Original article
Mutations in the gene encoding cytosolic β-glucosidase in Gaucher disease

https://doi.org/10.1016/j.lab.2004.03.013Get rights and content

Abstract

Patients with Gaucher disease have a deficiency of the lysosomal acid β-glucosidase. The phenotypes of genotypically identical patients with Gaucher disease may differ markedly. We have examined the possibility that polymorphisms in another β-glucosidase are responsible for this variability in the phenotype. Sequence analysis of the gene encoding cytosolic β-glucosidase (GBA3) from 4 chromosomes revealed the presence of 4 single-nucleotide substitutions: c.316 G →A (D106N), c.1353A→G (Y451Y), c.1368T→A (Y456X), and c.1540 to 1541AG →T in the 3′ untranslated region. We examined the DNA from 62 patients with Gaucher disease who were homozygous for the 1226A→G (N370S) mutation and from 542 control subjects from various populations for these polymorphisms. Six of the possible 16 haplotypes were found, and none was over- or underrepresented among patients with the severe Gaucher disease phenotypes compared with those from patients with mild phenotypes.

Section snippets

PCR reactions and sequencing

Primers designed to amplify the entire coding region of GBA3 are listed in Table I.

We brought 1 to 4 μL of genomic DNA, 2.5 μL 20× PCR buffer (0.67 mol/L Tris, pH8.8; 0.166 mol/L [NH4]2SO4; 0.067 mol/L MgCl2; 1.7 mg/mL bovine serum albumin), 1.25 μL of a solution containing 10 mmol/L of each deoxyribonucleoside triphosphate, 1 μL of forward primer (100 ng/μL), 1 μL of reverse primer (100 ng/μL), and 0.15 μL of Taq polymerase to a final volume of 50 μL with the addition of water. The reaction

Results

We sequenced the complete coding sequences and 350 base pairs upstream from the start of transcription of the GBA3 gene of 1 normal individual and 11 patients with Gaucher disease. Four polymorphic sites were identified: a rare c.316 G→A substitution (aspartic acid 106 asparagine); a c.1353A→G substitution that is synonymous for tyrosine 451; a c.1368T→A substitution that converts tyrosine 456 to a stop codon and a substitution of a T for c.1540–541 AG in the 3′ untranslated region. Another

Discussion

It has become apparent that a great deal of phenotypic variability exists among “homozygotes” for single-gene diseases. In some instances it has been possible to show that such heterogeneity is a result of polymorphism in interacting genes. For example, glucose-6-phosphate dehydrogenase–deficient infants in whom severe neonatal jaundice develops have usually coinherited the uridine diphosphate–glucuronosyltansferase promoter polymorphism associated with Gilbert disease.16 The presence of factor

References (17)

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    The KLrP and GBA2 to GD connection have been examined by several research groups. Beutler, Beutler, and West (2004) examined whether polymorphisms in KLrP are related to GD. They found four single-nucleotide substitutions in KLrP from GD patients; however, these mutations were not related to GD phenotypes.

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    Disease severity, as measured with a commonly employed composite score, did not correlate with the GBA3 1368A haplotype of the type 1 Gaucher disease patients examined. Our findings support earlier observations by Beutler and colleagues and substantiate their conclusion that GBA3 does not influence clinical severity of type I Gaucher disease [21]. The common 1368T→A mutation in the GBA3 gene may contribute to the wide range of cytosolic β-glucosidase activity measured in human leukocytes [20].

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    It is not clear whether any specific disease is associated with a deficiency of KLrP. Although polymorphisms were found in the gene of KLrP (GBA3) of patients with Gaucher disease, it seems unlikely that they are related to the variable phenotype of patients with this disease (37). Interestingly, Korkotian et al. (38) reported that GlcCer could escape from lysosomes in type 2 and 3 Gaucher disease patients and might affect the Ca2+ homeostasis of neuronal cells by modulating the ryanodine receptor in the ER (38).

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Supported by National Institutes of Health grants DK061370 and RR00833 and by the Stein Endowment Fund.

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