PMID- 16799922 OWN - NLM STAT- MEDLINE DCOM- 20061016 LR - 20191210 IS - 1098-1004 (Electronic) IS - 1059-7794 (Linking) VI - 27 IP - 8 DP - 2006 Aug TI - Father-to-daughter transmission of Cornelia de Lange syndrome caused by a mutation in the 5' untranslated region of the NIPBL Gene. PG - 731-5 AB - Cornelia de Lange syndrome (CdLS; also called Brachmann de Lange syndrome) is a developmental disorder characterized by typical facial dysmorphism, growth and mental retardation, microcephaly, and various malformations. Mutations in the NIPBL gene have been identified in approximately 40% of reported cases, suggesting either genetic heterogeneity or that some NIPBL mutations are not detected by current screening strategies. We screened a cohort of 21 patients with no previously identified NIPBL anomaly for mutations in the 5' untranslated region (5'UTR) and the proximal promoter of the NIPBL gene. We identified a heterozygous deletion-insertion mutation in exon 1, 321 nucleotides upstream of the translation initiation codon (c.-321_-320delCCinsA) in one affected girl and her mildly affected father. This mutation altered highly conserved nucleotides, was not found in 400 control alleles, arose de novo in the father, and cosegregated with the disease in the family. Using real-time quantitative PCR, we showed that NIPBL mRNA expression was lowered in patients' lymphocytes compared to control samples. Finally, we showed that, when subcloned into a luciferase reporter vector, the mutation leads to a significant reduction of reporter gene activity. Our results demonstrate that mutations in the 5' noncoding region of the NIPBL gene can be involved in the pathogenesis of CdLS. Mutations affecting this region of the gene might be associated with a milder phenotype. FAU - Borck, Guntram AU - Borck G AD - INSERM U781 and Departement de Genetique, Hopital Necker-Enfants Malades, Paris, France. borck@necker.fr FAU - Zarhrate, Mohamed AU - Zarhrate M FAU - Cluzeau, Celine AU - Cluzeau C FAU - Bal, Elodie AU - Bal E FAU - Bonnefont, Jean-Paul AU - Bonnefont JP FAU - Munnich, Arnold AU - Munnich A FAU - Cormier-Daire, Valerie AU - Cormier-Daire V FAU - Colleaux, Laurence AU - Colleaux L LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Mutat JT - Human mutation JID - 9215429 RN - 0 (5' Untranslated Regions) RN - 0 (Cell Cycle Proteins) RN - 0 (NIPBL protein, human) RN - 0 (Proteins) RN - 0 (RNA, Messenger) RN - EC 1.13.12.- (Luciferases) SB - IM MH - 5' Untranslated Regions MH - Adolescent MH - Cell Cycle Proteins MH - Child MH - Child, Preschool MH - Cohort Studies MH - CpG Islands MH - De Lange Syndrome/*genetics MH - Female MH - Genes, Reporter MH - Genetic Heterogeneity MH - Genetic Testing MH - Humans MH - Infant MH - *Inheritance Patterns MH - Luciferases/analysis MH - Male MH - *Mutation MH - Pedigree MH - Promoter Regions, Genetic MH - Proteins/*genetics MH - RNA, Messenger/metabolism EDAT- 2006/06/27 09:00 MHDA- 2006/10/17 09:00 CRDT- 2006/06/27 09:00 PHST- 2006/06/27 09:00 [pubmed] PHST- 2006/10/17 09:00 [medline] PHST- 2006/06/27 09:00 [entrez] AID - 10.1002/humu.20380 [doi] PST - ppublish SO - Hum Mutat. 2006 Aug;27(8):731-5. doi: 10.1002/humu.20380.