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Journal of Lipid Research, Vol 36, 1315-1324, Copyright © 1995 by Lipid Research, Inc.
N Lelli, R Garuti, M Ghisellini, R Tiozzo, M Rolleri, V Aimale, E Ginocchio, A Naselli, S Bertolini and S Calandra
A novel point mutation of the LDL-receptor gene was found in an Italian
patient with homozygous familial hypercholesterolemia. The SSCP analysis of
the promoter and of 16 out of the 18 exons of the LDL- receptor gene was
negative, suggesting that the mutation might be located in the region of
the gene encompassing exons 14 and 15, a region that had not been amenable
to polymerase chain reaction (PCR) amplification from genomic DNA. This
region was amplified from cDNA by reverse transcription PCR (RT-PCR).
RT-PCR of proband cDNA generated three fragments of 800, 600, and 550 bp,
respectively, as opposed to a single 720 bp fragment obtained from control
cDNA. The sequence of these fragments showed that: i) in the 800-bp
fragment exon 14 continued with the 5' end of intron 15 (90 nucleotides),
which in turn was followed by exon 16; ii) in the 600-bp fragment exon 14
was followed by the 5' end of exon 15 (50 nucleotides), which continued
with exon 16; iii) in the 550-bp fragment exon 14 joined directly to exon
16. These abnormally spliced mRNAs resulted from a G-->A transition at
the +1 nucleotide of intron 15, which changed the invariant GT dinucleotide
of the 5' donor splice site. That was associated with the activation of two
cryptic donor splice sites in intron 15 and exon 15, respectively, and the
use of an alternative splicing leading to the skipping of exon 15. Northern
blot analysis showed that the overall content of these aberrantly spliced
mRNAs in proband fibroblasts was one-fourth that found in control cells.
These abnormally spliced mRNAs are predicted to encode three abnormal
receptor proteins: the first would contain an insertion of 30 novel amino
acids; the second would be a truncated protein of 709 amino acids; the
third would be devoid of the 57 amino acids of the O-linked sugar domain.
Ligand blot experiments indicated that the amount of LDL- receptor present
in proband's fibroblasts was approximately one-tenth that found in control
cells.
ARTICLES
Occurrence of multiple aberrantly spliced mRNAs of the LDL-receptor gene upon a donor splice site mutation that causes familial hypercholesterolemia (FHBenevento)
Dipartimento di Scienze Biomediche, Universita di Modena, Italy.
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