PEX1 mutations in complementation group 1 of Zellweger spectrum patients correlate with severity of disease
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PEX1 mutations in complementation group 1 of Zellweger spectrum patients correlate with severity of disease. / Preuss, Natalie; Brosius, Ute; Biermanns, Martina; Muntau, Ania C; Conzelmann, Ernst; Gartner, Jutta.
in: PEDIATR RES, Jahrgang 51, Nr. 6, 06.2002, S. 706-14.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - PEX1 mutations in complementation group 1 of Zellweger spectrum patients correlate with severity of disease
AU - Preuss, Natalie
AU - Brosius, Ute
AU - Biermanns, Martina
AU - Muntau, Ania C
AU - Conzelmann, Ernst
AU - Gartner, Jutta
PY - 2002/6
Y1 - 2002/6
N2 - The peroxisome biogenesis disorders (PBD) are a group of autosomal-recessive diseases with complex developmental and metabolic phenotypes, including the Zellweger spectrum and rhizomelic chondrodysplasia punctata. The diseases are caused by defects in peroxisomal matrix protein import and are characterized by the loss of multiple peroxisomal metabolic functions. In humans, 12 complementation groups have been identified, with complementation group 1 accounting for more than two thirds of all PBD patients. Mutations in the PEX1 gene encoding a member of the AAA protein family of ATPases are responsible for the defects in this group, and a variety of PEX1 mutant alleles have been described. We characterized the PEX1 gene mutations and associated haplotypes in a group of thoroughly documented Zellweger spectrum patients in complementation group 1 who represent the broad range of phenotypic variation. We compared the type of mutation with the age of survival, clinical manifestations, and biochemical alterations and found a close relationship between genotype and age of survival. Missense mutations cause a milder form of disease, whereas insertions, deletions, and nonsense mutations are associated with severe clinical phenotypes. Thus, knowing the PEX1 gene mutation is helpful in predicting the course of disease in individual cases.
AB - The peroxisome biogenesis disorders (PBD) are a group of autosomal-recessive diseases with complex developmental and metabolic phenotypes, including the Zellweger spectrum and rhizomelic chondrodysplasia punctata. The diseases are caused by defects in peroxisomal matrix protein import and are characterized by the loss of multiple peroxisomal metabolic functions. In humans, 12 complementation groups have been identified, with complementation group 1 accounting for more than two thirds of all PBD patients. Mutations in the PEX1 gene encoding a member of the AAA protein family of ATPases are responsible for the defects in this group, and a variety of PEX1 mutant alleles have been described. We characterized the PEX1 gene mutations and associated haplotypes in a group of thoroughly documented Zellweger spectrum patients in complementation group 1 who represent the broad range of phenotypic variation. We compared the type of mutation with the age of survival, clinical manifestations, and biochemical alterations and found a close relationship between genotype and age of survival. Missense mutations cause a milder form of disease, whereas insertions, deletions, and nonsense mutations are associated with severe clinical phenotypes. Thus, knowing the PEX1 gene mutation is helpful in predicting the course of disease in individual cases.
KW - ATPases Associated with Diverse Cellular Activities
KW - Adolescent
KW - Adult
KW - Child
KW - Child, Preschool
KW - Fatty Acids/blood
KW - Genetic Complementation Test
KW - Genotype
KW - Haplotypes
KW - Humans
KW - Membrane Proteins/genetics
KW - Phenotype
KW - Polymorphism, Single-Stranded Conformational
KW - Severity of Illness Index
KW - Zellweger Syndrome/genetics
U2 - 10.1203/00006450-200206000-00008
DO - 10.1203/00006450-200206000-00008
M3 - SCORING: Journal article
C2 - 12032265
VL - 51
SP - 706
EP - 714
JO - PEDIATR RES
JF - PEDIATR RES
SN - 0031-3998
IS - 6
ER -