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Two novel CRX mutant proteins causing autosomal dominant Leber congenital amaurosis interact differently with NRL
Journal article   Open access   Peer reviewed

Two novel CRX mutant proteins causing autosomal dominant Leber congenital amaurosis interact differently with NRL

Lorenzo L Nichols II, Ramakrishna P Alur, Elangovan Boobalan, Yuri V Sergeev, Rafael C Caruso, Edwin M Stone, Anand Swaroop, Mary A Johnson and Brian P Brooks
Human mutation, Vol.31(6), pp.E1472-E1483
06/2010
DOI: 10.1002/humu.21268
PMCID: PMC2952391
PMID: 20513135
url
https://doi.org/10.1002/humu.21268View
Published (Version of record) Open Access

Abstract

Leber congenital amaurosis (LCA) is a congenital retinal dystrophy characterized by severe visual loss in infancy and nystagmus. Although most often inherited in an autosomal recessive fashion, rare individuals with mutations in the cone-rod homeobox gene, CRX, have dominant disease. CRX is critical for photoreceptor development and acts synergistically with the leucine-zipper transcription factor, NRL. We report on the phenotype of two individuals with LCA due to novel, de novo CRX mutations, c.G264T(p.K74N) and c.413delT(p.I138fs48), that reduce transactivation in vitro to 10% and 30% of control values, respectively. Whereas the c.413delT(p.I138fs48) mutant allows co-expressed NRL to transactivate independently at its normal, baseline level, the c.G264T(p.K74N) mutant reduces co-expressed NRL transactivation and reduces steady state levels of both proteins. Although both mutant proteins predominantly localize normally to the nucleus, they also both show variable cytoplasmic localization. These observations suggest that some CRX-mediated LCA may result from effects beyond haploinsufficiency, such as the mutant protein interefering with other transcription factors' function. Such patients would therefore not likely benefit from a simple, gene-replacement strategy for their disease.
Mutation Leber Congenital Amaurosis - pathology Basic-Leucine Zipper Transcription Factors - metabolism Homeodomain Proteins - metabolism Humans Molecular Sequence Data Infant Trans-Activators - chemistry Genes, Dominant Base Sequence Trans-Activators - genetics Female Eye Proteins - genetics Protein Structure, Tertiary Cell Line Models, Molecular Leber Congenital Amaurosis - genetics Basic-Leucine Zipper Transcription Factors - genetics Homeodomain Proteins - chemistry Blotting, Western Homeodomain Proteins - genetics Sequence Homology, Amino Acid Eye Proteins - metabolism Protein Binding Protein Conformation Trans-Activators - metabolism

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