GNPTAB missense mutations cause loss of GlcNAc-1-phosphotransferase activity in mucolipidosis type II through distinct mechanisms

  • Int J Biochem Cell Biol. 2017 Nov;92:90-94. doi: 10.1016/j.biocel.2017.09.006.
Nataniel Floriano Ludwig  1 Renata Voltolini Velho  2 Fernanda Sperb-Ludwig  1 Angelina Xavier Acosta  3 Erlane Marques Ribeiro  4 Chong A Kim  5 Dafne Dain Gandelman Horovitz  6 Raquel Boy  7 Maria Juliana Rodovalho-Doriqui  8 Charles Marques Lourenço  9 Emerson Santana Santos  10 Thomas Braulke  2 Sandra Pohl  11 Ida Vanessa D Schwartz  12
Affiliations
  • 1. Center of Gene Therapy, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; BRAIN Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Post Graduate Program in Genetics and Molecular Biology of Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
  • 2. Section Biochemistry, Children's Hospital, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • 3. Universidade Federal da Bahia, Salvador, Brazil.
  • 4. Faculdade de Medicina do Centro Universitário Christus, Fortaleza, Brazil.
  • 5. Genetics Unit, Instituto da Criança, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
  • 6. National Institute for Women's, Children's and Adolescents' Health Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
  • 7. Pediatrics Department, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.
  • 8. Juvêncio Mattos Children's Hospital, São Luiz, Maranhão, Brazil.
  • 9. Ribeirão Preto Clinics Hospital, Universidade de São Paulo, Ribeirão Preto, Brazil.
  • 10. Universidade Federal de Sergipe, Lagarto, Brazil.
  • 11. Section Biochemistry, Children's Hospital, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. Electronic address: [email protected].
  • 12. BRAIN Laboratory, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Post Graduate Program in Genetics and Molecular Biology of Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil; Medical Genetics Service of Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. Electronic address: [email protected].
Abstract

Mucolipidoses (ML) II and III Alpha/beta are lysosomal storage diseases caused by pathogenic mutations in GNPTAB encoding the α⁄β-subunit precursor of GlcNAc-1-phosphotransferase. To determine genotype-phenotype correlation and functional analysis of mutant GlcNAc-1-phosphotransferase, 13 Brazilian patients clinically and biochemical diagnosed for MLII or III Alpha/beta were studied. By Sequencing of genomic GNPTAB of the MLII and MLIII Alpha/beta patients we identified six novel mutations: p.D76G, p.S385L, p.Q278Kfs*3, p.H588Qfs*27, p.N642Lfs*10 and p.Y1111*. Expression analysis by western blotting and immunofluorescence microscopy revealed that the mutant α⁄β-subunit precursor p.D76G is retained in the endoplasmic reticulum whereas the mutant p.S385L is correctly transported to the cis-Golgi apparatus and proteolytically processed. Both mutations lead to complete loss of GlcNAc-1-phosphotransferase activity, consistent with the severe clinical MLII phenotype of the patients. Our study expands the genotypic spectrum of MLII and provides novel insights into structural requirements to ensure GlcNAc-1-phosphotransferase activity.

Keywords
Genotype-phenotype relation; Lysosomal storage disorder; Mannose 6-phosphate; Missense mutations; Site-1 protease.