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Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1999 Nov;36(11):833–836.

Mutation analysis in patients of Mediterranean descent with Wilson disease: identification of 19 novel mutations

G Loudianos 1, V Dessi 1, M Lovicu 1, A Angius 1, B Altuntas 1, R Giacchino 1, M Marazzi 1, M Marcellini 1, M R Sartorelli 1, G C Sturniolo 1, N Kocak 1, A Yuce 1, N Akar 1, M Pirastu 1, A Cao 1
PMCID: PMC1734255  PMID: 10544227

Abstract

In this study, we report further results of mutation analysis of the ATP7B gene in Wilson disease (WD) patients of Mediterranean origin. A total of 136 WD chromosomes, 73 of which were of Italian, 43 of Turkish, 18 of Sardinian, and two of Spanish origin, were analysed and the mutation characterised in 84.5% of them. We found 50 different mutations of which 19 are novel, including three nonsense, one frameshift, and 15 missense mutations. The mutations detected were rare and mostly found in the compound heterozygous state together with other mutations and only rarely in homozygosity. Most of these mutations lie in the transmembrane and ATP binding loop regions. These data expand our knowledge of both the structure-function relationships of the WD protein and the molecular pathology of WD, thus improving our capability of prevention and genetic counselling.


Keywords: Wilson disease; mutation; ATP7B; compound heterozygote

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Selected References

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  1. Andersen J. P., Vilsen B. Structure-function relationships of cation translocation by Ca(2+)- and Na+, K(+)-ATPases studied by site-directed mutagenesis. FEBS Lett. 1995 Feb 13;359(2-3):101–106. doi: 10.1016/0014-5793(95)00019-6. [DOI] [PubMed] [Google Scholar]
  2. Bull P. C., Thomas G. R., Rommens J. M., Forbes J. R., Cox D. W. The Wilson disease gene is a putative copper transporting P-type ATPase similar to the Menkes gene. Nat Genet. 1993 Dec;5(4):327–337. doi: 10.1038/ng1293-327. [DOI] [PubMed] [Google Scholar]
  3. Chelly J., Tümer Z., Tønnesen T., Petterson A., Ishikawa-Brush Y., Tommerup N., Horn N., Monaco A. P. Isolation of a candidate gene for Menkes disease that encodes a potential heavy metal binding protein. Nat Genet. 1993 Jan;3(1):14–19. doi: 10.1038/ng0193-14. [DOI] [PubMed] [Google Scholar]
  4. Chuang L. M., Wu H. P., Jang M. H., Wang T. R., Sue W. C., Lin B. J., Cox D. W., Tai T. Y. High frequency of two mutations in codon 778 in exon 8 of the ATP7B gene in Taiwanese families with Wilson disease. J Med Genet. 1996 Jun;33(6):521–523. doi: 10.1136/jmg.33.6.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dierick H. A., Ambrosini L., Spencer J., Glover T. W., Mercer J. F. Molecular structure of the Menkes disease gene (ATP7A). Genomics. 1995 Aug 10;28(3):462–469. doi: 10.1006/geno.1995.1175. [DOI] [PubMed] [Google Scholar]
  6. Figus A., Angius A., Loudianos G., Bertini C., Dessi V., Loi A., Deiana M., Lovicu M., Olla N., Sole G. Molecular pathology and haplotype analysis of Wilson disease in Mediterranean populations. Am J Hum Genet. 1995 Dec;57(6):1318–1324. [PMC free article] [PubMed] [Google Scholar]
  7. Kalinsky H., Funes A., Zeldin A., Pel-Or Y., Korostishevsky M., Gershoni-Baruch R., Farrer L. A., Bonne-Tamir B. Novel ATP7B mutations causing Wilson disease in several Israeli ethnic groups. Hum Mutat. 1998;11(2):145–151. doi: 10.1002/(SICI)1098-1004(1998)11:2<145::AID-HUMU7>3.0.CO;2-I. [DOI] [PubMed] [Google Scholar]
  8. Kim E. K., Yoo O. J., Song K. Y., Yoo H. W., Choi S. Y., Cho S. W., Hahn S. H. Identification of three novel mutations and a high frequency of the Arg778Leu mutation in Korean patients with Wilson disease. Hum Mutat. 1998;11(4):275–278. doi: 10.1002/(SICI)1098-1004(1998)11:4<275::AID-HUMU4>3.0.CO;2-L. [DOI] [PubMed] [Google Scholar]
  9. Loudianos G., Dessì V., Angius A., Lovicu M., Loi A., Deiana M., Akar N., Vajro P., Figus A., Cao A. Wilson disease mutations associated with uncommon haplotypes in Mediterranean patients. Hum Genet. 1996 Dec;98(6):640–642. doi: 10.1007/s004390050275. [DOI] [PubMed] [Google Scholar]
  10. Loudianos G., Dessì V., Lovicu M., Angius A., Kanavakis E., Tzetis M., Kattamis C., Manolaki N., Vassiliki G., Karpathios T. Haplotype and mutation analysis in Greek patients with Wilson disease. Eur J Hum Genet. 1998 Sep-Oct;6(5):487–491. doi: 10.1038/sj.ejhg.5200219. [DOI] [PubMed] [Google Scholar]
  11. Loudianos G., Dessì V., Lovicu M., Angius A., Nurchi A., Sturniolo G. C., Marcellini M., Zancan L., Bragetti P., Akar N. Further delineation of the molecular pathology of Wilson disease in the Mediterranean population. Hum Mutat. 1998;12(2):89–94. doi: 10.1002/(SICI)1098-1004(1998)12:2<89::AID-HUMU3>3.0.CO;2-G. [DOI] [PubMed] [Google Scholar]
  12. Lutsenko S., Kaplan J. H. Organization of P-type ATPases: significance of structural diversity. Biochemistry. 1995 Dec 5;34(48):15607–15613. doi: 10.1021/bi00048a001. [DOI] [PubMed] [Google Scholar]
  13. Mercer J. F., Livingston J., Hall B., Paynter J. A., Begy C., Chandrasekharappa S., Lockhart P., Grimes A., Bhave M., Siemieniak D. Isolation of a partial candidate gene for Menkes disease by positional cloning. Nat Genet. 1993 Jan;3(1):20–25. doi: 10.1038/ng0193-20. [DOI] [PubMed] [Google Scholar]
  14. Nanji M. S., Nguyen V. T., Kawasoe J. H., Inui K., Endo F., Nakajima T., Anezaki T., Cox D. W. Haplotype and mutation analysis in Japanese patients with Wilson disease. Am J Hum Genet. 1997 Jun;60(6):1423–1429. doi: 10.1086/515459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Petrukhin K., Lutsenko S., Chernov I., Ross B. M., Kaplan J. H., Gilliam T. C. Characterization of the Wilson disease gene encoding a P-type copper transporting ATPase: genomic organization, alternative splicing, and structure/function predictions. Hum Mol Genet. 1994 Sep;3(9):1647–1656. doi: 10.1093/hmg/3.9.1647. [DOI] [PubMed] [Google Scholar]
  16. Shah A. B., Chernov I., Zhang H. T., Ross B. M., Das K., Lutsenko S., Parano E., Pavone L., Evgrafov O., Ivanova-Smolenskaya I. A. Identification and analysis of mutations in the Wilson disease gene (ATP7B): population frequencies, genotype-phenotype correlation, and functional analyses. Am J Hum Genet. 1997 Aug;61(2):317–328. doi: 10.1086/514864. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Tanzi R. E., Petrukhin K., Chernov I., Pellequer J. L., Wasco W., Ross B., Romano D. M., Parano E., Pavone L., Brzustowicz L. M. The Wilson disease gene is a copper transporting ATPase with homology to the Menkes disease gene. Nat Genet. 1993 Dec;5(4):344–350. doi: 10.1038/ng1293-344. [DOI] [PubMed] [Google Scholar]
  18. Thomas G. R., Forbes J. R., Roberts E. A., Walshe J. M., Cox D. W. The Wilson disease gene: spectrum of mutations and their consequences. Nat Genet. 1995 Feb;9(2):210–217. doi: 10.1038/ng0295-210. [DOI] [PubMed] [Google Scholar]
  19. Thomas G. R., Jensson O., Gudmundsson G., Thorsteinsson L., Cox D. W. Wilson disease in Iceland: a clinical and genetic study. Am J Hum Genet. 1995 May;56(5):1140–1146. [PMC free article] [PubMed] [Google Scholar]
  20. Tümer Z., Vural B., Tønnesen T., Chelly J., Monaco A. P., Horn N. Characterization of the exon structure of the Menkes disease gene using vectorette PCR. Genomics. 1995 Apr 10;26(3):437–442. doi: 10.1016/0888-7543(95)80160-n. [DOI] [PubMed] [Google Scholar]
  21. Vulpe C., Levinson B., Whitney S., Packman S., Gitschier J. Isolation of a candidate gene for Menkes disease and evidence that it encodes a copper-transporting ATPase. Nat Genet. 1993 Jan;3(1):7–13. doi: 10.1038/ng0193-7. [DOI] [PubMed] [Google Scholar]
  22. Waldenström E., Lagerkvist A., Dahlman T., Westermark K., Landegren U. Efficient detection of mutations in Wilson disease by manifold sequencing. Genomics. 1996 Nov 1;37(3):303–309. doi: 10.1006/geno.1996.0564. [DOI] [PubMed] [Google Scholar]
  23. Yamaguchi Y., Heiny M. E., Gitlin J. D. Isolation and characterization of a human liver cDNA as a candidate gene for Wilson disease. Biochem Biophys Res Commun. 1993 Nov 30;197(1):271–277. doi: 10.1006/bbrc.1993.2471. [DOI] [PubMed] [Google Scholar]

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