title: Molecular analysis of the iduronate-2-sulfatase gene in Thai patients with Hunter syndrome.
abstract: Molecular defects in the gene encoding the enzyme iduronate-2-sulfatase (IDS) result in Hunter disease (mucopolysaccharidosis type II, MPS II). To determine the molecular basis of MPS II in Thailand, the IDS gene was analysed in 20 Thai patients with Hunter syndrome from 18 unrelated families. A total of 19 different mutations, including 9 missense mutations, 3 nonsense mutations, 3 splice site alterations, 1 deletion, 2 indels, and 1 rearrangement were identified, 8 of which were novel (p.R101C, p.D148V, p.G224A, p.K227E, p.E254X, p.W337X, c.440_442delinsTT and c.720_731delinsTTTCAGATGTTCTCCCCAG). Evaluation of the IDS activity of two hemizygous variants identified in the same patient, p.R101C and p.R468Q, by expression of IDS with the individual mutations in COS 7 cells indicated that only the p.R468Q mutation affected IDS protein activity. Two exonic mutations, c.257C>T (p.P86L) and c.418G>A, were found to activate multiple cryptic splice sites, resulting in aberrantly spliced transcripts. Thus, MPS II in Thailand is caused by a diverse set of defects affecting both IDS protein production and activity.
authors.affiliation: Laboratory of Biochemistry, Chulabhorn Research Institute, Bangkok, 10210, Thailand.
authors.forename: S
authors.initials: S
authors.lastname: Keeratichamroen
authors.forename: J R Ketudat
authors.initials: JR
authors.lastname: Cairns
authors.forename: D
authors.initials: D
authors.lastname: Wattanasirichaigoon
authors.forename: P
authors.initials: P
authors.lastname: Wasant
authors.forename: L
authors.initials: L
authors.lastname: Ngiwsara
authors.forename: P
authors.initials: P
authors.lastname: Suwannarat
authors.forename: S
authors.initials: S
authors.lastname: Pangkanon
authors.forename: J
authors.initials: J
authors.lastname: Kuptanon
authors.forename: P
authors.initials: P
authors.lastname: Tanpaiboon
authors.forename: T
authors.initials: T
authors.lastname: Rujirawat
authors.forename: S
authors.initials: S
authors.lastname: Liammongkolkul
authors.forename: J
authors.initials: J
authors.lastname: Svasti
mesh_terms: D017398:Alternative Splicing; D000818:Animals; D044466:Asian People / Q000235:genetics; D019556:COS Cells; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002522:Chlorocebus aethiops; D018389:Codon, Nonsense; D004252:DNA Mutational Analysis; D015321:Gene Rearrangement; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing / Q000379:methods; D006023:Glycoproteins / Q000235:genetics* / Q000378:metabolism; D057898:Hemizygote; D006801:Humans; D016532:Mucopolysaccharidosis II / Q000175:diagnosis / Q000201:enzymology* / Q000208:ethnology / Q000235:genetics*; D009154:Mutation; D020125:Mutation, Missense; D010641:Phenotype; D017384:Sequence Deletion; D012720:Severity of Illness Index; D013785:Thailand / Q000453:epidemiology; D014162:Transfection
chemical_list: D018389:Codon, Nonsense; D006023:Glycoproteins; C018322:IDS protein, human