학술논문

Uner Tan syndrome caused by a homozygous TUBB2B mutation affecting microtubule stability.
Document Type
article
Source
Human Molecular Genetics. 26(2)
Subject
Neurosciences
Genetics
2.1 Biological and endogenous factors
Aetiology
Congenital
Adult
Amino Acid Substitution
Basal Ganglia
Brain
Cerebellum
Developmental Disabilities
Female
Homozygote
Humans
Male
Malformations of Cortical Development
Microtubules
Mutation
Nervous System Malformations
Phenotype
Saccharomyces cerevisiae
Tubulin
Biological Sciences
Medical and Health Sciences
Genetics & Heredity
Language
Abstract
The integrity and dynamic properties of the microtubule cytoskeleton are indispensable for the development of the mammalian brain. Consequently, mutations in the genes that encode the structural component (the α/β-tubulin heterodimer) can give rise to severe, sporadic neurodevelopmental disorders. These are commonly referred to as the tubulinopathies. Here we report the addition of recessive quadrupedalism, also known as Uner Tan syndrome (UTS), to the growing list of diseases caused by tubulin variants. Analysis of a consanguineous UTS family identified a biallelic TUBB2B mutation, resulting in a p.R390Q amino acid substitution. In addition to the identifying quadrupedal locomotion, all three patients showed severe cerebellar hypoplasia. None, however, displayed the basal ganglia malformations typically associated with TUBB2B mutations. Functional analysis of the R390Q substitution revealed that it did not affect the ability of β-tubulin to fold or become assembled into the α/β-heterodimer, nor did it influence the incorporation of mutant-containing heterodimers into microtubule polymers. The 390Q mutation in S. cerevisiae TUB2 did not affect growth under basal conditions, but did result in increased sensitivity to microtubule-depolymerizing drugs, indicative of a mild impact of this mutation on microtubule function. The TUBB2B mutation described here represents an unusual recessive mode of inheritance for missense-mediated tubulinopathies and reinforces the sensitivity of the developing cerebellum to microtubule defects.