title: Molecular analysis and characterization of nine novel CTSK mutations in twelve patients affected by pycnodysostosis. Mutation in brief #961. Online.
abstract: Molecular characterization of twelve unrelated patients affected by the autosomal recessive osteosclerotic skeletal dysplasia, Pycnodysostosis (cathepsin k deficiency), revealed 11 different genotypes. The mutational profile consisted of 12 different mutations, including nine previously unreported ones, spread throughout the whole gene. One mutation occurred in regions coding predomain, two affected the prodomain and nine others occurred in the mature domain. The novel lesions consisted in six missense mutations c.20T>C (p.L7P), c.494A>G (p.Q165R), c.580G>A (p.G194S), c.746T>C (p.I249T), c.749A>G (p.D250G), c.955G>T (p.G319C), two frameshifts c.60_61dupGA (p.I21RfsX29), c.282dupA (p.S95VfsX9) and a splicing mutation c.890G>A (r.785_890del). The six new missense mutations were examined by western blots of COS-7 cells transfected with mutant CTSK genes. The L7P, occurring within the predicted hydrophobic domain of signal peptide, showed a significantly reduced expression level compared to the wild type control. These findings suggested that the mutation affected targeting and translocation of the nascent lysosomal protein across the endoplasmatic reticulum membrane. The novel amino acid changes were also modeled into the three-dimensional structure that predicted incorrect protein folding for all of them. Molecular characterization of the patients is of particular value for genetic counseling of patients and their families as diagnosis of Pycnodysostosis based on enzyme assay is unpractical and thus not offered routinely.
authors.affiliation: Diagnosi Pre-Postnatale Malattie Metaboliche Laboratory, IRCCS G. Gaslini, Genoa, Italy.
authors.forename: Michela
authors.initials: M
authors.lastname: Donnarumma
authors.forename: Stefano
authors.initials: S
authors.lastname: Regis
authors.forename: Barbara
authors.initials: B
authors.lastname: Tappino
authors.forename: Camillo
authors.initials: C
authors.lastname: Rosano
authors.forename: Stefania
authors.initials: S
authors.lastname: Assereto
authors.forename: Fabio
authors.initials: F
authors.lastname: Corsolini
authors.forename: Maja
authors.initials: M
authors.lastname: Di Rocco
authors.forename: Mirella
authors.initials: M
authors.lastname: Filocamo
mesh_terms: D056657:Cathepsin K; D002403:Cathepsins / Q000235:genetics*; D004413:Dysostoses / Q000235:genetics*; D005091:Exons; D006801:Humans; D009154:Mutation; D016133:Polymerase Chain Reaction; D011110:Polymorphism, Genetic
chemical_list: D002403:Cathepsins; C534130:CTSK protein, human; D056657:Cathepsin K