Abstract
In six unrelated patients with hereditary tyrosinemia type 1 (HT1), three different disease-causing mutations were found by DNA sequencing. Two Pakistani patients, with acute and intermediate forms of HT1, were homozygous for a G192-->T mutation in the last nucleotide of exon 2. This caused aberrant splicing with partial intron 2 retention and premature termination. Three Turkish patients with chronic and intermediate forms of HT1 were homozygous for an A698-->T mutation substituting aspartic acid 233 with valine. A Norwegian patient with an intermediate clinical phenotype was heterozygous for G786-->A, introducing a TGA stop codon for Trp262 (W262X). Site-directed mutagenesis and expression in a rabbit reticulocyte lysate system demonstrated that the nonsense and missense mutations abolished fumarylacetoacetase activity and gave reduced amounts of a truncated and a full-length protein, respectively. Simple tests were established to identify the three mutations by restriction digestion of PCR-amplified genomic DNA. Among 30 additional HT1 patients investigated, 2 were found to be homozygous and 1 heterozygous for G192-->T. Two other patients were homozygous and one was heterozygous for W262X.
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- Balnaves M. E., Nasioulas S., Dahl H. H., Forrest S. Direct PCR from CVS and blood lysates for detection of cystic fibrosis and Duchenne muscular dystrophy deletions. Nucleic Acids Res. 1991 Mar 11;19(5):1155–1155. doi: 10.1093/nar/19.5.1155. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Berger R., Van Faassen H., Taanman J. W., De Vries H., Agsteribbe E. Type I tyrosinemia: lack of immunologically detectable fumarylacetoacetase enzyme protein in tissues and cell extracts. Pediatr Res. 1987 Oct;22(4):394–398. doi: 10.1203/00006450-198710000-00005. [DOI] [PubMed] [Google Scholar]
- Cleveland D. W., Lopata M. A., MacDonald R. J., Cowan N. J., Rutter W. J., Kirschner M. W. Number and evolutionary conservation of alpha- and beta-tubulin and cytoplasmic beta- and gamma-actin genes using specific cloned cDNA probes. Cell. 1980 May;20(1):95–105. doi: 10.1016/0092-8674(80)90238-x. [DOI] [PubMed] [Google Scholar]
- Coşkun T., Ozalp I., Koçak N., Yüce A., Caglar M., Berger R. Type I hereditary tyrosinaemia: presentation of 11 cases. J Inherit Metab Dis. 1991;14(5):765–770. doi: 10.1007/BF01799947. [DOI] [PubMed] [Google Scholar]
- Grompe M., al-Dhalimy M. Mutations of the fumarylacetoacetate hydrolase gene in four patients with tyrosinemia, type I. Hum Mutat. 1993;2(2):85–93. doi: 10.1002/humu.1380020205. [DOI] [PubMed] [Google Scholar]
- Hultman T., Bergh S., Moks T., Uhlén M. Bidirectional solid-phase sequencing of in vitro-amplified plasmid DNA. Biotechniques. 1991 Jan;10(1):84–93. [PubMed] [Google Scholar]
- Kristensen T., Voss H., Schwager C., Stegemann J., Sproat B., Ansorge W. T7 DNA polymerase in automated dideoxy sequencing. Nucleic Acids Res. 1988 Apr 25;16(8):3487–3496. doi: 10.1093/nar/16.8.3487. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kvittingen E. A., Brodtkorb E. The pre- and post-natal diagnosis of tyrosinemia type I and the detection of the carrier state by assay of fumarylacetoacetase. Scand J Clin Lab Invest Suppl. 1986;184:35–40. [PubMed] [Google Scholar]
- Kvittingen E. A., Rootwelt H., Brandtzaeg P., Bergan A., Berger R. Hereditary tyrosinemia type I. Self-induced correction of the fumarylacetoacetase defect. J Clin Invest. 1993 Apr;91(4):1816–1821. doi: 10.1172/JCI116393. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Labelle Y., Phaneuf D., Leclerc B., Tanguay R. M. Characterization of the human fumarylacetoacetate hydrolase gene and identification of a missense mutation abolishing enzymatic activity. Hum Mol Genet. 1993 Jul;2(7):941–946. doi: 10.1093/hmg/2.7.941. [DOI] [PubMed] [Google Scholar]
- Lindstedt S., Holme E., Lock E. A., Hjalmarson O., Strandvik B. Treatment of hereditary tyrosinaemia type I by inhibition of 4-hydroxyphenylpyruvate dioxygenase. Lancet. 1992 Oct 3;340(8823):813–817. doi: 10.1016/0140-6736(92)92685-9. [DOI] [PubMed] [Google Scholar]
- Mitchell G., Larochelle J., Lambert M., Michaud J., Grenier A., Ogier H., Gauthier M., Lacroix J., Vanasse M., Larbrisseau A. Neurologic crises in hereditary tyrosinemia. N Engl J Med. 1990 Feb 15;322(7):432–437. doi: 10.1056/NEJM199002153220704. [DOI] [PubMed] [Google Scholar]
- Penotti F. E. Human pre-mRNA splicing signals. J Theor Biol. 1991 Jun 7;150(3):385–420. doi: 10.1016/s0022-5193(05)80436-9. [DOI] [PubMed] [Google Scholar]
- Phaneuf D., Labelle Y., Bérubé D., Arden K., Cavenee W., Gagné R., Tanguay R. M. Cloning and expression of the cDNA encoding human fumarylacetoacetate hydrolase, the enzyme deficient in hereditary tyrosinemia: assignment of the gene to chromosome 15. Am J Hum Genet. 1991 Mar;48(3):525–535. [PMC free article] [PubMed] [Google Scholar]
- Phaneuf D., Lambert M., Laframboise R., Mitchell G., Lettre F., Tanguay R. M. Type 1 hereditary tyrosinemia. Evidence for molecular heterogeneity and identification of a causal mutation in a French Canadian patient. J Clin Invest. 1992 Oct;90(4):1185–1192. doi: 10.1172/JCI115979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rootwelt H., Chou J., Gahl W. A., Berger R., Coşkun T., Brodtkorb E., Kvittingen E. A. Two missense mutations causing tyrosinemia type 1 with presence and absence of immunoreactive fumarylacetoacetase. Hum Genet. 1994 Jun;93(6):615–619. doi: 10.1007/BF00201558. [DOI] [PubMed] [Google Scholar]
- Rootwelt H., Kvittingen E. A., Høie K., Agsteribbe E., Hartog M., van Faassen H., Berger R. The human fumarylacetoacetase gene: characterisation of restriction fragment length polymorphisms and identification of haplotypes in tyrosinemia type 1 and pseudodeficiency. Hum Genet. 1992 May;89(2):229–233. doi: 10.1007/BF00217128. [DOI] [PubMed] [Google Scholar]
- St-Louis M., Leclerc B., Laine J., Salo M. K., Holmberg C., Tanguay R. M. Identification of a stop mutation in five Finnish patients suffering from hereditary tyrosinemia type I. Hum Mol Genet. 1994 Jan;3(1):69–72. doi: 10.1093/hmg/3.1.69. [DOI] [PubMed] [Google Scholar]
- Weinberg A. G., Mize C. E., Worthen H. G. The occurrence of hepatoma in the chronic form of hereditary tyrosinemia. J Pediatr. 1976 Mar;88(3):434–438. doi: 10.1016/s0022-3476(76)80259-4. [DOI] [PubMed] [Google Scholar]



