Abstract
Monoamine oxidases (MAO-A and MAO-B) have a key role in the degradation of amine neurotransmitters, such as dopamine, norepinephrine and serotonin. We identified an inherited 240 kb deletion on Xp11.3–p11.4, which encompasses both monoamine oxidase genes but, unlike other published reports, does not affect the adjacent Norrie disease gene (NDP). The brothers who inherited the deletion, and thus have no monoamine oxidase function, presented with severe developmental delay, intermittent hypotonia and stereotypical hand movements. The clinical features accord with published reports of larger microdeletions and selective MAO-A and MAO-B deficiencies in humans and mouse models and suggest considerable functional compensation between MAO-A and MAO-B under normal conditions.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Shih JC, Thompson RF : Monoamine oxidase in neuropsychiatry and behavior. Am J Hum Genet 1999; 65: 593–598.
Bortolato M, Chen K, Shih JC : Monoamine oxidase inactivation: from pathophysiology to therapeutics. Adv Drug Deliv Rev 2008; 60: 1527–1533.
Chen ZY, Denney RM, Breakefield XO : Norrie disease and MAO genes: nearest neighbors. Hum Mol Genet 1995; 4: 1729–1737.
Lan NC, Heinzmann C, Gal A et al: Human monoamine oxidase A and B genes map to Xp 11.23 and are deleted in a patient with Norrie disease. Genomics 1989; 4: 552–559.
Nicotra A, Pierucci F, Parvez H, Senatori O : Monoamine oxidase expression during development and aging. Neurotoxicology 2004; 25: 155–165.
Shih JC, Chen K, Ridd MJ : Monoamine oxidase: from genes to behavior. Annu Rev Neurosci 1999; 22: 197–217.
Chen K : Organization of MAO A and MAO B promoters and regulation of gene expression. Neurotoxicology 2004; 25: 31–36.
Royer G, Hanein S, Raclin V et al: NDP gene mutations in 14 French families with Norrie disease. Hum Mutat 2003; 22: 499.
Riveiro-Alvarez R, Trujillo-Tiebas MJ, Gimenez-Pardo A et al: Genotype-phenotype variations in five Spanish families with Norrie disease or X-linked FEVR. Mol Vis 2005; 11: 705–712.
Schuback DE, Chen ZY, Craig IW, Breakefield XO, Sims KB : Mutations in the Norrie disease gene. Hum Mutat 1995; 5: 285–292.
Warburg M : Norrie's disease. A congenital progressive oculo-acoustico-cerebral degeneration. Acta Ophthalmol (Copenh) 1966; Suppl 89: 1–47.
Gal A, Wieringa B, Smeets DF, Bleeker-Wagemakers L, Ropers HH : Submicroscopic interstitial deletion of the X chromosome explains a complex genetic syndrome dominated by Norrie disease. Cytogenet Cell Genet 1986; 42: 219–224.
Donnai D, Mountford RC, Read AP : Norrie disease resulting from a gene deletion: clinical features and DNA studies. J Med Genet 1988; 25: 73–78.
Sims KB, de la Chapelle A, Norio R et al: Monoamine oxidase deficiency in males with an X chromosome deletion. Neuron 1989; 2: 1069–1076.
Zhu DP, Antonarakis SE, Schmeckpeper BJ, Diergaarde PJ, Greb AE, Maumenee IH : Microdeletion in the X-chromosome and prenatal diagnosis in a family with Norrie disease. Am J Med Genet 1989; 33: 485–488.
Collins FA, Murphy DL, Reiss AL et al: Clinical, biochemical, and neuropsychiatric evaluation of a patient with a contiguous gene syndrome due to a microdeletion Xp11.3 including the Norrie disease locus and monoamine oxidase (MAOA and MAOB) genes. Am J Med Genet 1992; 42: 127–134.
Rodriguez-Revenga L, Madrigal I, Alkhalidi LS et al: Contiguous deletion of the NDP, MAOA, MAOB, and EFHC2 genes in a patient with Norrie disease, severe psychomotor retardation and myoclonic epilepsy. Am J Med Genet A 2007; 143: 916–920.
Lenders JW, Eisenhofer G, Abeling NG et al: Specific genetic deficiencies of the A and B isoenzymes of monoamine oxidase are characterized by distinct neurochemical and clinical phenotypes. J Clin Invest 1996; 97: 1010–1019.
Brunner HG, Nelen MR, van Zandvoort P et al: X-linked borderline mental retardation with prominent behavioral disturbance: phenotype, genetic localization, and evidence for disturbed monoamine metabolism. Am J Hum Genet 1993; 52: 1032–1039.
Brunner HG, Nelen M, Breakefield XO, Ropers HH, van Oost BA : Abnormal behavior associated with a point mutation in the structural gene for monoamine oxidase A. Science 1993; 262: 578–580.
Urquhart J, Black GCM, Clayton-Smith J : 4.5 Mb microdeletion in chromosome band 2q33.1 associated with learning disability and cleft palate. Eur J Med Gen 2009; 52: 454–457.
Plenge RM, Hendrich BD, Schwartz C et al: A promoter mutation in the XIST gene in two unrelated families with skewed X-chromosome inactivation. Nat Genet 1997; 17: 353–356.
Suzuki T, Delgado-Escueta AV, Aguan K et al: Mutations in EFHC1 cause juvenile myoclonic epilepsy. Nat Genet 2004; 36: 842–849.
Medina MT, Suzuki T, Alonso ME et al: Novel mutations in Myoclonin1/EFHC1 in sporadic and familial juvenile myoclonic epilepsy. Neurology 2008; 70: 2137–2144.
Lev D, Weigl Y, Hasan M et al: A novel missense mutation in the NDP gene in a child with Norrie disease and severe neurological involvement including infantile spasms. Am J Med Genet A 2007; 143: 921–924.
Yamada K, Limprasert P, Ratanasukon M et al: Two Thai families with Norrie disease (ND): association of two novel missense mutations with severe ND phenotype, seizures, and a manifesting carrier. Am J Med Genet 2001; 100: 52–55.
Cases O, Seif I, Grimsby J et al: Aggressive behavior and altered amounts of brain serotonin and norepinephrine in mice lacking MAOA. Science 1995; 268: 1763–1766.
Grimsby J, Toth M, Chen K et al: Increased stress response and beta-phenylethylamine in MAOB-deficient mice. Nat Genet 1997; 17: 206–210.
Chen K, Holschneider DP, Wu W, Rebrin I, Shih JC : A spontaneous point mutation produces monoamine oxidase A/B knock-out mice with greatly elevated monoamines and anxiety-like behavior. J Biol Chem 2004; 279: 39645–39652.
Acknowledgements
The authors thank Dr Richard Newton for his clinical contribution to the research and the IGOLD consortium, particularly Patrick Tarpey, Michael Stratton, Gillian Turner, Jozef Gecz, Charles Schwartz and Roger Stevenson, for their continuing efforts to elucidate the genetic basis of inherited learning disability. This work was supported by NIHR through the Cambridge and Manchester Biomedical Research Centres, the Wellcome Trust and Action Medical Research.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Rights and permissions
About this article
Cite this article
Whibley, A., Urquhart, J., Dore, J. et al. Deletion of MAOA and MAOB in a male patient causes severe developmental delay, intermittent hypotonia and stereotypical hand movements. Eur J Hum Genet 18, 1095–1099 (2010). https://doi.org/10.1038/ejhg.2010.41
Received:
Revised:
Accepted:
Published:
Issue date:
DOI: https://doi.org/10.1038/ejhg.2010.41
Keywords
This article is cited by
-
Anesthetic management in MAO-A and MAO-B deficiency: a case report
Journal of Anesthesia (2020)
-
Murine obscurin and Obsl1 have functionally redundant roles in sarcolemmal integrity, sarcoplasmic reticulum organization, and muscle metabolism
Communications Biology (2019)
-
Clinical and genetic analysis of Indian patients with NDP-related retinopathies
International Ophthalmology (2018)
-
From aggression to autism: new perspectives on the behavioral sequelae of monoamine oxidase deficiency
Journal of Neural Transmission (2018)
-
A novel contiguous deletion involving \(\varvec{NDP},\) NDP , MAOB and EFHC2 gene in a patient with familial Norrie disease: bilateral blindness and leucocoria without other deficits
Journal of Genetics (2017)