Human subjects are protected from mast cell tryptase deficiency despite frequent inheritance of loss-of-function mutations  Neil N. Trivedi, MD, Bani.

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Human subjects are protected from mast cell tryptase deficiency despite frequent inheritance of loss-of-function mutations  Neil N. Trivedi, MD, Bani Tamraz, PharmD, Catherine Chu, BS, Pui-Yan Kwok, MD, PhD, George H. Caughey, MD  Journal of Allergy and Clinical Immunology  Volume 124, Issue 5, Pages 1099-1105.e4 (November 2009) DOI: 10.1016/j.jaci.2009.07.026 Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 The tryptase gene cluster on chromosome 16p13.3. TPSG1, which encodes transmembrane tryptase γ, anchors the telomeric end. At adjacent TPSB2, βII and βIII tryptase genes compete as alleles. Similarly, α and βI genes compete as alleles at adjacent locus TPSAB1. TPSD1 is the δ locus, which encodes a truncated, largely inactive peptidase. Arrows depict transcriptional orientation. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Alignment of frame-shifted and full-length βIII tryptases. A, The chromatogram identifies the cytosine insertion (arrow) in βIIIFS. Red, blue, black, and green signify thymine, cytosine, guanine, and adenine, respectively. B, Comparison of the amino acid sequence of βIIIFS and full-length βIII: −, identical residue; #, conserved “catalytic triad” residue; %, conserved “specificity triad” residue; +, N-glycosylation site. The arrow identifies the residue with a codon containing the frame-shifting insertion. Mature enzyme begins with residue 1. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Models of full-length and frame-shifted βIII tryptases. Full-length (A and C) and frame-shifted (B and D) models are shown with the “specificity triad” Asp188, Gly215, and Gly225 in green, catalytic Ser195 in red, and the N-glycosylation sites Asn102 and Asn203 in cyan. Residues truncated in βIIIFS are ball-and-stick models in Fig 3, B. Blue, pink, grey, and orange residues, respectively, identify monomers 1 to 4 of the tryptase tetramer. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 4 Tryptase allele frequencies in HapMap project populations from Yoruba in Ibadan, Nigeria (African); Centre d'Etude du Polymorphisme Humain collection from Utah (European); Beijing Han (Chinese); and Tokyo Japanese. Overall allele frequencies are from pooled populations. Large and small brackets mark functional and dysfunctional alleles, respectively. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 5 Tryptase haplotype frequencies in 4 populations. Haplotypes with overall frequencies of ≥0.15 and <0.15 are defined as major and minor, respectively. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 6 Active tryptase gene dosage in 4 populations. ∗P < .05, ∗∗P < .001, and ∗∗∗P < .0001, respectively. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Examples of genotyped parent-child trios Examples of genotyped parent-child trios. The number of active tryptase genes per individual is shown within sex-specific symbols (squares, male; circle, female). A and B are families 1344 and 1350, respectively, from the Centre d'Etude du Polymorphisme Humain study collection from Utah. Journal of Allergy and Clinical Immunology 2009 124, 1099-1105.e4DOI: (10.1016/j.jaci.2009.07.026) Copyright © 2009 American Academy of Allergy, Asthma & Immunology Terms and Conditions