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J Med Genet 46:663-670 doi:10.1136/jmg.2009.066613
  • Original article

Hypomorphic mutations in meckelin (MKS3/TMEM67) cause nephronophthisis with liver fibrosis (NPHP11)

Table 2

Seven different MKS3/TMEM67 mutations in four families with Joubert/COACH syndrome

Family Ethnic origin Nucleotide change* Deduced protein change* Exon (allele) Parental consanguinity Kidney (age at ESRF in years) Eye Liver Brain
F190 Germany c.755T→C p.M252T 8, 18 (compound heterozygous) No NPHP (14) Nystagmus, oculomotor apraxia chorioretinal coloboma Liver fibrosis Ataxia, PR
c.1843T→C p.C615R
F56 Germany c.130C→T p.Q44X 1, 24 (compound heterozygous) No NPHP (12) Retinal degeneration, chorioretinal coloboma, ND Ataxia, CVH
c.2461G→C p.G821R
A144 Germany c.622A→T p.R208X 6, 24 (compound heterozygous) No NPHP (15) NAD Liver fibrosis Mental retardation, CVA
c.2498T→C p.I833T
A1371-II1, A1371-II2 Morocco c.1888T→C p.S630P 19 (homozygous) Yes NPHP (8) Blindness, strabism, ptosis, retinal coloboma Liver fibrosis Ataxia, hypotonia, PR, CVA
NPHP (<10) Blindness Liver fibrosis auditory problems, CVA
  • COACH, Cerebellar vermis hypo/aplasia, Oligophrenia, congenital Ataxia, Coloboma and congenital Hepatic fibrosis; CVA, cerebellar vermis aplasia; CVH, cerebellar vermis hypoplasia; ESRF, end stage renal failure; NAD, nothing abnormal detected; NPHP, nephronophthisis; PR, psychomotor retardation.

  • *Mutation numbering is based on MKS3/TMEM67 human reference sequence NM_153704.5, where +1 corresponds to the A of ATG start translation codon.

  • Novel mutations are highlighted in bold. All mutations were absent from at least 91 healthy control subjects.

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