Abstract
Mulibrey nanism (for muscle-liver-brain-eye nanism, MUL; MIM 253250) is an autosomal recessive disorder that involves several tissues of mesodermal origin, implying a defect in a highly pleiotropic gene1. Characteristic features include severe growth failure of prenatal onset and constrictive pericardium with consequent hepatomegaly1,2,3. In addition, muscle hypotonia, J-shaped sella turcica, yellowish dots in the ocular fundi, typical dysmorphic features and hypoplasia of various endocrine glands causing hormonal deficiency are common1,2,3. About 4% of MUL patients develop Wilms′ tumour2,4,5. MUL is enriched in the Finnish population, but is rare elsewhere1,2,3. We previously assigned MUL to chromosome 17q22–q23 and constructed a physical contig over the critical MUL region6,7. The region has now been further refined by haplotype analysis and new positional candidate genes have been localized. We identified a gene with four independent MUL-associated mutations that all cause a frameshift and predict a truncated protein. MUL is ubiquitously expressed and encodes a new member of the RING-B-box-Coiled-coil (RBCC) family of zinc-finger proteins8,9,10, whose members are involved in diverse cellular functions such as developmental patterning and oncogenesis.
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Acknowledgements
We thank the families for cooperation; S. Lindh for helping to collect materials; P. Sistonen of the Finnish Red Cross Blood Transfusion Service for providing DNA from Finnish control individuals; and M. Gardiner for critical reading of the manuscript. This study was supported by the Academy of Finland, the Ulla Hjelt Fund for the Foundation of Pediatric Research in Finland, the Maud Kuistila Foundation and the Finnish Medical Society Duodecim, and by National Cancer Institute grant P30 CA16058.
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Avela, K., Lipsanen-Nyman, M., Idänheimo, N. et al. Gene encoding a new RING-B-box-Coiled-coil protein is mutated in mulibrey nanism. Nat Genet 25, 298–301 (2000). https://doi.org/10.1038/77053
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DOI: https://doi.org/10.1038/77053
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