Skip to main content
Log in

Effect of ‘attenuated’ mutations in mucopolysaccharidosis IVA on molecular phenotypes of N-acetylgalactosamine-6-sulfate sulfatase

  • Original Article
  • Published:
Journal of Inherited Metabolic Disease

Summary

Mucopolysaccharidosis IVA is an autosomal recessive disease caused by the deficiency of N-acetylgalactosamine-6-sulfate sulfatase (GALNS). Mutation screening of the GALNS gene was performed for seven MPS IVA patients with attenuated phenotypes from three unrelated families. Four of 5 missense mutations identified in this study (p.F167V, p.R253W, p.R380S, p.P484S) and two reported (p.F97V, p.N204K), associated with attenuated phenotypes, were characterized using in vitro stable expression experiments, enzyme kinetic study, protein processing and structural analysis. The stably expressed mutant enzymes defining the attenuated phenotype exhibited a considerable residual activity (1.2–36.7% of the wild-type GALNS activity) except for p.R380S. Enzyme kinetic studies showed that p.F97V, p.F167V and p.N204K have lower affinity to the substrate compared with other mutants. The p.F97V enzyme was the most thermolabile at 55°C. Immunoblot analyses indicated a rapid degradation and/or an insufficiency in processing in the mutant proteins. Tertiary structure analysis revealed that although there was a tendency for ‘attenuated’ mutant residues to be located on the surface of GALNS, they have a different effect on the protein including modification of the hydrophobic core and salt-bridge formation and different potential energy. This study demonstrates that ‘attenuated’ mutant enzymes are heterogeneous in molecular phenotypes, including biochemical properties and tertiary structure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Baker E, Guo XH, Orsborn AM, et al (1993) The morquio A syndrome (mucopolysaccharidosis IVA) gene maps to 16q24.3. Am J Hum Genet 52: 96–98.

    CAS  PubMed  Google Scholar 

  • Beck M, Glossl J, Grubisic A, Spranger J (1986) Heterogeneity of Morquio disease. Clin Genet 29: 325–331.

    Article  CAS  PubMed  Google Scholar 

  • Bond CS, Clements PR, Ashby SJ, et al (1997) Structure of a human lysosomal sulfatase. Structure 5(2): 277–289.

    Article  CAS  PubMed  Google Scholar 

  • Bunge S, Kleijer WJ, Tylki-Szymanska A, et al (1997) Identification of 31 novel mutations in the N-acetylgalactosamine-6-sulfatase gene reveals excessive allelic heterogeneity among patients with Morquio A syndrome. Hum Mutat 10: 223–232.

    Article  CAS  PubMed  Google Scholar 

  • Cole DE, Fukuda S, Gordon BA, et al (1996) Heteroallelic missense mutations of the galactosamine-6-sulfate sulfatase (GALNS) gene in a mild form of Morquio disease (MPS IVA). Am J Med Genet 63: 558–565.

    Article  CAS  PubMed  Google Scholar 

  • Fan JQ, Ishii S (2003) Cell-based screening of active-site specific chaperone for the treatment of Fabry disease. Methods Enzymol 363: 412–420.

    Article  CAS  PubMed  Google Scholar 

  • Fukuda S, Tomatsu S, Masue M, et al (1992) Mucopolysaccharidosis type IVA. N-acetylgalactosamine-6-sulfate sulfatase exonic point mutations in classical Morquio and mild cases. J Clin Invest 90: 1049–1053.

    Article  CAS  PubMed  Google Scholar 

  • Fukuda S, Tomatsu S, Cooper A, et al (1996) Mucopolysaccharidosis IVA (Morquio A): three novel small deletions in the N-acetylgalactosamine-6-sulfate sulfatase gene. Hum Mutat 8: 187–190.

    Article  CAS  PubMed  Google Scholar 

  • Fukuda S, Yamada N, Tomatsu S, et al (1997) Mucopolysaccharidosis IVA: a novel splice acceptor site mutation in intron 4 of the N-acetylgalactosamine-6-sulfate sulfatase gene in an Afghanistan girl with classical Morquio disease. Jpn J Hum Genet 42: 317–322.

    Article  CAS  PubMed  Google Scholar 

  • Grantham R (1974) Amino acid difference formula to help explain protein evolution. Science 185: 862–864.

    Article  CAS  PubMed  Google Scholar 

  • Kato Z, Fukuda S, Tomatsu S, et al (1997) A novel common missense mutation G301C in the N-acetylgalactosamine-6-sulfate sulfatase gene in mucopolysaccharidosis IVA. Hum Genet 101: 97–101.

    Article  CAS  PubMed  Google Scholar 

  • Lowry OH, Rosebrough NJ, Farr AL, Randall RJ (1951) Protein measurement with the Folin phenol reagent. J Biol Chem 193(1): 265–275.

    CAS  PubMed  Google Scholar 

  • Lukatela G, Krauss N, Theis K, et al (1998) Crystal structure of human arylsulfatase A: the aldehyde function and the metal ion at the active site suggest a novel mechanism for sulfate ester hydrolysis. Biochemistry 37(11): 3654–3664.

    Article  CAS  PubMed  Google Scholar 

  • Masue M, Sukegawa K, Orii T, Hashimoto T (1991) N-Acetylgalactosamine-6-sulfate sulfatase in human placenta: purification and characteristics. J Biochem 110: 965–970.

    CAS  PubMed  Google Scholar 

  • Masuno M, Tomatsu S, Nakashima Y, et al (1993) Mucopolysaccharidosis IV A: assignment of the human N-acetylgalactosamine-6-sulfate sulfatase (GALNS) gene to chromosome 16q24. Genomics 16: 777–778.

    Article  CAS  PubMed  Google Scholar 

  • Montaño AM, Kaitila I, Sukegawa K, et al (2003) Mucopolysaccharidosis IVA: characterization of a common mutation found in Finnish patients with attenuated phenotype. Hum Genet 113: 162–169.

    PubMed  Google Scholar 

  • Montaño AM, Tomatsu S, Gottesman GS, Smith M, Orii T (2007) International Morquio A Registry: clinical manifestation and natural course of Morquio A disease. J Inherit Metab Dis 30: 165–174.

    Article  PubMed  Google Scholar 

  • Nakashima Y, Tomatsu S, Hori T, et al (1994) Mucopolysaccharidosis IV A: molecular cloning of the human N-acetylgalactosamine-6-sulfatase gene (GALNS) and analysis of the 5’ flanking region. Genomics 20: 99–104.

    Article  CAS  PubMed  Google Scholar 

  • Nelson J, Kinirons M (1988) Clinical findings in 12 patients with MPS IV A (Morquio’s disease). Further evidence for heterogeneity. Part II: Dental findings. Clin Genet 33: 121–125.

    Article  CAS  PubMed  Google Scholar 

  • Nelson J, Thomas PS (1988) Clinical findings in 12 patients with MPS IV A (Morquio’s disease). Further evidence for heterogeneity. Part III: Odontoid dysplasia. Clin Genet 33: 126–130.

    Article  CAS  PubMed  Google Scholar 

  • Nelson J, Broadhead D, Mossman J (1988) Clinical findings in 12 patients with MPS IV A (Morquio’s disease). Further evidence for heterogeneity. Part I: Clinical and biochemical findings. Clin Genet 33: 111–120.

    Article  CAS  PubMed  Google Scholar 

  • Niwa H, Yamamura K, Miyazaki J (1991) Efficient selection for high-expression transfectants with a novel eukaryotic vector. Gene 108: 193–199.

    Article  CAS  PubMed  Google Scholar 

  • Ogawa T, Tomatsu S, Fukuda S, et al (1995) Mucopolysaccharidosis IVA: screening and identification of mutations of the N-acetylgalactosamine-6-sulfate sulfatase gene. Hum Mol Genet 4(3): 341–349.

    Article  CAS  PubMed  Google Scholar 

  • Sukegawa K, Orii T (1982) Residual activity in fibroblasts from two brothers with the late-onset form of N-acetylgalactosamine-6-sulphate sulphatase deficiency. J Inherit Metab Dis 5: 231–232.

    Article  CAS  PubMed  Google Scholar 

  • Sukegawa K, Nakamura H, Kato Z, et al (2000) Biochemical and structural analysis of missense mutations in N-acetylgalactosamine-6-sulfate sulfatase causing mucopolysaccharidosis IVA phenotypes. Hum Mol Genet 9: 1283–1290.

    Article  CAS  PubMed  Google Scholar 

  • Sukegawa-Hayasaka K, Kato Z, et al (2006) Effect of Hunter disease (mucopolysaccharidosis type II) mutations on molecular phenotypes of iduronate-2-sulfatase: enzymatic activity, protein processing and structural analysis. J Inherit Metab Dis 29: 755–761.

    Article  CAS  PubMed  Google Scholar 

  • Tomatsu S, Fukuda S, Masue M, et al (1991) Morquio disease: isolation, characterization and expression of full-length cDNA for human N-acetylgalactosamine-6-sulfate sulfatase. Biochem Biophys Res Commun 181: 677–683.

    Article  CAS  PubMed  Google Scholar 

  • Tomatsu S, Fukuda S, Cooper A, et al (1995a) Mucopolysaccharidosis type IVA: identification of six novel mutations among non-Japanese patients. Hum Mol Genet 4: 741–743.

    Article  CAS  Google Scholar 

  • Tomatsu S, Fukuda S, Cooper A, et al (1995b) Mucopolysaccharidosis IVA: identification of a common missense mutation I113F in the N-acetylgalactosamine-6-sulfate sulfatase gene. Am J Hum Genet 57: 556–563.

    CAS  Google Scholar 

  • Tomatsu S, Fukuda S, Yamagishi A, et al (1996) Mucopolysaccharidosis IVA: four new exonic mutations in patients with N-acetylgalactosamine-6-sulfate sulfatase deficiency. Am J Hum Genet 58: 950–962.

    CAS  PubMed  Google Scholar 

  • Tomatsu S, Fukuda S, Cooper A, et al (1997) Fourteen novel mucopolysaccharidosis IVA producing mutations in GALNS gene. Hum Mutat 10: 368–375.

    Article  CAS  PubMed  Google Scholar 

  • Tomatsu S, Dieter T, Schwartz IV, et al (2004a) Identification of a common mutation in mucopolysaccharidosis IVA: correlation among genotype, phenotype, and keratan sulfate. J Hum Genet 49: 490–494.

    Article  CAS  Google Scholar 

  • Tomatsu S, Filocamo M, Orii KO, et al (2004b) Mucopolysaccharidosis IVA (Morquio A): identification of novel common mutations in the N-acetylgalactosamine-6-sulfate sulfatase (GALNS) gene in Italian patients. Hum Mutat 24: 187–188.

    Article  CAS  Google Scholar 

  • Tomatsu S, Nishioka T, Montaño AM, et al (2004c) Mucopolysaccharidosis IVA: identification of mutations and methylation study in GALNS gene. J Med Genet 41: e98.

    Article  CAS  Google Scholar 

  • Tomatsu S, Montaño AM, Nishioka T, et al (2005) Mutation and polymorphism spectrum of the GALNS gene in mucopolysaccharidosis IVA (Morquio A). Hum Mutat 26: 500–512.

    Article  CAS  PubMed  Google Scholar 

  • Tomatsu S, Montaño AM, Lopez P, et al (2006) Determinant factors of spectrum of missense variants in mucopolysaccharidosis IVA gene. Mol Genet Metab 89: 139–149.

    Article  CAS  PubMed  Google Scholar 

  • Yamada N, Fukuda S, Tomatsu S, et al (1998) Molecular heterogeneity in mucopolysaccharidosis IVA in Australia and Northern Ireland: nine novel mutations including T312S, a common allele that confers a mild phenotype. Hum Mutat 11: 202–208.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Tomatsu.

Additional information

Communicating editor: Ed Wraith

Competing interests: None declared

References to electronic databases: MPS IVA: OMIM #253000. GALNS: EC 3.1.6.4.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Montaño, A.M., Sukegawa, K., Kato, Z. et al. Effect of ‘attenuated’ mutations in mucopolysaccharidosis IVA on molecular phenotypes of N-acetylgalactosamine-6-sulfate sulfatase. J Inherit Metab Dis 30, 758–767 (2007). https://doi.org/10.1007/s10545-007-0702-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10545-007-0702-z

Keywords

Navigation