Biopolym. Cell. 1990; 6(1):31-46.
Molecular heterogeneity of human hereditary diseases and problems of their gene therapy
- Institute of Experimental Medicine, Academy of Medical Sciences of the USSR
Leningrad, USSR
Abstract
The paper represents a review of up-to-date considerations concerning the primary mechanisms responsible for the deficiency of protein gene products in human hereditary diseases. The molecular bases of the genetic and phenotypic heterogeneity of hereditary diseases are analyzed. This heterogeneity could be due to various intra- and extragenic mutations causing either complete or partial blocks at various levels of gene expression (disturbances in the coding specificity of genes, insufficiency in transcription, mRNA processing, its translation, blocks of protein processing and its intracellular traffic). The problems of gene therapy of hereditary diseases are discussed in relation to their heterocencitv.
Full text: (PDF, in Russian)
References
[1]
Francomano CA, Kazazian HH Jr. DNA analysis in genetic disorders. Annu Rev Med. 1986;37:377-95. Review.
[3]
Cooper DN, Schmidtke J. Diagnosis of genetic disease using recombinant DNA. Hum Genet. 1986;73(1):1-11.
[4]
Gaitskhoki VS. Molecular basis of human hereditary diseases caused by gene expression deficiency. Mol Gen Mikrobiol Virusol. 1988;(7):3-13.
[5]
Antonarakis SE. Diagnosis of genetic disorders at the DNA level. N Engl J Med. 1989;320(3):153-63.
[6]
Semenza GL, Delgrosso K, Poncz M, Malladi P, Schwartz E, Surrey S. The silent carrier allele: beta thalassemia without a mutation in the beta-globin gene or its immediate flanking regions. Cell. 1984;39(1):123-8.
[7]
Horst J, Griese EU, Kleihauer E, Kohne E. Alpha-globin gene deletion causes alpha-thalassemia syndromes in two German families. Hum Genet. 1984;68(3):260-3.
[8]
Taramelli R, Kioussis D, Vanin E, Bartram K, Groffen J, Hurst J, Grosveld FG. Gamma delta beta-thalassaemias 1 and 2 are the result of a 100 kbp deletion in the human beta-globin cluster. Nucleic Acids Res. 1986;14(17):7017-29.
[9]
Antonarakis SE, Waber PG, Kittur SD, Patel AS, Kazazian HH Jr, Mellis MA, Counts RB, Stamatoyannopoulos G, Bowie EJ, Fass DN, et al. Hemophilia A. Detection of molecular defects and of carriers by DNA analysis. N Engl J Med. 1985;313(14):842-8.
[10]
Bardoni B, Sampietro M, Romano M, Crapanzano M, Mannucci PM, Camerino G. Characterization of a partial deletion of the factor VIII gene in a haemophiliac with inhibitor. Hum Genet. 1988;79(1):86-8.
[11]
Forrest SM, Cross GS, Speer A, Gardner-Medwin D, Burn J, Davies KE. Preferential deletion of exons in Duchenne and Becker muscular dystrophies. Nature. 1987 Oct 15-21;329(6140):638-40.
[12]
Lawn RM. The molecular genetics of hemophilia: blood clotting factors VIII and IX. Cell. 1985;42(2):405-6.
[13]
Bernardi F, del Senno L, Barbieri R, Buzzoni D, Gambari R, Marchetti G, Conconi F, Panicucci F, Positano M, Pitruzzello S. Gene deletion in an Italian haemophilia B subject. J Med Genet. 1985;22(4):305-7.
[14]
Brown MS, Goldstein JL. A receptor-mediated pathway for cholesterol homeostasis. Science. 1986;232(4746):34-47.
[15]
Yamamoto T, Davis CG, Brown MS, Schneider WJ, Casey ML, Goldstein JL, Russell DW. The human LDL receptor: a cysteine-rich protein with multiple Alu sequences in its mRNA. Cell. 1984;39(1):27-38.
[16]
Barsh GS, Roush CL, Bonadio J, Byers PH, Gelinas RE. Intron-mediated recombination may cause a deletion in an alpha 1 type I collagen chain in a lethal form of osteogenesis imperfecta. Proc Natl Acad Sci U S A. 1985;82(9):2870-4.
[17]
Lehrman MA, Goldstein JL, Russell DW, Brown MS. Duplication of seven exons in LDL receptor gene caused by Alu-Alu recombination in a subject with familial hypercholesterolemia. Cell. 1987;48(5):827-35.
[18]
Kazazian HH Jr, Wong C, Youssoufian H, Scott AF, Phillips DG, Antonarakis SE. Haemophilia A resulting from de novo insertion of L1 sequences represents a novel mechanism for mutation in man. Nature. 1988;332(6160):164-6.
[19]
Antonarakis SE, Kazazian HH Jr, Orkin SH. DNA polymorphism and molecular pathology of the human globin gene clusters. Hum Genet. 1985;69(1):1-14.
[20]
Antonarakis SE, Irkin SH, Cheng TC, Scott AF, Sexton JP, Trusko SP, Charache S, Kazazian HH Jr. beta-Thalassemia in American Blacks: novel mutations in the "TATA" box and an acceptor splice site. Proc Natl Acad Sci U S A. 1984;81(4):1154-8.
[21]
Cheng TC, Orkin SH, Antonarakis SE, Potter MJ, Sexton JP, Markham AF, Giardina PJ, Li A, Kazazian HH Jr. beta-Thalassemia in Chinese: use of in vivo RNA analysis and oligonucleotide hybridization in systematic characterization of molecular defects. Proc Natl Acad Sci U S A. 1984;81(9):2821-5.
[22]
Nukiwa T, Takahashi H, Brantly M, Courtney M, Crystal RG. alpha 1-Antitrypsin nullGranite Falls, a nonexpressing alpha 1-antitrypsin gene associated with a frameshift to stop mutation in a coding exon. J Biol Chem. 1987;262(25):11999-2004.
[23]
Orkin SH, Sexton JP, Cheng TC, Goff SC, Giardina PJ, Lee JI, Kazazian HH Jr. ATA box transcription mutation in beta-thalassemia. Nucleic Acids Res. 1983;11(14):4727-34.
[24]
Surrey S, Delgrosso K, Malladi P, Schwartz E. Functional analysis of a beta-globin gene containing a TATA box mutation from a Kurdish Jew with beta thalassemia. J Biol Chem. 1985;260(11):6507-10.
[25]
Orkin SH, Antonarakis SE, Kazazian HH Jr. Base substitution at position -88 in a beta-thalassemic globin gene. Further evidence for the role of distal promoter element ACACCC. J Biol Chem. 1984;259(14):8679-81.
[26]
Shvartsman AL, Vakharlovskii VG, Gaitskhoki VS, Neifakh SA. Molecular structure of the human ceruloplasmin gene and its expression in the Wilson-Konovalov mutation. Dokl Akad Nauk SSSR. 1981;257(3):717-20. Russian.
[27]
Czaja MJ, Weiner FR, Schwarzenberg SJ, Sternlieb I, Scheinberg IH, Van Thiel DH, LaRusso NF, Giambrone MA, Kirschner R, Koschinsky ML, et al. Molecular studies of ceruloplasmin deficiency in Wilson's disease. J Clin Invest. 1987;80(4):1200-4.
[28]
Yang F, Naylor SL, Lum JB, Cutshaw S, McCombs JL, Naberhaus KH, McGill JR, Adrian GS, Moore CM, Barnett DR, et al. Characterization, mapping, and expression of the human ceruloplasmin gene. Proc Natl Acad Sci U S A. 1986;83(10):3257-61.
[29]
Baranov VS, Schwartzman AL, Gorbunova VN, Gaitskhoki VS, Rubtsov NB, Timchenko NA, Neifakh SA. Chromosomal localization of ceruloplasmin and transferrin genes in laboratory rats, mice and in man by hybridization with specific DNA probes. Chromosoma. 1987;96(1):60-6.
[30]
Frydman M, Bonne-Tamir B, Farrer LA, Conneally PM, Magazanik A, Ashbel S, Goldwitch Z. Assignment of the gene for Wilson disease to chromosome 13: linkage to the esterase D locus. Proc Natl Acad Sci U S A. 1985;82(6):1819-21.
[31]
Bowcock AM, Farrer LA, Cavalli-Sforza LL, Hebert JM, Kidd KK, Frydman M, Bonne-Tamir B. Mapping the Wilson disease locus to a cluster of linked polymorphic markers on chromosome 13. Am J Hum Genet. 1987;41(1):27-35.
[32]
Okano H, Ikenaka K, Mikoshiba K. Recombination within the upstream gene of duplicated myelin basic protein genes of myelin deficient shimld mouse results in the production of antisense RNA. EMBO J. 1988;7(11):3407-12.
[33]
Nussinov R. Sequence signals which may be required for efficient formation of mRNA 3' termini. Nucleic Acids Res. 1986;14(8):3557-71.
[34]
Higgs DR, Goodbourn SE, Lamb J, Clegg JB, Weatherall DJ, Proudfoot NJ. Alpha-thalassaemia caused by a polyadenylation signal mutation. Nature. 1983 Nov 24-30;306(5941):398-400.
[35]
Orkin SH, Cheng TC, Antonarakis SE, Kazazian HH Jr. Thalassemia due to a mutation in the cleavage-polyadenylation signal of the human beta-globin gene. EMBO J. 1985;4(2):453-6.
[36]
Breathnach R, Chambon P. Organization and expression of eucaryotic split genes coding for proteins. Annu Rev Biochem. 1981;50:349-83. Review.
[37]
Atweh GF, Anagnou NP, Shearin J, Forget BG, Kaufman RE. Beta-thalassemia resulting from a single nucleotide substitution in an acceptor splice site. Nucleic Acids Res. 1985;13(3):777-90.
[38]
Orkin SH, Sexton JP, Goff SC, Kazazian HH Jr. Inactivation of an acceptor RNA splice site by a short deletion in beta-thalassemia. J Biol Chem. 1983;258(12):7249-51.
[39]
Rees DJ, Rizza CR, Brownlee GG. Haemophilia B caused by a point mutation in a donor splice junction of the human factor IX gene. Nature. 1985 Aug 15-21;316(6029):643-5.
[40]
Woo SL. Molecular basis and population genetics of phenylketonuria. Biochemistry. 1989;28(1):1-7.
[41]
Marvit J, diLella AG, Brayton K et al. An exon-skipping mutation in phenylketonuria. Am J Hum Genet. 1986; 39(3):A15.
[42]
Kazazian HH Jr, Orkin SH, Antonarakis SE, Sexton JP, Boehm CD, Goff SC, Waber PG. Molecular characterization of seven beta-thalassemia mutations in Asian Indians. EMBO J. 1984;3(3):593-6.
[43]
Esumi H, Takahashi Y, Sato S, Nagase S, Sugimura T. A seven-base-pair deletion in an intron of the albumin gene of analbuminemic rats. Proc Natl Acad Sci U S A. 1983;80(1):95-9.
[44]
Goldsmith ME, Humphries RK, Ley T, Cline A, Kantor JA, Nienhuis AW. "Silent" nucleotide substitution in a beta+-thalassemia globin gene activates splice site in coding sequence RNA. Proc Natl Acad Sci U S A. 1983;80(8):2318-22.
[45]
Limborskaia SA, Bukhman VL, Prosniak MI, Fedorov AN, Slominskii PA. Molecular causes of thalassemia. IV. Cloning of the beta-globin gene in a patient with beta-thalassemia from Azerbaijan and determination of the point mutation in a minor intron. Genetika. 1987;23(2):228-38.
[46]
Metherall JE, Collins FS, Pan J, Weissman SM, Forget BG. Beta zero thalassemia caused by a base substitution that creates an alternative splice acceptor site in an intron. EMBO J. 1986;5(10):2551-7.
[47]
Pirastu M, Saglio G, Chang JC, Cao A, Kan YW. Initiation codon mutation as a cause of alpha thalassemia. J Biol Chem. 1984;259(20):12315-7.
[48]
Kozak M. Compilation and analysis of sequences upstream from the translational start site in eukaryotic mRNAs. Nucleic Acids Res. 1984;12(2):857-72.
[49]
Morle F, Lopez B, Henni T, Godet J. alpha-Thalassaemia associated with the deletion of two nucleotides at position -2 and -3 preceding the AUG codon. EMBO J. 1985;4(5):1245-50.
[50]
Morle F, Starck J, Godet J. Alpha-thalassemia due to the deletion of nucleotides -2 and -3 preceding the AUG initiation codon affects translation efficiency both in vitro and in vivo. Nucleic Acids Res. 1986;14(8):3279-92.
[52]
Bathurst IC, Stenflo J, Errington DM, Carrell RW. Translation and processing of normal (PiMM) and abnormal (PiZZ) human alpha 1-antitrypsin. FEBS Lett. 1983;153(2):270-4.
[53]
DeMayo JL, Sifers RN, Carlson SM et al. Expression of normal and mutant alphar antitrypsin genes in transgenic mice. Am J Hum Genet. 1986; 39(3):A195.
[54]
Elbein SC, Gruppuso P, Schwartz R, Skolnick M, Permutt MA. Hyperproinsulinemia in a family with a proposed defect in conversion is linked to the insulin gene. Diabetes. 1985;34(8):821-4.
[55]
Kobayashi M, Sasaoka T, Takata Y, Ishibashi O, Sugibayashi M, Shigeta Y, Hisatomi A, Nakamura E, Tamaki M, Teraoka H. Insulin resistance by unprocessed insulin proreceptors point mutation at the cleavage site. Biochem Biophys Res Commun. 1988;153(2):657-63.
[56]
Rabiet MJ, Furie BC, Furie B. Molecular defect of prothrombin Barcelona. Substitution of cysteine for arginine at residue 273. J Biol Chem. 1986;261(32):15045-8.
[57]
Bentley AK, Rees DJ, Rizza C, Brownlee GG. Defective propeptide processing of blood clotting factor IX caused by mutation of arginine to glutamine at position -4. Cell. 1986;45(3):343-8.
[58]
Makrides SC, Ruiz-Opazo N, Hayden M, Nussbaum AL, Breslow JL, Zannis VI. Sequence and expression of Tangier apoA-I gene. Eur J Biochem. 1988;173(2):465-71.
[59]
Mariolli M, Salmon C, Lucotte G. Individual polymorphism of albumin gene by sequencing DNA. Protides in biol. fluids: Proc. 33rd colloq. Nowr York: Pergamon Press, 1985. 177-9.
[60]
Vulliamy TJ, D'Urso M, Battistuzzi G, Estrada M, Foulkes NS, Martini G, Calabro V, Poggi V, Giordano R, Town M, et al. Diverse point mutations in the human glucose-6-phosphate dehydrogenase gene cause enzyme deficiency and mild or severe hemolytic anemia. Proc Natl Acad Sci U S A. 1988;85(14):5171-5.
[61]
Cox DW, Woo SL, Mansfield T. DNA restriction fragments associated with alpha 1-antitrypsin indicate a single origin for deficiency allele PI Z. Nature. 1985 Jul 4-10;316(6023):79-81.
[62]
Kulozik AE, Wainscoat JS, Serjeant GR, Kar BC, Al-Awamy B, Essan GJ, Falusi AG, Haque SK, Hilali AM, Kate S, et al. Geographical survey of beta S-globin gene haplotypes: evidence for an independent Asian origin of the sickle-cell mutation. Am J Hum Genet. 1986;39(2):239-44.
[63]
Akeson AL, Wiginton DA, Hutton JJ. Normal and mutant human adenosine deaminase genes. J Cell Biochem. 1989;39(3):217-28.
[64]
Myerowitz R, Hogikyan ND. Different mutations in Ashkenazi Jewish and non-Jewish French Canadians with Tay-Sachs disease. Science. 1986;232(4758):1646-8.
[65]
Myerowitz R. Splice junction mutation in some Ashkenazi Jews with Tay-Sachs disease: evidence against a single defect within this ethnic group. Proc Natl Acad Sci U S A. 1988;85(11):3955-9.
[66]
Chen SH, Edson JR, Kurachi K, Scott CR. A 6 Kb insertion as a new case of the disorder hemophilia BEL Salvador. Am J Hum Genet. 1986; 39(3):A6.
[67]
Youssoufian H, Antonarakis SE, Bell W, Griffin AM, Kazazian HH Jr. Nonsense and missense mutations in hemophilia A: estimate of the relative mutation rate at CG dinucleotides. Am J Hum Genet. 1988;42(5):718-25.
[68]
Thomas KR, Capecchi MR. Site-directed mutagenesis by gene targeting in mouse embryo-derived stem cells. Cell. 1987;51(3):503-12.
[69]
Vines G. Gene therapy draws closer to its targets. New Sci. 1988; 1642:22.
[70]
Costantini F, Chada K, Magram J. Correction of murine beta-thalassemia by gene transfer into the germ line. Science. 1986;233(4769):1192-4.
[71]
Readhead C, Popko B, Takahashi N, Shine HD, Saavedra RA, Sidman RL, Hood L. Expression of a myelin basic protein gene in transgenic shiverer mice: correction of the dysmyelinating phenotype. Cell. 1987;48(4):703-12.
[72]
Cavard C, Grimber G, Dubois N, Chasse JF, Bennoun M, Minet-Thuriaux M, Kamoun P, Briand P. Correction of mouse ornithine transcarbamylase deficiency by gene transfer into the germ line. Nucleic Acids Res. 1988;16(5):2099-110.
[73]
Stacey A, Bateman J, Choi T, Mascara T, Cole W, Jaenisch R. Perinatal lethal osteogenesis imperfecta in transgenic mice bearing an engineered mutant pro-alpha 1(I) collagen gene. Nature. 1988;332(6160):131-6.
[74]
Benvenisty N, Reshef L. Direct introduction of genes into rats and expression of the genes. Proc Natl Acad Sci U S A. 1986;83(24):9551-5.
[75]
Wu GY, Wu CH. Receptor-mediated in vitro gene transformation by a soluble DNA carrier system. J Biol Chem. 1987;262(10):4429-32.
[76]
Parkman R. The application of bone marrow transplantation to the treatment of genetic diseases. Science. 1986;232(4756):1373-8. Review.
[77]
St Louis D, Verma IM. An alternative approach to somatic cell gene therapy. Proc Natl Acad Sci U S A. 1988;85(9):3150-4.
[78]
Wilson JM, Jefferson DM, Chowdhury JR, Novikoff PM, Johnston DE, Mulligan RC. Retrovirus-mediated transduction of adult hepatocytes. Proc Natl Acad Sci U S A. 1988;85(9):3014-8.
[79]
Palmer TD, Hock RA, Osborne WR, Miller AD. Efficient retrovirus-mediated transfer and expression of a human adenosine deaminase gene in diploid skin fibroblasts from an adenosine deaminase-deficient human. Proc Natl Acad Sci U S A. 1987;84(4):1055-9.
[80]
Sorge J, Kuhl W, West C, Beutler E. Complete correction of the enzymatic defect of type I Gaucher disease fibroblasts by retroviral-mediated gene transfer. Proc Natl Acad Sci U S A. 1987;84(4):906-9.
[81]
Wilson JM, Johnston DE, Jefferson DM, Mulligan RC. Correction of the genetic defect in hepatocytes from the Watanabe heritable hyperlipidemic rabbit. Proc Natl Acad Sci U S A. 1988;85(12):4421-5.
[82]
Miyanohara A, Sharkey MF, Witztum JL, Steinberg D, Friedmann T. Efficient expression of retroviral vector-transduced human low density lipoprotein (LDL) receptor in LDL receptor-deficient rabbit fibroblasts in vitro. Proc Natl Acad Sci U S A. 1988;85(17):6538-42.