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American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1996 May;58(5):950–962.

Mucopolysaccharidosis IVA: four new exonic mutations in patients with N-acetylgalactosamine-6-sulfate sulfatase deficiency.

S Tomatsu 1, S Fukuda 1, A Yamagishi 1, A Cooper 1, J F Wraith 1, T Hori 1, Z Kato 1, N Yamada 1, K Isogai 1, K Sukegawa 1, N Kondo 1, Y Suzuki 1, N Shimozawa 1, T Orii 1
PMCID: PMC1914620  PMID: 8651279

Abstract

We report four new mutations in Japanese patients with mucopolysaccharidosis IVA (MPSIVA) who were heterozygous for a common double gene deletion. A nonsense mutation of CAG to TAG at codon 148 in exon 4 was identified, resulting in a change of Q to a stop codon and three missense mutations. V (GTC) to A (GCC) at codon 138 in exon 4, P (CCC) to S (TCC) at codon 151 in exon 5, and P (CCC) to L (CTC) at codon 151 in exon 5. Introduction of these mutations into the normal GALNS cDNA and transient expression in cultured fibroblasts resulted in a significant decrease in the enzyme activity. V138A and Q148X mutations result in changes of restriction site, which were analyzed by restriction-enzyme assay. P151S and P151L mutations that did not alter the restriction site were detected by direct sequencing or allele specific oligohybridization. Detection of the double gene deletion was initially done using Southern blots and was confirmed by PCR. Haplotypes were determined using seven polymorphisms to the GALNS locus in families with the double gene deletion. Haplotype analysis showed that the common double gene deletion occurred on a single haplotype, except for some variation in a VNTR-like polymorphism. This finding is consistent with a common founder for all individuals with this mutation.

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Selected References

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  1. Baker E., Guo X. H., Orsborn A. M., Sutherland G. R., Callen D. F., Hopwood J. J., Morris C. P. The morquio A syndrome (mucopolysaccharidosis IVA) gene maps to 16q24.3. Am J Hum Genet. 1993 Jan;52(1):96–98. [PMC free article] [PubMed] [Google Scholar]
  2. Beck M., Glössl J., Grubisic A., Spranger J. Heterogeneity of Morquio disease. Clin Genet. 1986 Apr;29(4):325–331. doi: 10.1111/j.1399-0004.1986.tb01262.x. [DOI] [PubMed] [Google Scholar]
  3. Bielicki J., Hopwood J. J. Human liver N-acetylgalactosamine 6-sulphatase. Purification and characterization. Biochem J. 1991 Oct 15;279(Pt 2):515–520. doi: 10.1042/bj2790515. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Chomczynski P., Sacchi N. Single-step method of RNA isolation by acid guanidinium thiocyanate-phenol-chloroform extraction. Anal Biochem. 1987 Apr;162(1):156–159. doi: 10.1006/abio.1987.9999. [DOI] [PubMed] [Google Scholar]
  5. Di Ferrante N., Ginsberg L. C., Donnelly P. V., Di Ferrante D. T., Caskey C. T. Deficiencies of glucosamine-6-sulfate or galactosamine-6-sulfate sulfatases are responsible for different mucopolysaccharidoses. Science. 1978 Jan 6;199(4324):79–81. doi: 10.1126/science.199.4324.79. [DOI] [PubMed] [Google Scholar]
  6. Fukuda S., Tomatsu S., Masue M., Sukegawa K., Iwata H., Ogawa T., Nakashima Y., Hori T., Yamagishi A., Hanyu Y. Mucopolysaccharidosis type IVA. N-acetylgalactosamine-6-sulfate sulfatase exonic point mutations in classical Morquio and mild cases. J Clin Invest. 1992 Sep;90(3):1049–1053. doi: 10.1172/JCI115919. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Glössl J., Kresse H. A sensitive procedure for the diagnosis of N-acetyl-galactosamine-6-sulfate sulfatase deficiency in classical Morquio's disease. Clin Chim Acta. 1978 Aug 15;88(1):111–119. doi: 10.1016/0009-8981(78)90157-2. [DOI] [PubMed] [Google Scholar]
  8. Hori T., Tomatsu S., Nakashima Y., Uchiyama A., Fukuda S., Sukegawa K., Shimozawa N., Suzuki Y., Kondo N., Horiuchi T. Mucopolysaccharidosis type IVA: common double deletion in the N-acetylgalactosamine-6-sulfatase gene (GALNS). Genomics. 1995 Apr 10;26(3):535–542. doi: 10.1016/0888-7543(95)80172-i. [DOI] [PubMed] [Google Scholar]
  9. Horwitz A. L., Dorfman A. The enzymic defect in Morquio's disease: the specificity of N-acetylhexosamine sulfatases. Biochem Biophys Res Commun. 1978 Feb 28;80(4):819–825. doi: 10.1016/0006-291x(78)91318-9. [DOI] [PubMed] [Google Scholar]
  10. Iwata H., Tomatsu S., Fukuda S., Uchiyama A., Rezvi G. M., Ogawa T., Hori T., Nakashima Y., Yamagishi A., Sukegawa K. Mucopolysaccharidosis IVA: polymorphic haplotypes and informative RFLPs in the Japanese population. Hum Genet. 1995 Mar;95(3):257–264. doi: 10.1007/BF00225190. [DOI] [PubMed] [Google Scholar]
  11. Masue M., Sukegawa K., Orii T., Hashimoto T. N-acetylgalactosamine-6-sulfate sulfatase in human placenta: purification and characteristics. J Biochem. 1991 Dec;110(6):965–970. doi: 10.1093/oxfordjournals.jbchem.a123697. [DOI] [PubMed] [Google Scholar]
  12. Masuno M., Tomatsu S., Nakashima Y., Hori T., Fukuda S., Masue M., Sukegawa K., Orii T. Mucopolysaccharidosis IV A: assignment of the human N-acetylgalactosamine-6-sulfate sulfatase (GALNS) gene to chromosome 16q24. Genomics. 1993 Jun;16(3):777–778. doi: 10.1006/geno.1993.1266. [DOI] [PubMed] [Google Scholar]
  13. Matsumura M., Becktel W. J., Matthews B. W. Hydrophobic stabilization in T4 lysozyme determined directly by multiple substitutions of Ile 3. Nature. 1988 Aug 4;334(6181):406–410. doi: 10.1038/334406a0. [DOI] [PubMed] [Google Scholar]
  14. Nakashima Y., Tomatsu S., Hori T., Fukuda S., Sukegawa K., Kondo N., Suzuki Y., Shimozawa N., Orii T. Mucopolysaccharidosis IV A: molecular cloning of the human N-acetylgalactosamine-6-sulfatase gene (GALNS) and analysis of the 5'-flanking region. Genomics. 1994 Mar 1;20(1):99–104. doi: 10.1006/geno.1994.1132. [DOI] [PubMed] [Google Scholar]
  15. Oliver M. F. Thrombosis and oestrogens. Lancet. 1967 Sep 2;2(7514):510–511. doi: 10.1016/s0140-6736(67)91679-0. [DOI] [PubMed] [Google Scholar]
  16. Orita M., Suzuki Y., Sekiya T., Hayashi K. Rapid and sensitive detection of point mutations and DNA polymorphisms using the polymerase chain reaction. Genomics. 1989 Nov;5(4):874–879. doi: 10.1016/0888-7543(89)90129-8. [DOI] [PubMed] [Google Scholar]
  17. Peters C., Schmidt B., Rommerskirch W., Rupp K., Zühlsdorf M., Vingron M., Meyer H. E., Pohlmann R., von Figura K. Phylogenetic conservation of arylsulfatases. cDNA cloning and expression of human arylsulfatase B. J Biol Chem. 1990 Feb 25;265(6):3374–3381. [PubMed] [Google Scholar]
  18. Polten A., Fluharty A. L., Fluharty C. B., Kappler J., von Figura K., Gieselmann V. Molecular basis of different forms of metachromatic leukodystrophy. N Engl J Med. 1991 Jan 3;324(1):18–22. doi: 10.1056/NEJM199101033240104. [DOI] [PubMed] [Google Scholar]
  19. Robertson D. A., Freeman C., Nelson P. V., Morris C. P., Hopwood J. J. Human glucosamine-6-sulfatase cDNA reveals homology with steroid sulfatase. Biochem Biophys Res Commun. 1988 Nov 30;157(1):218–224. doi: 10.1016/s0006-291x(88)80035-4. [DOI] [PubMed] [Google Scholar]
  20. Sasaki H., Yamada K., Akasaka K., Kawasaki H., Suzuki K., Saito A., Sato M., Shimada H. cDNA cloning, nucleotide sequence and expression of the gene for arylsulfatase in the sea urchin (Hemicentrotus pulcherrimus) embryo. Eur J Biochem. 1988 Oct 15;177(1):9–13. doi: 10.1111/j.1432-1033.1988.tb14338.x. [DOI] [PubMed] [Google Scholar]
  21. Scott H. S., Nelson P. V., Cooper A., Wraith J. E., Hopwood J. J., Morris C. P. Mucopolysaccharidosis type I (Hurler syndrome): linkage disequilibrium indicates the presence of a major allele. Hum Genet. 1992 Mar;88(6):701–702. doi: 10.1007/BF02265303. [DOI] [PubMed] [Google Scholar]
  22. Shortle D., Stites W. E., Meeker A. K. Contributions of the large hydrophobic amino acids to the stability of staphylococcal nuclease. Biochemistry. 1990 Sep 4;29(35):8033–8041. doi: 10.1021/bi00487a007. [DOI] [PubMed] [Google Scholar]
  23. Singh J., Di Ferrante N., Niebes P., Tavella D. N-acetylgalactosamine-6-sulfate sulfatase in man. Absence of the enzyme in Morquio disease. J Clin Invest. 1976 Apr;57(4):1036–1040. doi: 10.1172/JCI108345. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Stein C., Hille A., Seidel J., Rijnbout S., Waheed A., Schmidt B., Geuze H., von Figura K. Cloning and expression of human steroid-sulfatase. Membrane topology, glycosylation, and subcellular distribution in BHK-21 cells. J Biol Chem. 1989 Aug 15;264(23):13865–13872. [PubMed] [Google Scholar]
  25. Sukegawa K., Orii T. Residual activity in fibroblasts from two brothers with the late-onset form of N-acetylgalactosamine-6-sulphate sulphatase deficiency. J Inherit Metab Dis. 1982;5(4):231–232. doi: 10.1007/BF02179150. [DOI] [PubMed] [Google Scholar]
  26. Svensson E., von Döbeln U., Hagenfeldt L. Polymorphic DNA haplotypes at the phenylalanine hydroxylase locus and their relation to phenotype in Swedish phenylketonuria families. Hum Genet. 1991 May;87(1):11–17. doi: 10.1007/BF01213084. [DOI] [PubMed] [Google Scholar]
  27. Taroni F., Verderio E., Dworzak F., Willems P. J., Cavadini P., DiDonato S. Identification of a common mutation in the carnitine palmitoyltransferase II gene in familial recurrent myoglobinuria patients. Nat Genet. 1993 Jul;4(3):314–320. doi: 10.1038/ng0793-314. [DOI] [PubMed] [Google Scholar]
  28. Tomatsu S., Fukuda S., Cooper A., Wraith J. E., Rezvi G. M., Yamagishi A., Yamada N., Kato Z., Isogai K., Sukegawa K. Mucopolysaccharidosis IVA: identification of a common missense mutation I113F in the N-Acetylgalactosamine-6-sulfate sulfatase gene. Am J Hum Genet. 1995 Sep;57(3):556–563. [PMC free article] [PubMed] [Google Scholar]
  29. Tomatsu S., Fukuda S., Cooper A., Wraith J. E., Uchiyama A., Hori T., Nakashima Y., Yamada N., Sukegawa K., Kondo N. Mucopolysaccharidosis IVA: structural gene alterations identified by Southern blot analysis and identification of racial differences. Hum Genet. 1995 Apr;95(4):376–381. doi: 10.1007/BF00208958. [DOI] [PubMed] [Google Scholar]
  30. Tomatsu S., Fukuda S., Iwata H., Ogawa T., Sukegawa K., Orii T. XhoI and SphI RFLPs in the GALNS gene. Hum Mol Genet. 1994 Jul;3(7):1208–1208. [PubMed] [Google Scholar]
  31. Tomatsu S., Fukuda S., Masue M., Sukegawa K., Fukao T., Yamagishi A., Hori T., Iwata H., Ogawa T., Nakashima Y. Morquio disease: isolation, characterization and expression of full-length cDNA for human N-acetylgalactosamine-6-sulfate sulfatase. Biochem Biophys Res Commun. 1991 Dec 16;181(2):677–683. doi: 10.1016/0006-291x(91)91244-7. [DOI] [PubMed] [Google Scholar]
  32. Tomatsu S., Fukuda S., Ogawa T., Kato Z., Isogai K., Kondo N., Suzuki Y., Shimozawa N., Sukegawa K., Orii T. A novel splice site mutation in intron 1 of the GALNS gene in a Japanese patient with mucopolysaccharidosis IVA. Hum Mol Genet. 1994 Aug;3(8):1427–1428. doi: 10.1093/hmg/3.8.1427. [DOI] [PubMed] [Google Scholar]
  33. Tomatsu S., Fukuda S., Uchiyama A., Hori T., Nakashima Y., Sukegawa K., Kondo N., Suzuki Y., Shimozawa N., Orii T. Polymerase chain reaction detection of two novel human N-acetylgalactosamine-6-sulfate sulfatase gene polymorphisms by single-strand conformation polymorphism analysis or by StyI and StuI cleavages. Hum Genet. 1995 Feb;95(2):243–244. doi: 10.1007/BF00209415. [DOI] [PubMed] [Google Scholar]
  34. Vanhoof G., Goossens F., De Meester I., Hendriks D., Scharpé S. Proline motifs in peptides and their biological processing. FASEB J. 1995 Jun;9(9):736–744. [PubMed] [Google Scholar]
  35. Wilson P. J., Morris C. P., Anson D. S., Occhiodoro T., Bielicki J., Clements P. R., Hopwood J. J. Hunter syndrome: isolation of an iduronate-2-sulfatase cDNA clone and analysis of patient DNA. Proc Natl Acad Sci U S A. 1990 Nov;87(21):8531–8535. doi: 10.1073/pnas.87.21.8531. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Zhang Z., Kolvraa S., Zhou Y., Kelly D. P., Gregersen N., Strauss A. W. Three RFLPs defining a haplotype associated with the common mutation in human medium-chain acyl-CoA dehydrogenase (MCAD) deficiency occur in Alu repeats. Am J Hum Genet. 1993 Jun;52(6):1111–1121. [PMC free article] [PubMed] [Google Scholar]

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