1. Academic Validation
  2. Loss-of-Function GAS8 Mutations Cause Primary Ciliary Dyskinesia and Disrupt the Nexin-Dynein Regulatory Complex

Loss-of-Function GAS8 Mutations Cause Primary Ciliary Dyskinesia and Disrupt the Nexin-Dynein Regulatory Complex

  • Am J Hum Genet. 2015 Oct 1;97(4):546-54. doi: 10.1016/j.ajhg.2015.08.012.
Heike Olbrich 1 Carolin Cremers 2 Niki T Loges 2 Claudius Werner 2 Kim G Nielsen 3 June K Marthin 3 Maria Philipsen 3 Julia Wallmeier 2 Petra Pennekamp 2 Tabea Menchen 2 Christine Edelbusch 2 Gerard W Dougherty 2 Oliver Schwartz 2 Holger Thiele 4 Janine Altmüller 5 Frank Rommelmann 6 Heymut Omran 7
Affiliations

Affiliations

  • 1 Department of General Pediatrics, University Children's Hospital Muenster, 48149 Muenster, Germany. Electronic address: [email protected].
  • 2 Department of General Pediatrics, University Children's Hospital Muenster, 48149 Muenster, Germany.
  • 3 Danish PCD Centre, Pediatric Pulmonary Service, Department of Pediatrics and Adolescent Medicine, Copenhagen University Hospital, Rigshospitalet, University of Copenhagen, 2100 Copenhagen, Denmark.
  • 4 Cologne Center for Genomics, University of Cologne, 50931 Cologne, Germany.
  • 5 Cologne Center for Genomics, University of Cologne, 50931 Cologne, Germany; Institute of Human Genetics, University of Cologne, 50931 Cologne, Germany.
  • 6 Pulmonary Specialist Practice, 40217 Duesseldorf, Germany.
  • 7 Department of General Pediatrics, University Children's Hospital Muenster, 48149 Muenster, Germany. Electronic address: [email protected].
Abstract

Multiciliated epithelial cells protect the upper and lower airways from chronic Bacterial infections by moving mucus and debris outward. Congenital disorders of ciliary beating, referred to as primary ciliary dyskinesia (PCD), are characterized by deficient mucociliary clearance and severe, recurrent respiratory infections. Numerous genetic defects, most of which can be detected by transmission electron microscopy (TEM), are so far known to cause different abnormalities of the ciliary axoneme. However, some defects are not regularly discernable by TEM because the ciliary architecture of the axoneme remains preserved. This applies in particular to isolated defects of the nexin links, also known as the nexin-dynein regulatory complex (N-DRC), connecting the peripheral outer microtubular doublets. Immunofluorescence analyses of respiratory cells from PCD-affected individuals detected a N-DRC defect. Genome-wide exome sequence analyses identified recessive loss-of-function mutations in GAS8 encoding DRC4 in three independent PCD-affected families.

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