PMID- 10562302 OWN - NLM STAT- MEDLINE DCOM- 19991209 LR - 20220316 IS - 0021-9738 (Print) IS - 0021-9738 (Linking) VI - 104 IP - 10 DP - 1999 Nov TI - Mutation causing congenital myasthenia reveals acetylcholine receptor beta/delta subunit interaction essential for assembly. PG - 1403-10 AB - We describe a severe postsynaptic congenital myasthenic syndrome with marked endplate acetylcholine receptor (AChR) deficiency caused by 2 heteroallelic mutations in the beta subunit gene. One mutation causes skipping of exon 8, truncating the beta subunit before its M1 transmembrane domain, and abolishing surface expression of pentameric AChR. The other mutation, a 3-codon deletion (beta426delEQE) in the long cytoplasmic loop between the M3 and M4 domains, curtails but does not abolish expression. By coexpressing beta426delEQE with combinations of wild-type subunits in 293 HEK cells, we demonstrate that beta426delEQE impairs AChR assembly by disrupting a specific interaction between beta and delta subunits. Studies with related deletion and missense mutants indicate that secondary structure in this region of the beta subunit is crucial for interaction with the delta subunit. The findings imply that the mutated residues are positioned at the interface between beta and delta subunits and demonstrate contribution of this local region of the long cytoplasmic loop to AChR assembly. FAU - Quiram, P A AU - Quiram PA AD - Receptor Biology Laboratory, Department of Physiology and Biophysics, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Ohno, K AU - Ohno K FAU - Milone, M AU - Milone M FAU - Patterson, M C AU - Patterson MC FAU - Pruitt, N J AU - Pruitt NJ FAU - Brengman, J M AU - Brengman JM FAU - Sine, S M AU - Sine SM FAU - Engel, A G AU - Engel AG LA - eng GR - R01 NS031744/NS/NINDS NIH HHS/United States GR - NS31744/NS/NINDS NIH HHS/United States GR - NS6277/NS/NINDS NIH HHS/United States GR - R37 NS031744/NS/NINDS NIH HHS/United States GR - R01 NS006277/NS/NINDS NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Clin Invest JT - The Journal of clinical investigation JID - 7802877 RN - 0 (Codon) RN - 0 (Macromolecular Substances) RN - 0 (Receptors, Cholinergic) RN - EC 3.1.1.7 (Acetylcholinesterase) SB - IM MH - Acetylcholinesterase/metabolism MH - Alleles MH - Amino Acid Sequence MH - Animals MH - Child MH - Codon MH - Exons MH - Female MH - Humans MH - Macromolecular Substances MH - Male MH - Molecular Sequence Data MH - Motor Endplate/pathology/physiology MH - Muscle, Skeletal/*metabolism/pathology/physiopathology MH - Myasthenia Gravis, Neonatal/*genetics/pathology/physiopathology MH - Nuclear Family MH - Pedigree MH - Protein Structure, Secondary MH - Receptors, Cholinergic/chemistry/*genetics/metabolism MH - Reference Values MH - Sequence Alignment MH - *Sequence Deletion MH - Sequence Homology, Amino Acid PMC - PMC409847 EDAT- 1999/11/24 00:00 MHDA- 1999/11/24 00:01 CRDT- 1999/11/24 00:00 PHST- 1999/11/24 00:00 [pubmed] PHST- 1999/11/24 00:01 [medline] PHST- 1999/11/24 00:00 [entrez] AID - 10.1172/JCI8179 [doi] PST - ppublish SO - J Clin Invest. 1999 Nov;104(10):1403-10. doi: 10.1172/JCI8179.