PMID- 10369261 OWN - NLM STAT- MEDLINE DCOM- 19990629 LR - 20131121 IS - 1061-4036 (Print) IS - 1061-4036 (Linking) VI - 22 IP - 2 DP - 1999 Jun TI - Mutations in MVK, encoding mevalonate kinase, cause hyperimmunoglobulinaemia D and periodic fever syndrome. PG - 175-7 AB - Hyperimmunoglobulinaemia D and periodic fever syndrome (HIDS; MIM 260920) is an autosomal recessive disorder characterized by recurrent episodes of fever associated with lymphadenopathy, arthralgia, gastrointestinal dismay and skin rash. Diagnostic hallmark of HIDS is a constitutively elevated level of serum immunoglobulin D (IgD), although patients have been reported with normal IgD levels. To determine the underlying defect in HIDS, we analysed urine of several patients and discovered increased concentrations of mevalonic acid during severe episodes of fever, but not between crises. Subsequent analysis of cells from four unrelated HIDS patients revealed reduced activities of mevalonate kinase (MK; encoded by the gene MVK), a key enzyme of isoprenoid biosynthesis. Sequence analysis of MVK cDNA from the patients identified three different mutations, one of which was common to all patients. Expression of the mutant cDNAs in Escherichia coli showed that all three mutations affect the activity of the encoded proteins. Moreover, immunoblot analysis demonstrated a deficiency of MK protein in patient fibroblasts, indicating a protein-destabilizing effect of the mutations. FAU - Houten, S M AU - Houten SM AD - Department of Clinical Chemistry, Emma Children's Hospital, Academic Medical Center, University of Amsterdam, The Netherlands. FAU - Kuis, W AU - Kuis W FAU - Duran, M AU - Duran M FAU - de Koning, T J AU - de Koning TJ FAU - van Royen-Kerkhof, A AU - van Royen-Kerkhof A FAU - Romeijn, G J AU - Romeijn GJ FAU - Frenkel, J AU - Frenkel J FAU - Dorland, L AU - Dorland L FAU - de Barse, M M AU - de Barse MM FAU - Huijbers, W A AU - Huijbers WA FAU - Rijkers, G T AU - Rijkers GT FAU - Waterham, H R AU - Waterham HR FAU - Wanders, R J AU - Wanders RJ FAU - Poll-The, B T AU - Poll-The BT LA - eng PT - Journal Article PL - United States TA - Nat Genet JT - Nature genetics JID - 9216904 RN - 0 (Immunoglobulin D) RN - 0 (Recombinant Proteins) RN - EC 2.7.1.- (Phosphotransferases (Alcohol Group Acceptor)) RN - EC 2.7.1.36 (mevalonate kinase) RN - S5UOB36OCZ (Mevalonic Acid) SB - IM CIN - Nat Genet. 1999 Jun;22(2):121-2. PMID: 10369246 MH - Amino Acid Substitution MH - Cloning, Molecular MH - Escherichia coli MH - Female MH - Fever/enzymology/*genetics MH - Genes, Recessive MH - Humans MH - Hypergammaglobulinemia/enzymology/*genetics MH - *Immunoglobulin D MH - Indonesia MH - Lymphocytes/enzymology MH - Male MH - Mevalonic Acid/blood MH - Netherlands MH - Periodicity MH - Phosphotransferases (Alcohol Group Acceptor)/biosynthesis/*genetics MH - *Point Mutation MH - Recombinant Proteins/biosynthesis MH - Recurrence MH - Syndrome EDAT- 1999/06/16 10:00 MHDA- 2001/03/23 10:01 CRDT- 1999/06/16 10:00 PHST- 1999/06/16 10:00 [pubmed] PHST- 2001/03/23 10:01 [medline] PHST- 1999/06/16 10:00 [entrez] AID - 10.1038/9691 [doi] PST - ppublish SO - Nat Genet. 1999 Jun;22(2):175-7. doi: 10.1038/9691.