The correct identification of disease-causing mutations from the background of harmless nucleotide polymorphisms/substitutions has become a critical issue in the investigation of human genetic diseases. Here, we describe two novel disease-causing splicing mutations in the glucocerebrosidase gene, g.4252C>G and g.4426A>G, that have been found in two patients affected by Gaucher disease. The g.4252C>G substitution occurred in intron 5 and was located 12 nucleotides upstream of exon 6 acceptor site whilst the g.4426A>G mutation was located within this exon, 12 nucleotides upstream of the donor site. An in silico analysis suggested that both mutations could have altered the splicing process of exon 6 by creating a novel acceptor and donor site, respectively. However, because the wild-type acceptor and donor sites of exon 6 were not apparently affected, the severity of both mutations could not be established by simple sequence analysis alone. Nonetheless, the use of minigene functional assays to complement transcript analysis of patient fibroblasts shows that both mutations cause the almost complete switch of splice site usage from the wild-type to the newly-created ones, thus providing a functional explanation for the appearance of disease. Š 2005 Wiley-Liss, Inc.KEY WORDS: GBA gene; Gaucher disease; splicing mutations; functional splicing assay
INTRODUCTIONConsidering the complexity of the pre-mRNA splicing process (Matlin et al., 2005) it is not surprising that alterations in this pathway have been reported in a great variety of genetic diseases (Caceres and Kornblihtt, 2002;Nissim-Rafinia and Kerem, 2002;Faustino and Cooper, 2003;Garcia-Blanco et al., 2004). Therefore, an increasingly critical issue for eventual diagnosis, therapy, or counselling is represented by the correct identification of which nucleotide changes represent benign polymorphisms and which may result in potential disease-causing mutations (Pagani and Baralle, 2004;Baralle and Baralle, 2005). To facilitate these distinctions, the use of computer assisted prediction methods has become very useful. However, a correct evaluation of their effects can DOI: 10.1002/humu.9391 2 Dominissini et al.be achieved only by the use of functional splicing assays, as described in this report concerning two novel splicing mutations in patients affected by Gaucher disease.Gaucher disease is the most frequent lysosomal storage disorder caused by an autosomal recessive deficiency of acid beta-glucosidase (E.C.3.2.1.45) that in turn leads to the accumulation of glucocerebroside. Based on the presence and progression of primary central nervous system involvement, Gaucher disease has been classified in Type 1 (non-neuronopathic, MIM# 230800), Type 2 (acute neuronopathic, MIM# 230900) and Type 3 (subacute neuronopathic, MIM# 231000) (Beutler and Grabowski, 2001). The glucocerebrosidase gene (GBA; MIM# 606463; GenBank accession no. J03059.1) is located on chromosome 1q21 and contains 11 exons spread out in approximately 7.5 kb of genomic sequence. A highly homologous âź5.5...