A novel translation re-initiation mechanism for the p63 gene revealed by amino-terminal truncating mutations in Rapp-Hodgkin/Hay-Wells-like syndromes Journal Article


Authors: Rinne, T.; Clements, S. E.; Lamme, E.; Duijf, P. H. G.; Bolat, E.; Meijer, R.; Scheffer, H.; Rosser, E.; Tan, T. Y.; McGrath, J. A.; Schalkwijk, J.; Brunner, H. G.; Zhou, H.; Van Bokhoven, H.
Article Title: A novel translation re-initiation mechanism for the p63 gene revealed by amino-terminal truncating mutations in Rapp-Hodgkin/Hay-Wells-like syndromes
Abstract: Missense mutations in the 3′ end of the p63 gene are associated with either RHS (Rapp-Hodgkin syndrome) or AEC (Ankyloblepharon Ectodermal defects Cleft lip/palate) syndrome. These mutations give rise to mutant p63α protein isoforms with dominant effects towards their wild-type counterparts. Here we report four RHS/AEC-like patients with mutations (p.Gln9fsX23, p.Gln11X, p.Gln16X), that introduce premature termination codons in the N-terminal part of the p63 protein. These mutations appear to be incompatible with the current paradigms of dominant-negative/gain-of-function outcomes for other p63 mutations. Moreover it is difficult to envisage how the remaining small N-terminal polypeptide contributes to a dominant disease mechanism. Primary keratinocytes from a patient containing the p.Gln11X mutation revealed a normal and aberrant p63-related protein that was just slightly smaller than the wild-type p63. We show that the smaller p63 protein is produced by translation re-initiation at the next downstream methionine, causing truncation of a non-canonical transactivation domain in the ΔN-specific isoforms. Interestingly, this new ΔΔNp63 isoform is also present in the wild-type keratinocytes albeit in small amounts compared with the p.Gln11X patient. These data establish that the p.Gln11X-mutation does not represent a null-allele leading to haploinsufficiency, but instead gives rise to a truncated ΔNp63 protein with dominant effects. Given the nature of other RHS/AEC-like syndrome mutations, we conclude that these mutations affect only the ΔNp63α isoform and that this disruption is fundamental to explaining the clinical characteristics of these particular ectodermal dysplasia syndromes. © The Author 2008. Published by Oxford University Press. All rights reserved.
Keywords: human tissue; gene mutation; human cell; exon; codon, nonsense; case report; phenotype; animals; mice; cells, cultured; skin biopsy; membrane proteins; transcription, genetic; cell line, tumor; wild type; keratinocyte; amino acid sequence; molecular sequence data; amino terminal sequence; cell culture; blood sampling; sequence alignment; abnormalities, multiple; nucleotide sequence; protein biosynthesis; base sequence; protein p63; codon; keratinocytes; mutagenesis; isoprotein; methionine; genomic dna; polypeptide; translation regulation; trans-activation (genetics); aec syndrome; cleft lip palate; rapp hodgkin syndrome; ectodermal dysplasia; mouth abnormalities
Journal Title: Human Molecular Genetics
Volume: 17
Issue: 13
ISSN: 0964-6906
Publisher: Oxford University Press  
Date Published: 2008-07-01
Start Page: 1968
End Page: 1977
Language: English
DOI: 10.1093/hmg/ddn094
PUBMED: 18364388
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 16" - "Export Date: 17 November 2011" - "CODEN: HMGEE" - "Molecular Sequence Numbers: GENBANK: AAG45610, AAK15622, AAN03691, AAP87985, AF075430, AF075431, BAB20631, CAC37099, NM_000526, NM_001002, NM_001101, NM_002046, NT_005612;" - "Source: Scopus"
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  1. Pascal Duijf
    3 Duijf