Familial incontinentia pigmenti (IP) is a rare X-linked dominant disorder that affects ectodermal tissues. Over 90% of IP carrier females have a recurrent genomic deletion of exons 4-10 of the NEMO (IKBKG-IKKgamma) gene, which encodes a regulatory component of the IkB kinase complex, required to activate the NF-kB pathway. In IP, mutations in NEMOlead to the complete loss of NF-kB activation creating a susceptibility to cellular apoptosis in response to TNF-alpha. This condition is lethal for males during embryogenesis while females, who are mosaic as a result of X-inactivation, can survive. Recently, a second nonfunctional copy of the gene, DeltaNEMO, was identified, opposite in direction to NEMO in a 35.5-kb duplicated sequence tract. PCR-based detection of the NEMO deletion is diagnostic for IP disease. However, we present instances in which ex 4-10 DeltaNEMO pseudogene deletion occurs in unaffected parents of two females with clinically characteristic IP. These were missed by the currently standard PCR-based method, but can be easily discriminated by a new PCR-based test reported here that permits unambiguous molecular diagnosis and proper familial genetic counseling for IP.
The crystal structure, thermal vibrations and electron density of L-arginine phosphate monohydrate (formally C6H15N4O2
+.H2PO4
−.H2O) have been analysed using 130 K single-crystal X-ray diffraction data to a resolution of (sin θ/λ)max = 1.20 Å−1. A multipolar pseudo-atom density model was fitted against the 6805 observed data with I > 3σ(I), [R(F) = 0.016,Rw
(F) = 0.014, S = 1.39] in order to map the static valence-electron density distribution. Positional and thermal vibration parameters for H atoms were taken from neutron diffraction results. A comparison between the electron density ρ(r), ∇2
ρ(r) and the electrostatic potential calculated from X−X and X−(X + N) refinements shows that reliable results may be obtained from X−X data only.
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