PMID- 10320521 OWN - NLM STAT- MEDLINE DCOM- 19990615 LR - 20191210 IS - 0884-0431 (Print) IS - 0884-0431 (Linking) VI - 14 IP - 5 DP - 1999 May TI - Novel mutations in the 1alpha-hydroxylase (P450c1) gene in three families with pseudovitamin D-deficiency rickets resulting in loss of functional enzyme activity in blood-derived macrophages. PG - 730-9 AB - Pseudovitamin D-defiency rickets (PDDR) is an autosomal recessive disorder characterized by hypocalcemia, rickets (which are resistant to treatment with vitamin D), and low or undetectable serum levels of 1,25-dihydroxyvitamin D (1,25(OH)2D). The symptoms are corrected with 1,25(OH)2D treatment, and the disease is now believed to result from a defect in the cytochrome P450 component (P450c1; CYP27B1) of the renal 25-hydroxyvitamin D-1alpha-hydroxylase (1-OHase). We have studied genomic DNA from three families with PDDR and have identified the same homozygous mutation in the P450c1 gene in two of the index cases, causing a frameshift in exon 8, resulting in a premature stop codon in the heme-binding domain. The two cases in the third kindred were compound heterozygotes with missense mutations in exons 6 and 9. We have also identified a C/T polymorphism in intron 6 of the P450c1 genomic DNA. Interferon gamma-inducible 1-OHase activity in blood-derived macrophages was shown by 1,25(OH)2D synthesis in all control cells tested (37-184 fmol/h/106 cells) and those from the PDDR family parents (34-116 fmol/h/106 cells) but was totally absent from the patients' cells, indicating a defect in their macrophage 1-OHase, similar to the presumed renal defect. The assumption of similarity between the renal and macrophage P450c1 was supported by our ability to clone a 514 bp sequence, including the heme-binding region of the macrophage P450c1 cDNA from controls, which was identical to that published for both the renal and keratinocyte P450c1 cDNAs. FAU - Smith, S J AU - Smith SJ AD - University Department of Medicine, Manchester Royal Infirmary, Manchester, United Kingdom. FAU - Rucka, A K AU - Rucka AK FAU - Berry, J L AU - Berry JL FAU - Davies, M AU - Davies M FAU - Mylchreest, S AU - Mylchreest S FAU - Paterson, C R AU - Paterson CR FAU - Heath, D A AU - Heath DA FAU - Tassabehji, M AU - Tassabehji M FAU - Read, A P AU - Read AP FAU - Mee, A P AU - Mee AP FAU - Mawer, E B AU - Mawer EB LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Bone Miner Res JT - Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research JID - 8610640 RN - 0 (Ferredoxins) RN - 40013-87-4 (24,25-Dihydroxyvitamin D 3) RN - 42VZT0U6YR (Heme) RN - 9007-49-2 (DNA) RN - 9035-51-2 (Cytochrome P-450 Enzyme System) RN - EC 1.14.- (Steroid Hydroxylases) RN - EC 1.14.15.15 (CYP27A1 protein, human) RN - EC 1.14.15.15 (Cholestanetriol 26-Monooxygenase) RN - EC 1.14.15.18 (25-Hydroxyvitamin D3 1-alpha-Hydroxylase) SB - IM MH - 24,25-Dihydroxyvitamin D 3/metabolism MH - 25-Hydroxyvitamin D3 1-alpha-Hydroxylase/genetics MH - Base Sequence MH - Cells, Cultured MH - Child MH - Child, Preschool MH - Cholestanetriol 26-Monooxygenase MH - *Chromosomes, Human, Pair 12 MH - Cloning, Molecular MH - Cytochrome P-450 Enzyme System/*genetics MH - DNA/chemistry/metabolism MH - Female MH - Ferredoxins/metabolism MH - Heme/metabolism MH - Humans MH - Infant MH - Introns MH - Macrophages/*enzymology MH - Male MH - Molecular Sequence Data MH - *Mutation MH - Pedigree MH - Polymorphism, Genetic MH - Rickets/enzymology/*genetics MH - Steroid Hydroxylases/*genetics EDAT- 1999/05/13 00:00 MHDA- 1999/05/13 00:01 CRDT- 1999/05/13 00:00 PHST- 1999/05/13 00:00 [pubmed] PHST- 1999/05/13 00:01 [medline] PHST- 1999/05/13 00:00 [entrez] AID - 10.1359/jbmr.1999.14.5.730 [doi] PST - ppublish SO - J Bone Miner Res. 1999 May;14(5):730-9. doi: 10.1359/jbmr.1999.14.5.730.