Mutations in POLR3A and POLR3B Encoding RNA Polymerase III Subunits Cause an Autosomal-Recessive Hypomyelinating Leukoencephalopathy  Hirotomo Saitsu,

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Mutations in POLR3A and POLR3B Encoding RNA Polymerase III Subunits Cause an Autosomal-Recessive Hypomyelinating Leukoencephalopathy  Hirotomo Saitsu, Hitoshi Osaka, Masayuki Sasaki, Jun-ichi Takanashi, Keisuke Hamada, Akio Yamashita, Hidehiro Shibayama, Masaaki Shiina, Yukiko Kondo, Kiyomi Nishiyama, Yoshinori Tsurusaki, Noriko Miyake, Hiroshi Doi, Kazuhiro Ogata, Ken Inoue, Naomichi Matsumoto  The American Journal of Human Genetics  Volume 89, Issue 5, Pages 644-651 (November 2011) DOI: 10.1016/j.ajhg.2011.10.003 Copyright © 2011 The American Society of Human Genetics Terms and Conditions

Figure 1 Mutations in POLR3B and POLR3A (A) Pedigrees of four kindreds with HCAHC are shown. We identified four mutations in POLR3B encoding RPC2 in three individuals from two unrelated families and two mutations in POLR3A encoding RPC1 in one family. The segregation of each mutation is shown. (B) Schematic representation of RPC2 (upper) and RPC1 (lower) proteins with Pfam domains (from Ensembl). Locations of each amino-acid-altering mutation are depicted with electropherograms. All of the missense mutations occurred at evolutionally conserved amino acids. Homologous sequences were aligned with the CLUSTALW website. (C–F) 3D representations of RPC1 and RPC2 mutations. Mutated amino acids in RPC1 and RPC2 are shown along with their equivalent positions in the homologous RPB1 and RPB2 subunits of RNA Polymerase II (amino acid and its position in parenthesis). The structure and positions of mutations are illustrated by PyMOL with the crystal structure (PDB accession number 3GTP). RPB3, RPB9, and RPB11 subunits, which are specific to RNA Polymerase II, have been omitted from the figure. RPB1 is shown in green, RPB2 in sky blue, RPB5 in yellow, RPB6 in dark blue, RPB8 in pink, RPB10 in orange, RPB12 in purple, DNA in brown, and RNA in red. Amino acids that interact with mutated amino acids are also shown. The American Journal of Human Genetics 2011 89, 644-651DOI: (10.1016/j.ajhg.2011.10.003) Copyright © 2011 The American Society of Human Genetics Terms and Conditions

Figure 2 Effects of Splice-Site and Nonsense Mutations in POLR3B (A) Schematic representation of the genomic structure of POLR3B from exon 16 to 19. Exons, introns, and primers are shown by boxes, dashed lines, and arrows, respectively. The mutation in intron 17 is depicted as a red dot. (B) RT-PCR analysis of individuals 1 and 2 with c.1857-2A>C and a normal control. Two PCR products were detected from the individual's cDNA: the upper band is the wild-type (WT) transcript, and the lower band is the mutant. Only a single wild-type amplicon was detected in the control. (C) Sequence of WT and mutant amplicons clearly showed exon 18 skipping in the mutant allele. (D) Analysis of the c.1648C>T mutation. Sequence of PCR products amplified with genomic (upper), cDNA from untreated cells (middle), and cDNA from CHX treated cells (lower) as a template. Although untreated cells show extremely low levels of c.1648C>T mutant allele expression, cells treated to inhibit NMD show significantly increased levels of mutant allele expression. The American Journal of Human Genetics 2011 89, 644-651DOI: (10.1016/j.ajhg.2011.10.003) Copyright © 2011 The American Society of Human Genetics Terms and Conditions

Figure 3 Brain MRI of Individuals with POLR3B and POLR3A Mutations (A, C, E, and G) T2-weighted axial images through the basal ganglia. High-intensity areas in the white matter were observed in all individuals. (B, D, F, and H) T1-weighted midline sagittal images. All the individuals showed hypoplastic corpus callosum (arrowheads) and atrophy of cerebellum (arrows). The American Journal of Human Genetics 2011 89, 644-651DOI: (10.1016/j.ajhg.2011.10.003) Copyright © 2011 The American Society of Human Genetics Terms and Conditions