PMID- 10220152 OWN - NLM STAT- MEDLINE DCOM- 19990610 LR - 20191103 IS - 1059-7794 (Print) IS - 1059-7794 (Linking) VI - 13 IP - 4 DP - 1999 TI - Identification of 6 new mutations in the iduronate sulfatase gene. Mutation in brief no. 233. Online. PG - 338 AB - Mucopolysaccharidosis type II (Hunter syndrome) is an X-linked lysosomal storage disorder caused by a deficiency of the enzyme iduronate-2-sulfatase. We sequenced genomic DNA and RT-PCR products in the iduronate sulfatase (IDS) gene in 6 unrelated patients with Hunter syndrome to assess genotype/phenotype relationships and offer carrier testing where required. Six novel mutations were identified: four missense mutations, one four-base pair deletion (596-599delAACA) and a cryptic splice site mutation. Three of the missense mutations were significant amino acid substitutions (S143F, S491F, E341K) of which the latter two involve amino acids conserved amongst sulfatase enzymes. The patients identified with these mutations all had a severe clinical phenotype. One missense mutation with a minimal amino acid substitution (H342Y), in a non-conserved region of the gene, was associated with a mild clinical phenotype. We identified a novel cryptic splice site (IVS5+934G>A) with some normal (wild type) mRNA processing. We predict that the normal mRNA product confered some residual functional enzyme, resulting in a mild phenotype associated with the absence of overt central nervous system disease. FAU - Vallance, H D AU - Vallance HD AD - Department of Pathology, University of British Columbia, Vancouver, Canada. hvallance@wpog.childhosp.bc.ca FAU - Bernard, L AU - Bernard L FAU - Rashed, M AU - Rashed M FAU - Chiu, D AU - Chiu D FAU - Le, G AU - Le G FAU - Toone, J AU - Toone J FAU - Applegarth, D A AU - Applegarth DA FAU - Coulter-Mackie, M AU - Coulter-Mackie M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (RNA, Messenger) RN - EC 3.1.6.13 (Iduronate Sulfatase) SB - IM MH - Gene Deletion MH - Genotype MH - Humans MH - Iduronate Sulfatase/*genetics MH - Mucopolysaccharidosis II/genetics MH - Mutation, Missense MH - Phenotype MH - RNA, Messenger/metabolism MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sequence Analysis, DNA EDAT- 1999/04/29 02:03 MHDA- 2000/06/22 10:00 CRDT- 1999/04/29 02:03 PHST- 1999/04/29 02:03 [pubmed] PHST- 2000/06/22 10:00 [medline] PHST- 1999/04/29 02:03 [entrez] AID - 10.1002/(SICI)1098-1004(1999)13:4<338::AID-HUMU15>3.0.CO;2-3 [pii] AID - 10.1002/(sici)1098-1004(1999)13:4<338::aid-humu15>3.0.co;2-3 [doi] PST - ppublish SO - Hum Mutat. 1999;13(4):338. doi: 10.1002/(sici)1098-1004(1999)13:4<338::aid-humu15>3.0.co;2-3.