Hypomorphic mutations in syndromic encephalocele genes are associated with Bardet-Biedl syndrome.
Meckel-Gruber syndrome (MKS) is a genetically heterogeneous, neonatally lethal malformation and the most common form of syndromic neural tube defect (NTD). To date, several MKS-associated genes have been identified whose protein products affect ciliary function. Here we show that mutations in MKS1, MKS3 and CEP290 (also known as NPHP6) either can cause Bardet-Biedl syndrome (BBS) or may have a potential epistatic effect on mutations in known BBS-associated loci. Five of six families with both MKS1 and BBS mutations manifested seizures, a feature that is not a typical component of either syndrome. Functional studies in zebrafish showed that mks1 is necessary for gastrulation movements and that it interacts genetically with known bbs genes. Similarly, we found two families with missense or splice mutations in MKS3, in one of which the affected individual also bears a homozygous nonsense mutation in CEP290 that is likely to truncate the C terminus of the protein. These data extend the genetic stratification of ciliopathies and suggest that BBS and MKS, although distinct clinically, are allelic forms of the same molecular spectrum.
Leitch
Carmen C
CC
McKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, 733. N Broadway, Baltimore, Maryland 21205, USA.
Zaghloul
Norann A
NA
Davis
Erica E
EE
Stoetzel
Corinne
C
Diaz-Font
Anna
A
Rix
Suzanne
S
Alfadhel
Majid
M
Al-Fadhel
Majid
M
Lewis
Richard Alan
RA
Eyaid
Wafaa
W
Banin
Eyal
E
Dollfus
Helene
H
Beales
Philip L
PL
Badano
Jose L
JL
Katsanis
Nicholas
N
D000328:Adult; D017398:Alternative Splicing; D000595:Amino Acid Sequence; D000818:Animals; D000951:Antigens, Neoplasm / Q000235:genetics*; D020788:Bardet-Biedl Syndrome / Q000235:genetics* / Q000473:pathology; D018797:Cell Cycle Proteins; D002648:Child; D002675:Child, Preschool; D003598:Cytoskeletal Proteins; D004252:DNA Mutational Analysis; D004625:Embryo, Nonmammalian / Q000166:cytology / Q000378:metabolism; D004677:Encephalocele / Q000235:genetics*; D005260:Female; D054262:Gastrulation; D006720:Homozygote; D006801:Humans; D008297:Male; D008565:Membrane Proteins / Q000235:genetics*; D008969:Molecular Sequence Data; D009154:Mutation / Q000235:genetics*; D009363:Neoplasm Proteins / Q000235:genetics*; D010375:Pedigree; D011247:Pregnancy; D011506:Proteins / Q000235:genetics*; D017386:Sequence Homology, Amino Acid; D013577:Syndrome; D015027:Zebrafish / Q000235:genetics / Q000254:growth & development* / Q000378:metabolism
D000951:Antigens, Neoplasm; D018797:Cell Cycle Proteins; C493903:Cep290 protein, human; D003598:Cytoskeletal Proteins; C509165:MKS1 protein, human; D008565:Membrane Proteins; D009363:Neoplasm Proteins; D011506:Proteins; C468846:TMEM67 protein, human