Abstract
mRNA analysis of the cystic fibrosis transmembrane regulator (CFTR) gene in tissues of cystic fibrosis (CF) patients has allowed us to detect a cryptic exon. The new exon involves 49 base pairs between exons 11 and 12 and is due to a point mutation (1811+1.6kbA-->G) that creates a new donor splice site in intron 11. Semiquantitative mRNA analysis showed that 1811+1.6kbA-->G-mRNA was 5-10-fold less abundant than delta F508 mRNA. Mutation 1811+1.6kbA-->G was found in 21 Spanish and 1 German CF chromosomes, making it the fourth-most-frequent mutation (2%) in the Spanish population. Individuals with genotype delta F508/1811+1.6kbA-->G have only 1%-3% of normal CFTR mRNA. This loss of 97% of normal CFTR mRNA must be responsible for the pancreatic insufficiency and for the severe CF phenotype in these patients.
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- Abeliovich D., Lavon I. P., Lerer I., Cohen T., Springer C., Avital A., Cutting G. R. Screening for five mutations detects 97% of cystic fibrosis (CF) chromosomes and predicts a carrier frequency of 1:29 in the Jewish Ashkenazi population. Am J Hum Genet. 1992 Nov;51(5):951–956. [PMC free article] [PubMed] [Google Scholar]
- Akli S., Chelly J., Lacorte J. M., Poenaru L., Kahn A. Seven novel Tay-Sachs mutations detected by chemical mismatch cleavage of PCR-amplified cDNA fragments. Genomics. 1991 Sep;11(1):124–134. doi: 10.1016/0888-7543(91)90109-r. [DOI] [PubMed] [Google Scholar]
- Chillón M., Casals T., Giménez J., Nunes V., Estivill X. Analysis of the CFTR gene in the Spanish population: SSCP-screening for 60 known mutations and identification of four new mutations (Q30X, A120T, 1812-1 G-->A, and 3667del4). Hum Mutat. 1994;3(3):223–230. doi: 10.1002/humu.1380030308. [DOI] [PubMed] [Google Scholar]
- Chillón M., Casals T., Giménez J., Ramos M. D., Palacio A., Morral N., Estivill X., Nunes V. Analysis of the CFTR gene confirms the high genetic heterogeneity of the Spanish population: 43 mutations account for only 78% of CF chromosomes. Hum Genet. 1994 Apr;93(4):447–451. doi: 10.1007/BF00201673. [DOI] [PubMed] [Google Scholar]
- Chillón M., Casals T., Nunes V., Giménez J., Pérez Ruiz E., Estivill X. Identification of a new missense mutation (P205S) in the first transmembrane domain of the CFTR gene associated with a mild cystic fibrosis phenotype. Hum Mol Genet. 1993 Oct;2(10):1741–1742. doi: 10.1093/hmg/2.10.1741. [DOI] [PubMed] [Google Scholar]
- Claustres M., Laussel M., Desgeorges M., Giansily M., Culard J. F., Razakatsara G., Demaille J. Analysis of the 27 exons and flanking regions of the cystic fibrosis gene: 40 different mutations account for 91.2% of the mutant alleles in southern France. Hum Mol Genet. 1993 Aug;2(8):1209–1213. doi: 10.1093/hmg/2.8.1209. [DOI] [PubMed] [Google Scholar]
- Cuppens H., Marynen P., De Boeck C., Cassiman J. J. Detection of 98.5% of the mutations in 200 Belgian cystic fibrosis alleles by reverse dot-blot and sequencing of the complete coding region and exon/intron junctions of the CFTR gene. Genomics. 1993 Dec;18(3):693–697. doi: 10.1016/s0888-7543(05)80376-3. [DOI] [PubMed] [Google Scholar]
- Dörk T., Neumann T., Wulbrand U., Wulf B., Kälin N., Maass G., Krawczak M., Guillermit H., Ferec C., Horn G. Intra- and extragenic marker haplotypes of CFTR mutations in cystic fibrosis families. Hum Genet. 1992 Feb;88(4):417–425. doi: 10.1007/BF00215676. [DOI] [PubMed] [Google Scholar]
- Estes P. A., Cooke N. E., Liebhaber S. A. A native RNA secondary structure controls alternative splice-site selection and generates two human growth hormone isoforms. J Biol Chem. 1992 Jul 25;267(21):14902–14908. [PubMed] [Google Scholar]
- Fonknechten N., Chelly J., Lepercq J., Kahn A., Kaplan J. C., Kitzis A., Chomel J. C. CFTR illegitimate transcription in lymphoid cells: quantification and applications to the investigation of pathological transcripts. Hum Genet. 1992 Mar;88(5):508–512. doi: 10.1007/BF00219336. [DOI] [PubMed] [Google Scholar]
- Férec C., Audrezet M. P., Mercier B., Guillermit H., Moullier P., Quere I., Verlingue C. Detection of over 98% cystic fibrosis mutations in a Celtic population. Nat Genet. 1992 Jun;1(3):188–191. doi: 10.1038/ng0692-188. [DOI] [PubMed] [Google Scholar]
- Hamosh A., Rosenstein B. J., Cutting G. R. CFTR nonsense mutations G542X and W1282X associated with severe reduction of CFTR mRNA in nasal epithelial cells. Hum Mol Genet. 1992 Oct;1(7):542–544. doi: 10.1093/hmg/1.7.542. [DOI] [PubMed] [Google Scholar]
- Kerem B., Rommens J. M., Buchanan J. A., Markiewicz D., Cox T. K., Chakravarti A., Buchwald M., Tsui L. C. Identification of the cystic fibrosis gene: genetic analysis. Science. 1989 Sep 8;245(4922):1073–1080. doi: 10.1126/science.2570460. [DOI] [PubMed] [Google Scholar]
- Krawczak M., Reiss J., Cooper D. N. The mutational spectrum of single base-pair substitutions in mRNA splice junctions of human genes: causes and consequences. Hum Genet. 1992 Sep-Oct;90(1-2):41–54. doi: 10.1007/BF00210743. [DOI] [PubMed] [Google Scholar]
- Morral N., Nunes V., Casals T., Chillón M., Giménez J., Bertranpetit J., Estivill X. Microsatellite haplotypes for cystic fibrosis: mutation frameworks and evolutionary tracers. Hum Mol Genet. 1993 Jul;2(7):1015–1022. doi: 10.1093/hmg/2.7.1015. [DOI] [PubMed] [Google Scholar]
- Morral N., Nunes V., Casals T., Cobos N., Asensio O., Dapena J., Estivill X. Uniparental inheritance of microsatellite alleles of the cystic fibrosis gene (CFTR): identification of a 50 kilobase deletion. Hum Mol Genet. 1993 Jun;2(6):677–681. doi: 10.1093/hmg/2.6.677. [DOI] [PubMed] [Google Scholar]
- SHWACHMAN H., KULCZYCKI L. L. Long-term study of one hundred five patients with cystic fibrosis; studies made over a five- to fourteen-year period. AMA J Dis Child. 1958 Jul;96(1):6–15. doi: 10.1001/archpedi.1958.02060060008002. [DOI] [PubMed] [Google Scholar]
- Senapathy P., Shapiro M. B., Harris N. L. Splice junctions, branch point sites, and exons: sequence statistics, identification, and applications to genome project. Methods Enzymol. 1990;183:252–278. doi: 10.1016/0076-6879(90)83018-5. [DOI] [PubMed] [Google Scholar]
- Tsui L. C. The spectrum of cystic fibrosis mutations. Trends Genet. 1992 Nov;8(11):392–398. doi: 10.1016/0168-9525(92)90301-j. [DOI] [PubMed] [Google Scholar]
- Welsh M. J., Smith A. E. Molecular mechanisms of CFTR chloride channel dysfunction in cystic fibrosis. Cell. 1993 Jul 2;73(7):1251–1254. doi: 10.1016/0092-8674(93)90353-r. [DOI] [PubMed] [Google Scholar]
- Wieringa B., Hofer E., Weissmann C. A minimal intron length but no specific internal sequence is required for splicing the large rabbit beta-globin intron. Cell. 1984 Jul;37(3):915–925. doi: 10.1016/0092-8674(84)90426-4. [DOI] [PubMed] [Google Scholar]
- Will K., Dörk T., Stuhrmann M., Meitinger T., Bertele-Harms R., Tümmler B., Schmidtke J. A novel exon in the cystic fibrosis transmembrane conductance regulator gene activated by the nonsense mutation E92X in airway epithelial cells of patients with cystic fibrosis. J Clin Invest. 1994 Apr;93(4):1852–1859. doi: 10.1172/JCI117172. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Will K., Stuhrmann M., Dean M., Schmidtke J. Alternative splicing in the first nucleotide binding fold of CFTR. Hum Mol Genet. 1993 Mar;2(3):231–235. doi: 10.1093/hmg/2.3.231. [DOI] [PubMed] [Google Scholar]
- Zhang Z. X., Wakamatsu N., Mules E. H., Thomas G. H., Gravel R. A. Impact of premature stop codons on mRNA levels in infantile Sandhoff disease. Hum Mol Genet. 1994 Jan;3(1):139–145. doi: 10.1093/hmg/3.1.139. [DOI] [PubMed] [Google Scholar]
- Zielenski J., Fujiwara T. M., Markiewicz D., Paradis A. J., Anacleto A. I., Richards B., Schwartz R. H., Klinger K. W., Tsui L. C., Morgan K. Identification of the M1101K mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene and complete detection of cystic fibrosis mutations in the Hutterite population. Am J Hum Genet. 1993 Mar;52(3):609–615. [PMC free article] [PubMed] [Google Scholar]
- Zielenski J., Rozmahel R., Bozon D., Kerem B., Grzelczak Z., Riordan J. R., Rommens J., Tsui L. C. Genomic DNA sequence of the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Genomics. 1991 May;10(1):214–228. doi: 10.1016/0888-7543(91)90503-7. [DOI] [PubMed] [Google Scholar]

