PMID- 10590074 OWN - NLM STAT- MEDLINE DCOM- 20000110 LR - 20220129 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 94 IP - 12 DP - 1999 Dec 15 TI - Mutations in ribosomal protein S19 gene and diamond blackfan anemia: wide variations in phenotypic expression. PG - 4294-306 AB - Mutations of the ribosomal protein S19 (RPS19) gene were recently identified in 10 patients with Diamond Blackfan anemia (DBA). To determine the prevalence of mutations in this gene in DBA and to begin to define the molecular basis for the observed variable clinical phenotype of this disorder, the genomic sequence of the 6 exons and the 5' untranslated region of the RPS19 gene was directly assessed in DBA index cases from 172 new families. Mutations affecting the coding sequence of RPS19 or splice sites were found in 34 cases (19.7%), whereas mutations in noncoding regions were found in 8 patients (4.6%). Mutations included nonsense, missense, splice sites, and frameshift mutations. A hot spot for missense mutations was identified between codons 52 and 62 of the RPS19 gene in a new sequence consensus motif W-[YFW]-[YF]-x-R-[AT]-A-[SA]-x-[AL]-R-[HRK]-[ILV]-Y. No correlation between the nature of mutations and the different patterns of clinical expression, including age at presentation, presence of malformations, and therapeutic outcome, could be documented. Moreover, RPS19 mutations were also found in some first-degree relatives presenting only with isolated high erythrocyte adenosine deaminase activity and/or macrocytosis. The lack of a consistent relationship between the nature of the mutations and the clinical phenotype implies that yet unidentified factors modulate the phenotypic expression of the primary genetic defect in families with RPS19 mutations. FAU - Willig, T N AU - Willig TN AD - Life Science Division, Lawrence Berkeley National Laboratory, Berkeley, CA, USA. tnwillig@lbl.gov FAU - Draptchinskaia, N AU - Draptchinskaia N FAU - Dianzani, I AU - Dianzani I FAU - Ball, S AU - Ball S FAU - Niemeyer, C AU - Niemeyer C FAU - Ramenghi, U AU - Ramenghi U FAU - Orfali, K AU - Orfali K FAU - Gustavsson, P AU - Gustavsson P FAU - Garelli, E AU - Garelli E FAU - Brusco, A AU - Brusco A FAU - Tiemann, C AU - Tiemann C FAU - Perignon, J L AU - Perignon JL FAU - Bouchier, C AU - Bouchier C FAU - Cicchiello, L AU - Cicchiello L FAU - Dahl, N AU - Dahl N FAU - Mohandas, N AU - Mohandas N FAU - Tchernia, G AU - Tchernia G LA - eng GR - E.0619/TI_/Telethon/Italy GR - DK26263/DK/NIDDK NIH HHS/United States GR - DK32094/DK/NIDDK NIH HHS/United States 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 - Blood JT - Blood JID - 7603509 RN - 0 (Ribosomal Proteins) RN - 0 (ribosomal protein S19) SB - IM MH - Adolescent MH - Adult MH - Amino Acid Sequence MH - Base Sequence MH - Child, Preschool MH - Fanconi Anemia/*genetics/physiopathology MH - Female MH - Humans MH - Infant MH - Male MH - Molecular Sequence Data MH - *Mutation MH - Pedigree MH - Ribosomal Proteins/*genetics EDAT- 1999/12/10 00:00 MHDA- 1999/12/10 00:01 CRDT- 1999/12/10 00:00 PHST- 1999/12/10 00:00 [pubmed] PHST- 1999/12/10 00:01 [medline] PHST- 1999/12/10 00:00 [entrez] AID - S0006-4971(20)36664-7 [pii] PST - ppublish SO - Blood. 1999 Dec 15;94(12):4294-306.