metabolism; D002648:Child; D002869:Chromosome Aberrations; D003300:Copper / Q000378:metabolism*; D000073840:Copper-Transporting ATPases; D004252:DNA Mutational Analysis; D005260:Female; D005787:Gene Frequency; D005808:Genes, Recessive; D006580:Genetic Carrier Screening; D005838:Genotype; D006527:Hepatolenticular Degeneration / Q000097:blood / Q000235:genetics*; D006720:Homozygote; D006801:Humans; D008297:Male; D008875:Middle Aged; D010641:Phenotype; D011044:Poland; D017422:Sequence Analysis, DNA; D013223:Statistics as Topic; D014018:Tissue Distribution
chemical_list: D027682:Cation Transport Proteins; D003300:Copper; D002570:Ceruloplasmin; D000251:Adenosine Triphosphatases; C000612464:ATP7B protein, human; D000073840:Copper-Transporting ATPases