title: Molecular characterisation of six patients with prolidase deficiency: identification of the first small duplication in the prolidase gene and of a mutation generating symptomatic and asymptomatic outcomes within the same family.
abstract: Prolidase deficiency (PD) is a rare autosomal recessive connective tissue disorder caused by mutations in the prolidase gene. The PD patients show a wide range of clinical outcomes characterised mainly by intractable skin ulcers, mental retardation and recurrent respiratory infections. Here we describe five different PEPD mutations in six European patients. We identified two new PEPD mutant alleles: a 13 bp duplication in exon 8, which is the first reported duplication in the prolidase gene and a point mutation resulting in a change in amino acid E412, a highly conserved residue among different species. The E412K substitution is responsible for the first reported phenotypic variability within a family with severe and asymptomatic outcomes.
authors.affiliation: Department of Biochemistry A Castellani, Section of Medicine and Pharmacy, University of Pavia, Via Taramelli 3/B, 27100 Pavia, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lupi
authors.forename: A
authors.initials: A
authors.lastname: Rossi
authors.forename: E
authors.initials: E
authors.lastname: Campari
authors.forename: F
authors.initials: F
authors.lastname: Pecora
authors.forename: A M
authors.initials: AM
authors.lastname: Lund
authors.forename: N H
authors.initials: NH
authors.lastname: Elcioglu
authors.forename: M
authors.initials: M
authors.lastname: Gultepe
authors.forename: M
authors.initials: M
authors.lastname: Di Rocco
authors.forename: G
authors.initials: G
authors.lastname: Cetta
authors.forename: A
authors.initials: A
authors.lastname: Forlino
mesh_terms: D000328:Adult; D000595:Amino Acid Sequence; D002648:Child; D002675:Child, Preschool; D003240:Connective Tissue Diseases / Q000201:enzymology / Q000235:genetics / Q000473:pathology; D004252:DNA Mutational Analysis; D003718:Denmark; D004150:Dipeptidases / Q000172:deficiency* / Q000235:genetics*; D005192:Family Health; D005260:Female; D020440:Gene Duplication; D005838:Genotype; D006801:Humans; D008607:Intellectual Disability / Q000473:pathology; D007558:Italy; D008297:Male; D008969:Molecular Sequence Data; D009154:Mutation / Q000235:genetics*; D020125:Mutation, Missense / Q000235:genetics; D010375:Pedigree; D010641:Phenotype; D017386:Sequence Homology, Amino Acid; D012883:Skin Ulcer / Q000473:pathology; D014421:Turkey
chemical_list: D004150:Dipeptidases; C022449:proline dipeptidase