Maple Syrup Urine Disease: Identification and Carrier-Frequency Determination of a Novel Founder Mutation in the Ashkenazi Jewish Population  Lisa Edelmann,

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Maple Syrup Urine Disease: Identification and Carrier-Frequency Determination of a Novel Founder Mutation in the Ashkenazi Jewish Population  Lisa Edelmann, Melissa P. Wasserstein, Ruth Kornreich, Claude Sansaricq, Selma E. Snyderman, George A. Diaz  The American Journal of Human Genetics  Volume 69, Issue 4, Pages 863-868 (October 2001) DOI: 10.1086/323677 Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 1 Genomic organization of polymorphic markers tightly linked to the genes encoding E1α, E1β, and E2 and genotype data for markers flanking E1β. A, Organization of STR markers used in analysis of the BCKDHB locus, and their relative spacing, in both physical and genetic distance. BCKDHB spans ∼240 kb, and the 3′ end lies ∼1 Mb upstream of D6S251. B, Results of genotyping analysis of patients with intermediate (boxed) or classic (underlined) MSUD. The parents of individual 5 are denoted by circles. Individual 9 is a patient with a known mutation (i.e., E2ΔAT). The American Journal of Human Genetics 2001 69, 863-868DOI: (10.1086/323677) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 2 Results of mutation analysis of AJ patients with MSUD. A, C, and D, Changes (arrows) from expected wild-type sequence, which is shown below the traces. The affected codon is boxed, and the predicted amino acid change is indicated below the codon. The different sequence traces correspond to exon 5 in individual 4 (A), to exon 10 in individual 2 (C), and to exon 7 in individual 1 (D). B, Representative digestion of exon 5 amplimers with NlaIV (New England Biolabs). The sizes of 100-bp-ladder marker fragments (lane M) are indicated to the left of the gel. The samples shown were amplified from the genomic DNA of individuals 1 (lane 1), 5 (lane 2), 6 (lane 3), 7 (lane 4), and 9 (lane 5). Undigested amplimers are 237 bp in length, whereas digested products are predicted to be 99 bp and 128 bp in length. The American Journal of Human Genetics 2001 69, 863-868DOI: (10.1086/323677) Copyright © 2001 The American Society of Human Genetics Terms and Conditions

Figure 3 Ribbon representations of portions of E1β crystal structure, showing positions of mutated residues. The E1 crystal-structure data were obtained from the NCBI Structure (Molecular Modeling Database). Swissprot-Pdb Viewer was used to generate models and image files. A, Ribbon diagram of β-sheets d, e, and g, with the side chains of E146, R183, and E239, respectively, which are shown in white. The mutated residue, R183, is indicated by the arrow, side-chain hydrogen-bond interactions are indicated by dashed lines, and the coordinated K+ ion is labeled directly. For clarity of presentation, main-chain hydrogen interactions have been omitted. B, Overview of entire molecule, except for structures overlying the sheet containing R183. The residues altered by missense mutations, R183 and G228, are indicated by bent and dashed arrows, respectively, and their side chains are shown in white. The α-carbon backbone of residues truncated by the nonsense mutation E372X are shown in white. The American Journal of Human Genetics 2001 69, 863-868DOI: (10.1086/323677) Copyright © 2001 The American Society of Human Genetics Terms and Conditions