Summary
Background:
The α-galactosidase gene (GLA) has three single-nucleotide polymorphisms in the 5′ untranslated region of exon 1, respectively g.1150G>A, g.1168G>A, g.1170C>T. The g.1150A allele is associated with increased plasma α-galactosidase (α-Gal) activity in hemizygotes, while the others are regarded as biologically neutral. The primary goal of this investigation was to test the hypothesis, raised by a clinical observation and results of a family study, that the g.1170T allele polymorphism is associated with lower α-Gal expression.
Subjects and methods:
Plasma and leukocyte α-Gal activities were assayed in unrelated healthy young adults of both sexes, who had been genotyped for GLA exon 1, and enzyme activity values in carriers of any of the polymorphisms were compared to those of individuals with the standard genotype; GLA exon 1 was genotyped in males who had α-Gal activity in dried blood spots lower than 2 SD below the cohort average.
Results and conclusions:
Mean α-Gal leukocyte activity was ∼25% higher in subjects with the g.1170C or CC genotype than in those with the alternative genotypes (p < 0.05). The frequency of the g.1170T allele in subjects with low α-Gal activity in dried blood spots was 4-fold higher (p < 0.05) than in the general population. As in hemizygotes, the g.1150A heterozygote identified in this study had plasma α-Gal activity more than 2-fold above the normal mean. The g.1168A allele did not affect enzyme activity. Surprisingly, females with the standard GLA exon 1 genotype had significantly higher plasma α-Gal activity than genetically comparable males.
Abbreviations
- α-Gal:
-
α-galactosidase
- GLA :
-
α-galactosidase gene
- β-Gal:
-
β-galactosidase
- dNTP:
-
deoxyribonucleotide triphosphate
- EDTA:
-
ethylenediaminetetraacetic acid
- MDBP:
-
methylated DNA-binding protein
- NS:
-
not significant [statistically]
- PCR:
-
polymerase chain reaction
- SNP:
-
single-nucleotide polymorphism
- SSCP:
-
single-strand conformation polymorphisms
- SDS:
-
sodium dodecyl sulfate
- SD:
-
standard deviation
- Taq:
-
Thermophilus aquaticus
- 5′ UTR:
-
5′ untranslated region
References
Bassam BJ, Anollés GC, Gresshoff PM (1991) Fast and sensitivesilver staining of DNA in polyacrylamide gels. Anal Biochem 196: 80–83.
Brady RO, Tallman JF, Johnson WG, et al (1973) Replacement therapy for inherited enzyme deficiency. Use of purified ceramidetrihexosidase in Fabry’s disease. N Engl J Med 289: 9–14.
Davies JP, Winchester BG, Malcolm S (1993) Sequence variations in the first exon of alpha-galactosidase A. J Med Genet 30: 658–663.
Davuluri RV, Suzuki Y, Sugano S, Zhang MQ (2000) CART classification of human 5′ UTR sequences. Genome Res 10: 1807–1816. doi:10.1101/gr.GR-1460R.
Dean AG, Arner TG, Sunki GG, et al (2002) Epi Info™, A Database and Statistics Program for Public Health Professionals. Atlanta, GA: Centers for Disease Control and Prevention.
Desnick RJ, Dean KJ, Grabowski G, Bishop DF, Sweeley CC (1979) Enzyme therapy in Fabry disease: differential in vivo plasma clearance and metabolic effectiveness of plasma and splenic α-galactosidase A isozymes. Proc Natl Acad Sci U S A 76: 5326–5330. doi:10.1073/pnas.76.10.5326.
Desnick RJ, Ioannou YA, Eng CM (2001) α-Galactosidase A deficiency: Fabry disease. In: Scriver CR, Beaudet AL, Sly WS, Valle D, eds; Childs B, Kinzler KW, Vogelstein B, assoc. eds. The Metabolic and Molecular Bases of Inherited Disease, 8th edn. New York: McGraw-Hill, 3733–3774.
Fitzmaurice TF, Desnick RJ, Bishop DF (1997) Human alpha-galactosidase A: high plasma activity expressed by the −30G>A allele. J Inherit Metab Dis 20: 643–657. doi:10.1023/A:1005366224351.
Ioannou YA, Bishop DE, Desnick RJ (1992) Overexpression of human α-galactosidase A results in its intracellular aggregation, crystallization in lysosomes, and selective secretion. J Cell Biol 119: 1137–1150. doi:10.1083/jcb.119.5.1137.
Khan R, Zhang X-Y, Supakar PC, Ehrlich KC, Ehrlich M (1988) Human methylated DNA-binding protein. Determinants of a pBR322 recognition site. J Biol Chem 263: 14374–14383.
Kornreich R, Desnick RJ, Bishop DF (1989) Nucleotide sequence of the human α-galactosidase A. Nucleic Acids Res 17: 3301–3302. doi:10.1093/nar/17.8.3301.
Kozak M (1991) Structural features in eukaryotic mRNAs that modulate the initiation of translation. J Biol Chem 266: 19867–19870.
Lapid K, Sharon N (2006) Meet the multifunctional and sexy glycoforms of glycodelin. Glycobiology 16: 39R–45R. doi:10.1093/glycob/cwj059.
Madsen KM, Hasholt L, Sørensen SA, Fermér ML, Dahl N (1995) Two novel mutations (L32P) and (G85N) amongst five different missense mutations in six Danish families with Fabry’s disease. Hum Mutat 5: 277–278. doi:10.1002/humu.1380050316.
Mathews DH, Disney MD, Childs JL, et al (2004) Incorporating chemical modification constraints into a dynamic programming algorithm for prediction of RNA secondary structure. Proc Natl Acad Sci U S A 101: 7287–7292. doi:10.1073/pnas.0401799101.
Mayes JS, Scheerer JB, Sifers RN, Donaldson ML (1981) Differential assay for lysosomal alpha-galactosidases in human tissues and its application to Fabry’s disease. Clin Chim Acta 112: 247–251. doi:10.1016/0009-8981(81)90384-3.
Mignone F, Grillo G, Licciulli F, et al (2005) UTRdb and UTRsite: a collection of sequences and regulatory motifs of the untranslated regions of eukaryotic mRNAs. Nucleic Acids Res 33: D141–D146. doi:10.1093/nar/gki021.
Mullenbach R, Lagoda PJL, Welter C (1989) An efficient salt–chloroform extraction of DNA from blood and tissues. Trends Genet 5: 391.
Oliveira JP, Ferreira S, Reguenga C, Carvalho F, Månsson JE (2008) The g.1170C>T polymorphism of the 5′ untranslated region of the human alpha-galactosidase gene is associated with decreased enzyme expression—evidence from a family study. J Inherit Metab Dis. doi:10.1007/s10545-008-0972-0.
Orstavik KH (2006) Skewed X inactivation in healthy individuals and in different diseases. Acta Paediatr Suppl 95: 24–29. doi:10.1080/08035320600618783.
Pesole G, Liuni S (1999) Internet resources for the functional analysis of 5′ and 3′ untranslated regions of eukaryotic mRNA. Trends Genet 15: 378. doi:10.1016/S0168-9525(99)01795-3.
Pickering BM, Willis E (2005) The implications of structured 5′ untranslated regions on translation and disease. Semin Cell Dev Biol 16: 39–47. doi:10.1016/j.semcdb.2004.11.006.
Saifudeen Z, Desnick RJ, Ehrlich M (1995) A mutation in the 5′ untranslated region of the human alpha-galactosidase A gene in high-activity variants inhibits specific protein binding. FEBS Lett 371: 181–184. doi:10.1016/0014-5793(95)00891-C.
Samac S, Rice JC, Ehrlich M (1998) Analysis of methylation in the 5′ region of the human alpha-galactosidase A gene containing a binding site for methylated DNA-binding protein/RFX1-4. Biol Chem 379: 541–544.
Svennerholm L, Hakansson G, Mansson JE, Vanier MT (1979) The assay of sphingolipid hydrolases in white blood cells with labelled natural substrates. Clin Chim Acta 92: 53–64. doi:10.1016/0009-8981(79)90396-6.
Walsh PS, Metzger DA, Higuchi R (1991) ChelexT 100 as a medium for simple extraction of DNA for PCR based typing from forensic material. BioTechniques 10: 506–513.
Wilcox WR, Oliveira JP, Hopkin RJ, et al. (2008). Females with Fabry disease frequently have major organ involvement: lessons from the Fabry Registry. Mol Genet Metab 93: 112–128. doi:10.1016/j.ymgme.2007.09.013.
Wilkie GS, Dickson KS, Gray NK (2003) Regulation of mRNA translation by 5′- and 3′-UTR-binding factors. Trends Biochem Sci 28: 182–188. doi:10.1016/S0968-0004(03)00051-3.
Zhang X-Y, Asiedu CK, Supakar PC, et al (1990) Binding sites in mammalian genes and viral gene regulatory regions recognized by methylated DNA-binding protein. Nucleic Acids Res 18: 6253–6260. doi:10.1093/nar/18.21.6253.
Zhang X-Y, Ni Y-S, Saifudeen Z, Asiedu CK, Supakar PC, Ehrlich M (1995) Increased binding of a transcription factor immediately downstream of a cap site of a cytomegalovirus gene represses expression. Nucleic Acids Res 23: 3026–3033. doi:10.1093/nar/23.15.3026.
Acknowledgements
This study was partially supported by a grant from Genzyme Corporation. We thank Rob Pomponio, PhD, Genzyme Corporation, for critically reviewing the manuscript, and Hans Ebels, MD, Genzyme Europe BV, for editorial assistance.
Parts of these data were presented at the ‘7th European Round Table on Fabry Disease’, 27–28 October 2006, Barcelona, Spain, and published as an abstract in Clinical Therapeutics 2007; 9(Supplement A).
We are grateful to the medical students, the patient and his relatives who have made this study possible.
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Communicating editor: Ed Wraith
Competing interests: J. P. Oliveira and J.-E. Månsson are members of the European Advisory Board of the ‘Fabry Registry’, a worldwide database of patients with Fabry disease sponsored by Genzyme Corporation, and have received grants for investigation activities from Genzyme Corporation. M. C. Sá Miranda has received grants for investigation activities from Genzyme Corporation.
References to electronic databases: α-Galactosidase: http://www.chem.qmul.ac.uk/iubmb/enzyme/EC3/2/1/22.html. Fabry disease: http://www.ncbi.nlm.nih.gov/entrez/dispomim.cgi?id=301500. GLA:http://www.genenames.org/data/hgnc_data.php?hgnc_id=4296; GLA gene sequence: GenBank accession no. X16889, version 1: http://www.ncbi.nlm.nih.gov/entrez/viewer.fcgi?db=nuccore&id=31755. GLA cDNA sequence: GenBank accession no. NM_000169, version 2, http://www.ncbi.nlm.nih.gov/entrez/viewer.fcgi?db=nuccore&id=125661058. UTR Scan program: http://www.ba.itb.cnr.it/BIG/UTRScan. RNAstructure software: http://rna.chem.rochester.edu.
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Oliveira, J.P., Ferreira, S., Barceló, J. et al. Effect of single-nucleotide polymorphisms of the 5′ untranslated region of the human α-galactosidase gene on enzyme activity, and their frequencies in Portuguese caucasians. J Inherit Metab Dis 31 (Suppl 2), 247–253 (2008). https://doi.org/10.1007/s10545-008-0818-9
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DOI: https://doi.org/10.1007/s10545-008-0818-9