Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1997-7-21
pubmed:abstractText
Medium-chain acyl-CoA dehydrogenase (MCAD) deficiency is the most commonly recognized defect of mitochondrial beta-oxidation. It is potentially fatal, but shows a wide clinical spectrum. The aim of the present study was to investigate whether any correlation exists between MCAD genotype and disease phenotype. We determined the prevalence of the 14 known and seven previously unknown non-G985 mutations in 52 families with MCAD deficiency not caused by homozygosity for the prevalent G985 mutation. This showed that none of the non-G985 mutations are prevalent, and led to the identification of both disease-causing mutations in 14 families in whom both mutations had not previously been reported. We then evaluated the severity of the mutations identified in these 14 families. Using expression of mutant MCAD in Escherichia coli with or without co-overexpression of the molecular chaperonins GroESL we showed that five of the missense mutations affect the folding and/or stability of the protein, and that the residual enzyme activity of some of them could be modulated to a different extent depending on the amounts of available chaperonins. Thus, some of the missense mutations may result in relatively high levels of residual enzyme activity, whereas the mutations leading to premature stop codons will result in no residual enzyme activity. By correlating the observed types of mutations identified to the clinical/biochemical data in the 14 patients in whom we identified both disease-causing mutations, we show that a genotype/phenotype correlation in MCAD deficiency is not straightforward. Different mutations may contribute with different susceptibilities for disease precipitation, when the patient is subjected to metabolic stress, but other genetic and environmental factors may play an equally important role.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0964-6906
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
695-707
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:9158144-Acyl-CoA Dehydrogenase, pubmed-meshheading:9158144-Acyl-CoA Dehydrogenases, pubmed-meshheading:9158144-Adolescent, pubmed-meshheading:9158144-Alleles, pubmed-meshheading:9158144-Blotting, Western, pubmed-meshheading:9158144-Chaperonin 10, pubmed-meshheading:9158144-Chaperonin 60, pubmed-meshheading:9158144-Child, pubmed-meshheading:9158144-Child, Preschool, pubmed-meshheading:9158144-Enzyme Activation, pubmed-meshheading:9158144-Escherichia coli, pubmed-meshheading:9158144-Exons, pubmed-meshheading:9158144-Female, pubmed-meshheading:9158144-Heterozygote, pubmed-meshheading:9158144-Humans, pubmed-meshheading:9158144-Infant, pubmed-meshheading:9158144-Infant, Newborn, pubmed-meshheading:9158144-Male, pubmed-meshheading:9158144-Mutation, pubmed-meshheading:9158144-Pedigree, pubmed-meshheading:9158144-Phenotype, pubmed-meshheading:9158144-Polymerase Chain Reaction, pubmed-meshheading:9158144-Recombinant Proteins, pubmed-meshheading:9158144-Restriction Mapping, pubmed-meshheading:9158144-Sequence Analysis, DNA, pubmed-meshheading:9158144-Sequence Deletion, pubmed-meshheading:9158144-Temperature
pubmed:year
1997
pubmed:articleTitle
The molecular basis of medium-chain acyl-CoA dehydrogenase (MCAD) deficiency in compound heterozygous patients: is there correlation between genotype and phenotype?
pubmed:affiliation
Center for Medical Molecular Biology, Aarhus University Hospital and Faculty of Health Science, Denmark. brage@biobase.dk
pubmed:publicationType
Journal Article