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Novel missense mutations in the FOXC2 gene alter transcriptional activity

Identifieur interne : 006586 ( Main/Exploration ); précédent : 006585; suivant : 006587

Novel missense mutations in the FOXC2 gene alter transcriptional activity

Auteurs : M. A. M. Van Steensel [Pays-Bas] ; R. J. Damstra [Pays-Bas] ; M. Heitink [Pays-Bas] ; R. S. Bladergroen [Pays-Bas] ; J. Veraart [Pays-Bas] ; Peter M. Steijlen [Pays-Bas] ; M. Van Geel [Pays-Bas]

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RBID : ISTEX:EBEC66DF465A6B45C9A38C952C033F01B5A0B702

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English descriptors

Abstract

Mutations in the FOXC2 gene that codes for a forkhead transcription factor are associated with primary lymphedema that usually develops around puberty. Associated abnormalities include distichiasis and, very frequently, superficial and deep venous insufficiency. Most mutations reported so far either truncate the protein or are missense mutations in the forkhead domain causing a loss of function. The haplo‐insufficient state is associated with lymphatic hyperplasia in mice as well as in humans. We analyzed the FOXC2 gene in 288 patients with primary lymphedema and found 11 pathogenic mutations, of which 9 are novel. Of those, 5 were novel missense mutations of which 4 were located outside of the forkhead domain. To examine their pathogenic potential we performed a transactivation assay using a luciferase reporter construct driven by FOXC1 response elements. We found that the mutations outside the forkhead domain cause a gain of function as measured by luciferase activity. Patient characteristics conform to previous reports with the exception of distichiasis, which was found in only 2 patients out of 11. FOXC2 mutations causing lymphedema‐distichiasis syndrome reported thus far result in haplo‐insufficiency and lead to lymphatic hyperplasia. Our results suggest that gain‐of‐function mutations may also cause lymphedema. One would expect that in this case, lymphatic hypoplasia would be the underlying abnormality. Patients with activating mutations might present with Meige disease. © 2009 Wiley‐Liss, Inc.

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DOI: 10.1002/humu.21127


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Le document en format XML

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<term>Animals</term>
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<term>Cell Nucleus (metabolism)</term>
<term>Cercopithecus aethiops</term>
<term>Forkhead Transcription Factors (genetics)</term>
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<term>Humans</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (genetics)</term>
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<term>Transcription, Genetic</term>
<term>Transcriptional Activation (genetics)</term>
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<term>Activation de la transcription (génétique)</term>
<term>Animaux</term>
<term>Cellules COS</term>
<term>Cellules HeLa</term>
<term>Cercopithecus aethiops</term>
<term>Facteurs de transcription Forkhead (génétique)</term>
<term>Humains</term>
<term>Lymphoedème (génétique)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Mutation faux-sens (génétique)</term>
<term>Noyau de la cellule (métabolisme)</term>
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<term>Transcription génétique</term>
<term>Transport de protéines</term>
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<term>Forkhead Transcription Factors</term>
<term>Mutant Proteins</term>
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<term>Lymphedema</term>
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<term>Lymphedema</term>
<term>Mutation, Missense</term>
<term>Transcriptional Activation</term>
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<term>Activation de la transcription</term>
<term>Facteurs de transcription Forkhead</term>
<term>Lymphoedème</term>
<term>Mutation faux-sens</term>
<term>Protéines mutantes</term>
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<term>Lymphoedème</term>
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<div type="abstract" xml:lang="en">Mutations in the FOXC2 gene that codes for a forkhead transcription factor are associated with primary lymphedema that usually develops around puberty. Associated abnormalities include distichiasis and, very frequently, superficial and deep venous insufficiency. Most mutations reported so far either truncate the protein or are missense mutations in the forkhead domain causing a loss of function. The haplo‐insufficient state is associated with lymphatic hyperplasia in mice as well as in humans. We analyzed the FOXC2 gene in 288 patients with primary lymphedema and found 11 pathogenic mutations, of which 9 are novel. Of those, 5 were novel missense mutations of which 4 were located outside of the forkhead domain. To examine their pathogenic potential we performed a transactivation assay using a luciferase reporter construct driven by FOXC1 response elements. We found that the mutations outside the forkhead domain cause a gain of function as measured by luciferase activity. Patient characteristics conform to previous reports with the exception of distichiasis, which was found in only 2 patients out of 11. FOXC2 mutations causing lymphedema‐distichiasis syndrome reported thus far result in haplo‐insufficiency and lead to lymphatic hyperplasia. Our results suggest that gain‐of‐function mutations may also cause lymphedema. One would expect that in this case, lymphatic hypoplasia would be the underlying abnormality. Patients with activating mutations might present with Meige disease. © 2009 Wiley‐Liss, Inc.</div>
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