Abstract
Smith–Lemli–Opitz syndrome (SLOS) is an autosomal recessive malformation syndrome characterized by microcephaly, syndactyly of toes, ambiguous genitalia, and mental retardation. The underlying DHCR7 gene has been identified and a wide variety of distinct mutations were reported in USA and European SLOS patients. A significant difference has been suggested in the frequency of SLOS among different ethnic populations. Here, we report mutational analysis of seven Japanese SLOS patients. Five mutations, R352Q, R242H, G303R, X476Q, and S192F, were identified, and R352Q appeared most frequent, since nine out of the 13 mutations of Japanese origin were the same R352Q. These results suggest that R352Q is a predominant founder mutation in Japanese SLOS patients.
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References
Bae SH, Lee JN, Fitzky BU, Seong J, Paik YK (1999) Cholesterol biosynthesis from lanosterol. Molecular cloning, tissue distribution, expression, chromosomal localization, and regulation of rat 7-dehydrocholesterol reductase, a Smith–Lemli–Opitz syndrome-related protein. J Biol Chem 274:14624–14631
Cunniff C, Kratz LE, Moser A, Natowicz MR, Kelley RI (1997) Clinical and biochemical spectrum of patients with RSH/Smith–Lemli–Opitz syndrome and abnormal cholesterol metabolism. Am J Med Genet 68:263–269
Fitzky BU, Witsch-Baumgartner M, Erdel M, Lee JN, Paik YK, Glossmann H, Utermann G, Moebius FF (1998) Mutations in the Delta7-sterol reductase gene in patients with the Smith–Lemli–Opitz syndrome. Proc Natl Acad Sci USA 95:8181–8186
Kelley RI (1997) A new face for an old syndrome. Am J Med Genet 68:251–256
Krakowiak PA, Nwokoro NA, Wassif CA, Battaile KP, Nowaczyk MJ, Connor WE, Maslen C, Steiner RD, Porter FD (2000) Mutation analysis and description of sixteen RSH/Smith–Lemli–Opitz syndrome patients: polymerase chain reaction-based assays to simplify genotyping. Am J Med Genet 94:214–227
Moebius FF, Fitzky BU, Lee JN, Paik YK, Glossmann H (1998) Molecular cloning and expression of the human delta7-sterol reductase. Proc Natl Acad Sci USA 95:1899–1902
Nowaczyk MJ, Waye JS (2001) The Smith–Lemli–Opitz syndrome: a novel metabolic way of understanding developmental biology, embryogenesis, and dysmorphology. Clin Genet 59:375–386
Nowaczyk MJ, Nakamura LM, Eng B, Porter FD, Waye JS (2001) Frequency and ethnic distribution of the common DHCR7 mutation in Smith–Lemli–Opitz syndrome. Am J Med Genet 102:383–386
Opitz JM (1994) RSH/SLO (“Smith–Lemli–Opitz”) syndrome: historical, genetic, and developmental considerations. Am J Med Genet 50:344–346
Tint GS, Seller M, Hughes-Benzie R, Batta AK, Shefer S, Genest D, Irons M, Elias E, Salen G (1995) Markedly increased tissue concentrations of 7-dehydrocholesterol combined with low levels of cholesterol are characteristic of the Smith–Lemli–Opitz syndrome. J Lipid Res 36:89–95
Tsukahara M, Fujisawa K, Yamamoto K, Hasui M, Saito C, Yamamaka T, Honda A, Honda M, Tint GS, Salen G, Opitz JM (1998) Smith–Lemli–Opitz syndrome in Japan. Am J Med Genet 75:118–119
Wassif CA, Maslen C, Kachilele-Linjewile S, Lin D, Linck LM, Connor WE, Steiner RD, Porter FD (1998) Mutations in the human sterol delta7-reductase gene at 11q12–13 cause Smith–Lemli–Opitz syndrome. Am J Hum Genet 63:55–62
Waterham HR, Wijburg FA, Hennekam RC, Vreken P, Poll-The BT, Dorland L, Duran M, Jira PE, Smeitink JA, Wevers RA, Wanders RJ (1998) Smith–Lemli–Opitz syndrome is caused by mutations in the 7-dehydrocholesterol reductase gene. Am J Hum Genet 63:329–338
Witsch-Baumgartner M, Fitzky BU, Ogorelkova M, Kraft HG, Moebius FF, Glossmann H, Seedorf U, Gillessen-Kaesbach G, Hoffmann GF, Clayton P, Kelley RI, Utermann G (2000) Mutational spectrum in the Delta7-sterol reductase gene and genotype-phenotype correlation in 84 patients with Smith–Lemli–Opitz syndrome. Am J Hum Genet 66:402–412
Witsch-Baumgartner M, Ciara E, Loffler J, Menzel HJ, Seedorf U, Burn J, Gillessen-Kaesbach G, Hoffmann GF, Fitzky BU, Mundy H, Clayton P, Kelley RI, Krajewska-Walasek M, Utermann G (2001) Frequency gradients of DHCR7 mutations in patients with Smith–Lemli–Opitz syndrome in Europe: evidence for different origins of common mutations. Eur J Hum Genet 9:45–50
Witsch-Baumgartner M, Clayton P, Clusellas N, Haas D, Kelley RI, Krajewska-Walasek M, Lechner S, Rossi M, Zschocke J, Utermann G (2005) Identification of 14 novel mutations in DHCR7 causing the Smith–Lemli–Opitz syndrome and delineation of the DHCR7 mutational spectra in Spain and Italy. Hum Mutat 25:412
Yu H, Lee MH, Starck L, Elias ER, Irons M, Salen G, Patel SB, Tint GS (2000a) Spectrum of Delta(7)-dehydrocholesterol reductase mutations in patients with the Smith–Lemli–Opitz (RSH) syndrome. Hum Mol Genet 9:1385–1391
Yu H, Tint GS, Salen G, Patel SB (2000b) Detection of a common mutation in the RSH or Smith–Lemli–Opitz syndrome by a PCR-RFLP assay: IVS8-G→C is found in over sixty percent of US propositi. Am J Med Genet 90:347–350
Acknowledgements
We express our appreciation to the patients and their families for their cooperation in this study. We thank Hiromi Ikeda, Aoi Kamesako, and Taeko Jo for laboratory assistance. This work was supported by Grants-in-Aid from the Ministry of Education, Science, Sports and Culture of Japan.
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Matsumoto, Y., Morishima, Ki., Honda, A. et al. R352Q mutation of the DHCR7 gene is common among Japanese Smith–Lemli–Opitz syndrome patients. J Hum Genet 50, 353–356 (2005). https://doi.org/10.1007/s10038-005-0267-3
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DOI: https://doi.org/10.1007/s10038-005-0267-3
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