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Blood, 1 April 2005, Vol. 105, No. 7, pp. 2671-2676.
Prepublished online as a Blood First Edition Paper on December 2, 2004; DOI 10.1182/blood-2004-09-3509.
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CLINICAL OBSERVATIONS, INTERVENTIONS, AND THERAPEUTIC TRIALS
Genetic complementation reveals a novel human congenital disorder of glycosylation of type II, due to inactivation of the Golgi CMPsialic acid transporter
Ivan Martinez-Duncker,
Thierry Dupré,
Véronique Piller,
Friedrich Piller,
Jean-Jacques Candelier,
Catherine Trichet,
Gil Tchernia,
Rafael Oriol, and
Rosella Mollicone
From the Institut National de la Santé et de la Recherche Médicale (INSERM U504) Groupement de Recherche (GDR), Centre National de la Recherche Scientifique (CNRS) 2590, University of Paris Sud XI, Villejuif, France; Laboratoire de biochimie A, Hôpital Bichat, Claude Bernard Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France; Centre de Biophysique Moléculaire-CNRS UPR4301, Orléans, France; and Laboratoire d'Hématologie, Immunologie et Cytogénétique, Hôpital Kremlin-Bicêtre, Kremlin-Bicêtre, France.
We have identified a homozygous G>A substitution in the donor splice site of intron 6 (IVS6 + 1G>A) of the cytidine monophosphate (CMP)sialic acid transporter gene of Lec2 cells as the mutation responsible for their asialo phenotype. These cells were used in complementation studies to test the activity of the 2 CMPsialic acid transporter cDNA alleles of a patient devoid of sialyl-Lex expression on polymorphonuclear cells. No complementation was obtained with either of the 2 patient alleles, whereas full restoration of the sialylated phenotype was obtained in the Lec2 cells transfected with the corresponding human wild-type transcript. The inactivation of one patient allele by a double microdeletion inducing a premature stop codon at position 327 and a splice mutation of the other allele inducing a 130base pair (bp) deletion and a premature stop codon at position 684 are proposed to be the causal defects of this disease. A 4-base insertion in intron 6 was found in the mother and is proposed to be responsible for the splice mutation. We conclude that this defect is a new type of congenital disorder of glycosylation (CDG) of type IIf affecting the transport of CMPsialic acid into the Golgi apparatus.

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