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Mutations in ATP6V1E1 or ATP6V1A cause autosomal-recessive cutis laxa.
Am. J. Hum. Genet. 100, 216-227 (2017)
Defects of the V-type proton (H+) ATPase (V-ATPase) impair acidification and intracellular trafficking of membrane-enclosed compartments, including secretory granules, endosomes, and lysosomes. Whole-exome sequencing in five families affected by mild to severe cutis laxa, dysmorphic facial features, and cardiopulmonary involvement identified biallelic missense mutations in ATP6V1E1 and ATP6V1A, which encode the E1 and A subunits, respectively, of the V1 domain of the heteromultimeric V-ATPase complex. Structural modeling indicated that all substitutions affect critical residues and inter- or intrasubunit interactions. Furthermore, complexome profiling, a method combining blue-native gel electrophoresis and liquid chromatography tandem mass spectrometry, showed that they disturb either the assembly or the stability of the V-ATPase complex. Protein glycosylation was variably affected. Abnormal vesicular trafficking was evidenced by delayed retrograde transport after brefeldin A treatment and abnormal swelling and fragmentation of the Golgi apparatus. In addition to showing reduced and fragmented elastic fibers, the histopathological hallmark of cutis laxa, transmission electron microscopy of the dermis also showed pronounced changes in the structure and organization of the collagen fibers. Our findings expand the clinical and molecular spectrum of metabolic cutis laxa syndromes and further link defective extracellular matrix assembly to faulty protein processing and cellular trafficking caused by genetic defects in the V-ATPase complex.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Arcl2 ; Atp6v1a ; Atp6v1e1 ; Autosomal Recessive ; Cdg ; Cellular Trafficking ; Congenital Disorder Of Glycosylation ; Cutis Laxa ; Golgi Apparatus ; V-atpase; Abnormal Protein Glycosylation; Connective-tissue Disorders; Renal Tubular-acidosis; Vacuolar Proton Pump; Image-analysis; Congenital Disorders; Missense Mutations; Golgi Homeostasis; Deficiency Causes; I-tasser
ISSN (print) / ISBN
0002-9297
e-ISSN
1537-6605
Quellenangaben
Volume: 100,
Issue: 2,
Pages: 216-227
Publisher
Elsevier
Publishing Place
New York, NY
Reviewing status
Peer reviewed
Institute(s)
Institute of Human Genetics (IHG)