Abstract:Branchio-oto-renal syndrome (BOR) is an autosomal dominant disorder characterized by the association of branchial and external ear malformations, hearing loss, and renal anomalies. The phenotype varies from ear pits to profound hearing loss, branchial fistulae, and kidney agenesis. The most common gene mutated in BOR families is EYA1, a transcriptional activator. Over 80 different disease-causing mutations have been published (www.healthcare.uiowa.edu/labs/pendredandbor/, last accessed 20 November 2007). We an… Show more
“…Our overall mutation detection rate is higher than the 31% reported from EYA1 testing using denaturing high performance liquid chromatography (DHPLC) prior to sequencing [Orten et al, 2008], but is comparable to a recent report that four of six BOR families had EYA1 mutations when tested by methods similar to those used in our study [Sanggaard et al, 2007]. The use of DHPLC [Migliosi et al, 2004] may have led to underestimation of the contribution of EYA1 mutations to BOR, as DHPLC has reduced sensitivity.…”
Section: Discussionsupporting
confidence: 51%
“…BOR syndrome has variable expressivity within and among families. EYA1 mutations have been found in 30-70% of patients with BOR, with the majority of mutations novel [Abdelhak et al, 1997a;Chang et al, 2004;Sanggaard et al, 2007;Orten et al, 2008].…”
Branchio-oto-renal syndrome is a heterogeneous disorder inherited in an autosomal dominant pattern, characterized by branchial arch abnormalities, hearing loss and renal abnormalities, with mutations in EYA1 reported in 30-70% of patients. We have applied a molecular testing strategy of sequencing of the complete coding region/flanking intronic regions and multiple ligation probe amplification analysis of EYA1 to a pediatric branchio-oto-renal proband cohort. EYA1 mutations were identified in 82% (14/17) of the probands. We also describe a novel recurrent EYA1 mutation c.867 + 5G > A found in five unrelated affected patients. RNA analysis showed that c.867 + 5G > A affects EYA1 splicing, producing an aberrant mRNA transcript lacking exon 8 and resulting in premature termination in exon 9. The aberrant transcript was present at approximately 50% level of wild-type EYA1 mRNA in fibroblasts, and is predicted to encode an EYA1 protein retaining the amino terminal transcriptional coactivator region but lacking the conserved carboxy terminal Eya phosphatase domain. Patients with the c.867 + 5G > A mutation were found to have more severe renal abnormalities than probands with other mutations in this cohort. Analysis of the c.867 + 5G > A mutation suggests that certain transcripts of EYA1 escape nonsense-mediated decay and encode truncated EYA proteins that may be capable of dominant-negative interactions producing distinct phenotypic features within the branchio-oto-renal spectrum.
“…Our overall mutation detection rate is higher than the 31% reported from EYA1 testing using denaturing high performance liquid chromatography (DHPLC) prior to sequencing [Orten et al, 2008], but is comparable to a recent report that four of six BOR families had EYA1 mutations when tested by methods similar to those used in our study [Sanggaard et al, 2007]. The use of DHPLC [Migliosi et al, 2004] may have led to underestimation of the contribution of EYA1 mutations to BOR, as DHPLC has reduced sensitivity.…”
Section: Discussionsupporting
confidence: 51%
“…BOR syndrome has variable expressivity within and among families. EYA1 mutations have been found in 30-70% of patients with BOR, with the majority of mutations novel [Abdelhak et al, 1997a;Chang et al, 2004;Sanggaard et al, 2007;Orten et al, 2008].…”
Branchio-oto-renal syndrome is a heterogeneous disorder inherited in an autosomal dominant pattern, characterized by branchial arch abnormalities, hearing loss and renal abnormalities, with mutations in EYA1 reported in 30-70% of patients. We have applied a molecular testing strategy of sequencing of the complete coding region/flanking intronic regions and multiple ligation probe amplification analysis of EYA1 to a pediatric branchio-oto-renal proband cohort. EYA1 mutations were identified in 82% (14/17) of the probands. We also describe a novel recurrent EYA1 mutation c.867 + 5G > A found in five unrelated affected patients. RNA analysis showed that c.867 + 5G > A affects EYA1 splicing, producing an aberrant mRNA transcript lacking exon 8 and resulting in premature termination in exon 9. The aberrant transcript was present at approximately 50% level of wild-type EYA1 mRNA in fibroblasts, and is predicted to encode an EYA1 protein retaining the amino terminal transcriptional coactivator region but lacking the conserved carboxy terminal Eya phosphatase domain. Patients with the c.867 + 5G > A mutation were found to have more severe renal abnormalities than probands with other mutations in this cohort. Analysis of the c.867 + 5G > A mutation suggests that certain transcripts of EYA1 escape nonsense-mediated decay and encode truncated EYA proteins that may be capable of dominant-negative interactions producing distinct phenotypic features within the branchio-oto-renal spectrum.
“…To examine the potential pathophysiological significance of Eya1 ubiquitin modification, we analyzed a number of missense mutations within the conserved C-terminal domain identified in patients with BOR syndrome (9,25,26). Among them, the S487P and L505R point mutants have a significantly lower level of tyrosine phosphatase catalytic activity (23,27).…”
Haploinsufficiency of Eya1 causes the branchio-oto-renal (BOR) syndrome, and abnormally high levels of Eya1 are linked to breast cancer progression and poor prognosis. Therefore, regulation of Eya1 activity is key to its tissue-specific functions and oncogenic activities. Here, we show that Eya1 is posttranslationally modified by ubiquitin and that its ubiquitination level is selflimited to prevent premature degradation. Eya1 has an evolutionarily conserved CDC4 phosphodegron (CPD) signal, a target site of glycogen synthase kinase 3 (GSK3) kinase and Fbw7 ubiquitin ligase, which is required for Eya1 ubiquitination. Genetic deletion of Fbw7 and pharmacological inhibition of GSK3 significantly decrease Eya1 ubiquitination. Conversely, activation of the phosphatidylinositol 3-kinase (PI3K)/Akt and the canonical Wnt signal suppresses Eya1 ubiquitination. Compound Eya1 ؉/؊ ; Wnt9b ؉/؊ mutants exhibit an increased penetrance of renal defect, indicating that they function in the same genetic pathway in vivo. Together, these findings reveal that the canonical Wnt and PI3K/Akt signal pathways restrain the GSK3/Fbw7-dependent Eya1 ubiquitination, and they further suggest that dysregulation of this novel axis contributes to tumorigenesis.
“…Primers designed by Polymorphic are available upon request. EYA1 mutations were later found in 25 probands (Orten et al 2008), which are not included in our 247 EYA1 negative probands. Poor sequence had been obtained for the 3 prime segment of SIX1, exon 1, so in the remaining 40 probands this amplicon (bp.c.208 to 560+61) was sequenced on a Beckman-Coulter CEQ-8000 using the CEQ DTCS-Quick Start Kit with previously reported primers (Ruf et al, 2004, supplementary data).…”
Section: Mutation Screening Of the Six1 Genementioning
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