A MANBA mutation resulting in residual beta-mannosidase activity associated with severe leukoencephalopathy: a possible pseudodeficiency variant.
BACKGROUND
beta-Mannosidosis (OMIM 248510) is a rare inborn lysosomal storage disorder caused by the deficient activity of beta-mannosidase, an enzyme encoded by a single gene (MANBA) located on chromosome 4q22-25. To date, only 20 cases of this autosomal recessive disorder have been described and 14 different MANBA mutations were incriminated in the disease. These are all null mutations or missense mutations that abolish beta-mannosidase activity. In this study, we characterized the molecular defect of a new case of beta-mannosidosis, presenting with a severe neurological disorder.


METHODS
Genomic DNA was isolated from peripheral blood leukocytes of the patient to allow MANBA sequencing. The identified mutation was engineered by site-directed mutagenesis and the mutant protein was expressed through transient transfection in HEK293T cells. The beta-mannosidase expression and activity were respectively assessed by Western blot and fluorometric assay in both leukocytes and HEK293T cells.


RESULTS
A missense disease-associated mutation, c.1922G>A (p.Arg641His), was identified for which the patient was homozygous. In contrast to previously described missense mutations, this substitution does not totally abrogate the enzyme activity but led to a residual activity of about 7% in the patient's leukocytes, 11% in lymphoblasts and 14% in plasma. Expression studies in transfected cells also resulted in 7% residual activity.


CONCLUSIONS
Correlations between MANBA mutations, residual activity of beta-mannosidase and the severity of the ensuing neurological disorder are discussed. Whether the c.1922G>A mutation is responsible for a yet undescribed pseudodeficiency of beta-mannosidase is also discussed.
Sabourdy
Frédérique
F
Laboratoire de Biochimie 'Maladies Métaboliques', Institut Fédératif de Biologie, CHU Purpan, Toulouse, France. frederique.sabourdy@inserm.fr
Labauge
Pierre
P
Stensland
Hilde Monica Frostad Riise
HM
Nieto
Michèle
M
Garcés
Violeta Latorre
VL
Renard
Dimitri
D
Castelnovo
Giovanni
G
de Champfleur
Nicolas
N
Levade
Thierry
T
D015153:Blotting, Western; D002460:Cell Line; D002648:Child; D004252:DNA Mutational Analysis; D015140:Dementia, Vascular / Q000150:complications / Q000235:genetics; D005260:Female; D015870:Gene Expression; D006801:Humans; D008297:Male; D016297:Mutagenesis, Site-Directed; D020125:Mutation, Missense; D010375:Pedigree; D014162:Transfection; D044902:beta-Mannosidase / Q000172:deficiency / Q000235:genetics*; D044905:beta-Mannosidosis / Q000150:complications / Q000235:genetics*
D044902:beta-Mannosidase