PMID- 25720518 OWN - NLM STAT- MEDLINE DCOM- 20160408 LR - 20221207 IS - 1573-7365 (Electronic) IS - 0885-7490 (Linking) VI - 30 IP - 4 DP - 2015 Aug TI - Two novel CAII mutations causing carbonic anhydrase II deficiency syndrome in two unrelated Chinese families. PG - 989-97 LID - 10.1007/s11011-015-9660-6 [doi] AB - The carbonic anhydrase II (CAII) deficiency syndrome is a rare autosomal recessive osteopetrosis with renal tubular acidosis (RTA) and cerebral calcifications (MIM259730). CAII deficiency syndrome is caused by mutations in the gene CAII, which encodes the enzyme carbonic anhydrase II. CAII mutations are rarely reported in the Asian population. Here, we described two unrelated CAII deficiency families of Chinese Han origin with clinical and genetic analysis. Altogether, 106 subjects, including 2 probands, 4 unaffected family members from two non-consanguineous Chinese families, and 100 healthy controls were recruited. All seven exons and the exon-intron boundaries of the CAII gene were amplified and directly sequenced. Reverse transcription PCR (RT-PCR) was used to study the effect of splice site mutation. All clinical and biochemical parameters of the probands were collected. Two novel mutations of CAII gene were identified by mutational analysis: A nonsense mutation in exon 4 (c.T381C p.Y127X) in both families; a splice mutation at the splice donor site of intron 3 (c.350+2T>C, IVS3+2T>C) in one family. The splice-site mutation causes exon 3 skipping in patient's mRNA resulting in an in-frame deletion and a novel premature stop codon. These mutations were predicted to result in a loss of function of CAII. This is the first report of CAII deficiency syndrome in Chinese population. Our findings extent the spectrum of CAII mutations observed in patients with CAII deficiency syndrome. FAU - Pang, Qianqian AU - Pang Q AD - Department of Endocrinology, Key Laboratory of Endocrinology, The Ministry of Health, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100730, China. FAU - Qi, Xuan AU - Qi X FAU - Jiang, Yan AU - Jiang Y FAU - Wang, Ou AU - Wang O FAU - Li, Mei AU - Li M FAU - Xing, Xiaoping AU - Xing X FAU - Dong, Jin AU - Dong J FAU - Xia, Weibo AU - Xia W LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150227 PL - United States TA - Metab Brain Dis JT - Metabolic brain disease JID - 8610370 RN - EC 4.2.1.- (Carbonic Anhydrase II) RN - EC 4.2.1.1 (Carbonic Anhydrases) RN - Osteopetrosis with renal tubular acidosis SB - IM MH - Acidosis, Renal Tubular/*diagnosis/*genetics MH - Adolescent MH - Asian People/*genetics MH - Carbonic Anhydrase II/chemistry/*genetics MH - Carbonic Anhydrases/*deficiency/genetics MH - Child, Preschool MH - Female MH - Humans MH - Male MH - Mutation/*genetics MH - Osteopetrosis/*diagnosis/*genetics MH - Pedigree MH - Protein Structure, Secondary MH - Urea Cycle Disorders, Inborn/*diagnosis/*genetics EDAT- 2015/02/28 06:00 MHDA- 2016/04/09 06:00 CRDT- 2015/02/28 06:00 PHST- 2014/12/11 00:00 [received] PHST- 2015/02/17 00:00 [accepted] PHST- 2015/02/28 06:00 [entrez] PHST- 2015/02/28 06:00 [pubmed] PHST- 2016/04/09 06:00 [medline] AID - 10.1007/s11011-015-9660-6 [doi] PST - ppublish SO - Metab Brain Dis. 2015 Aug;30(4):989-97. doi: 10.1007/s11011-015-9660-6. Epub 2015 Feb 27.