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Journal of Lipid Research, Vol 35, 1031-1039, Copyright © 1994 by Lipid Research, Inc.
KS Kim, S Kubota, M Kuriyama, J Fujiyama, I Bjorkhem, G Eggertsen and Y Seyama
Cerebrotendinous xanthomatosis (CTX) is a hereditary sterol storage disease
associated with accumulation of cholesterol and cholestanol in various
tissues, especially tendons and neural tissues. The biochemical defect that
causes CTX is a deficiency of the mitochondrial sterol 27- hydroxylase
which oxidizes the side chain of cholesterol in connection with formation
of bile acids. Japan has a relatively high prevalence of CTX and more cases
of the disease are found here than in any other country. In the present
study two new different point mutations are described in the heme-ligand
binding domain of the sterol 27- hydroxylase gene in three Japanese CTX
patients and one CTX heterozygote. Two of the homozygotes as well as the
heterozygote subject have a single base substitution of A for G at codon
441 [CGG (Arg) to CAG (Gln)]. Another homozygote has a transition of C to T
at codon 441 [CGG (Arg) to TGG (Trp)]. These two different mutations result
in two restriction fragment length polymorphisms (RFLPs) for the enzymes
StuI or HpaII. We also assayed sterol 27-hydroxylase activity using skin
fibroblasts derived from three CTX patients, one CTX heterozygote, and
normal subjects. While two of the homozygous subjects have undetectable
levels of the enzyme activity, one homozygous subject and one heterozygous
subject have decreased levels of the enzyme activity, about 1.4% and 10% of
normal, respectively. The results suggest that the newly identified point
mutations in the sterol 27- hydroxylase gene could account for the sterol
27-hydroxylase deficiency in the Japanese CTX patients.
ARTICLES
Identification of new mutations in sterol 27-hydroxylase gene in Japanese patients with cerebrotendinous xanthomatosis (CTX)
Department of Physiological Chemistry and Nutrition, Faculty of Medicine, University of Tokyo, Japan.
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