Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Identification of mutations in the α3(IV) and α4(IV) collagen genes in autosomal recessive Alport syndrome

Abstract

Alport syndrome (AS) is an hereditary disease of basement membranes characterized by progressive renal failure and deafness. Changes in the glomerular basement membrane (GBM) in AS suggest that the type IV collagen matrix, the major structural component of GBM, is disrupted. We recently isolated the genes for two type IV collagens, α3(IV) and α4(IV), that are encoded head-to-head on human chromosome 2. These chains are abundant in normal GBM but are sometimes absent in AS. We screened for mutations in families in which consanguinity suggested autosomal recessive inheritance. Homozygous mutations were found in α3(IV) in two families and in α4(IV) in two others, demonstrating that these chains are important in the structural integrity of the GBM and that there is an autosomal form of AS in addition to the previously-defined X-linked form.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Atkin, C.L., Gregory, M.C. & Border, W.A., Alport Syndrome. in Diseases of the Kidney 4th edn (eds Schrier, R.W. & Gottschalk, C.W.) 1, 617–641 (Little, Brown and Company, Boston, 1988).

    Google Scholar 

  2. Hudson, B.G., Reeders, S.T. & Tryggvason, K. Type IV collagen: structure, gene organization, and role in human diseases. J. biol. Chem. 288, 26033–26036 (1993).

    Google Scholar 

  3. Hostikka, S.L. & Tryggvason, K. The complete primary structure of the α2 chain of human type IV collagen and comparison with the α1(IV) chain. J. biol. Chem. 263, 19488–19493 (1988).

    CAS  PubMed  Google Scholar 

  4. Butkowski, R.J., Langeveld, J.P., Wieslander, J., Hamilton, J. & Hudson, B.G. Localization of the Goodpasture epitope to a novel chain of basement membrane collagen. J. biol. Chem. 262, 7874–7877 (1987).

    CAS  PubMed  Google Scholar 

  5. Saus, J., Wieslander, J., Langeveld, J.P., Quinones, S. & Hudson, B.G. Identification of the Goodpasture antigen as the α3(lV) chain of collagen IV. J. biol. Chem. 263, 13374–13380 (1988).

    CAS  PubMed  Google Scholar 

  6. Morrison, K.E., Germino, G.G. & Reeders, S.T. Use of the polymerase chain reaction to clone and sequence a cDNA encoding the bovine α3 chain of type IV collagen. J. biol. Chem. 266, 34–39 (1991).

    CAS  PubMed  Google Scholar 

  7. Gunwar, S., Saus, J., Noelken, M.E. & Hudson, B.G. Glomerular basement membrane. Identification of a fourth chain, α4, of type IV collagen. J. biol. Chem. 265, 5466–5469 (1990).

    CAS  PubMed  Google Scholar 

  8. Mariyama, M., Kalluri, R., Hudson, B.G. & Reeders, S.T. The α4(IV) chain of basement membrane collagen. Isolation of cDNAs encoding bovine α4(IV) and comparison with other type IV cllagens. J. biol. Chem. 287, 1253–1258 (1992).

    Google Scholar 

  9. Hostikka, S.L. et al. Identification of a distinct type IV collagen α chain with restricted kidney distribution and assignment of its gene to the locus of X chromosome-linked Alport syndrome. Proc. natn. Acad. Sci. U.S.A. 87, 1606–1610 (1990).

    Article  CAS  Google Scholar 

  10. Pihlajaniemi, T., Pohjolainen, E.R. & Myers, J.C. Complete primary structure of the triple-helical region and the carboxyl-terminal domain of a new type IV collagen chain, α5(lV). J. biol. Chem. 265, 13758–13766 (1990).

    CAS  PubMed  Google Scholar 

  11. Zhou, J. et al. Deletion of the paired α5(IV) and α6(IV) collagen genes in inherited smooth muscle tumors. Science 261, 1167–1169 (1993).

    Article  CAS  Google Scholar 

  12. Timpl, R. Structure and biological activity of basement membrane proteins. Eur. J. Biochem. 180, 487–502 (1989).

    Article  CAS  Google Scholar 

  13. Hudson, B.G., Wieslander, J., Wisdom, B.J. Jr. & Noelken, M.E. Goodpasture syndrome: molecular architecture and function of basement membrane antigen. Lab. Invest. 61, 256–269 (1989).

    CAS  PubMed  Google Scholar 

  14. Kleppel, M.M., Santi, P.A., Cameron, J.D., Wieslander, J. & Michael, A.F. Human tissue distribution of novel basement membrane collagen. Am. J. Pathol. 134, 813–825 (1989).

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Butkowski, R.J., Wieslander, J., Kleppel, M., Michael, A.F. & Fish, A.J. Basement membrane collagen in the kidney: regional localization of novel chains related to collagen IV. Kidney Int. 35, 1195–1202 (1989).

    Article  CAS  Google Scholar 

  16. Sanes, J.R., Engvall, E., Butkowski, R. & Hunter, D.D. Molecular heterogeneity of basal laminae: isoforms of laminin and collagen IV at the neuromuscular Junction and elsewhere. J. cell Biol. 111, 1685–1699 (1990).

    Article  CAS  Google Scholar 

  17. McKusick, V.A. Mendelian inheritance in man 10th edn (Johns Hopkins University Press, Baltimore, 1992).

    Google Scholar 

  18. Barker, D.F. et al. Identification of mutations in the COL4A5 collagen gene in Alport syndrome. Science 248, 1224–1227 (1990).

    Article  CAS  Google Scholar 

  19. Tryggvason, K., Zhou, J., Hostikka, S.L. & Shows, T.B. Molecular genetics of Alport syndrome. Kidney Int. 43, 38–44 (1993).

    Article  CAS  Google Scholar 

  20. Feingold, J. et al. Genetic heterogeneity of Alport syndrome. Kidney Int. 27, 672–677 (1985).

    Article  CAS  Google Scholar 

  21. Passwell, J.H., David, R., Boichis, H. & Herzfeld, S. Hereditary nephritis with associated defects in proximal renal tubular function. J. Pediatr. 98, 85–87 (1981).

    Article  CAS  Google Scholar 

  22. Habib, R. et al. Alport's syndrome: experience at Hôpital Necker. Kidney Int. 11, 320–828 (1982).

    Google Scholar 

  23. Kleppel, M.M., Kashtan, C.E., Butkowski, R.J., Fish, A.J. & Michael, A.F. Alport familial nephritis. Absence of 28 kilodalton non-collagenous monomers of type IV collagen in glomerular basement membrane. J. clin. Invest. 80, 263–266 (1987).

    Article  CAS  Google Scholar 

  24. Olson, D.L. et al Diagnosis of hereditary nephritis by failure of glomeruli to bind anti-glomerular basement membrane antibodies. J. Pediatr. 96, 697–699 (1980).

    Article  CAS  Google Scholar 

  25. Kleppel, M.M., Fan, W.W., Cheong, H.I., Kashtan, C.E. & Michael, A.F. Immunochemical studies of the Alport antigen. Kidney Int. 41, 1629–1637 (1992).

    Article  CAS  Google Scholar 

  26. Morrison, K.E., Mariyama, M., Yang-Feng, T.L. & Reeders, S.T. Sequence and localization of a partial cDNA encoding the human alpha 3 chain of type IV collagen. Am. J. hum. Genet. 49, 545–554 (1991).

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Mariyama, M., Zheng, K., Yang-Feng, T.L. & Reeders, S.T. Colocalization of the genes for the α3(IV) and α4(IV) chains of type IV collagen to chromosome 2 bands q35–q37. Genomics 13, 809–813 (1992).

    Article  CAS  Google Scholar 

  28. V.d.Heuvel, L.P. et al. The development of anti-glomerular basement membrane nephritis in two children with Alport"s syndrome after renal transplantation: characterization of the antibody target. Pediatric Nephrology 3, 406–413 (1989).

    Article  CAS  Google Scholar 

  29. Turner, N. et al. Molecular cloning of the human Goodpasture antigen demonstrates it to be the α3 chain of type IV collagen. J. clin. Invest. 89, 592–601 (1992).

    Article  CAS  Google Scholar 

  30. Hudson, B.G. et al. Molecular characteristics of the Goodpasture autoantigen. Kidney Int. 43, 135–139 (1993).

    Article  CAS  Google Scholar 

  31. Quinones, S., Bernal, D., Garcia-Sogo, M., Elena, S.F. & Saus, J. Exon/intron structure of the human α3(IV) gene encompassing the Goodpasture antigen (α3(IV)NC1). Identification of a potentially antigenic region at the triple helix/ NC1 domain junction. J. biol. Chem. 267, 19780–19784 (1992).

    CAS  PubMed  Google Scholar 

  32. Reeders, S.T. Molecular genetics of hereditary nephritis. Kidney Int. 42, 783–792 (1992).

    Article  CAS  Google Scholar 

  33. Kulvaniemi, H., Tromp, G. & Prockop, D.J. Mutations in collagen genes: causes of rare and some common diseases in humans. FASEB J. 5, 2052–2060 (1991).

    Article  Google Scholar 

  34. Marini, J.C., Lewis, M.B., Wang, Q., Chen, K.J. & Orrison, B.M. Serine for glycine substitutions in type I collagen in two cases of type IV osteogenesis imperfecta(OI). Additional evidence for a regional model of OI pathophysiology. J. biol. Chem. 268, 2667–2673 (1993).

    CAS  PubMed  Google Scholar 

  35. Kamagata, Y., Mattei, M.G. & Ninomiya, Y. Isolation and sequencing of cDNAs and genomic DNAs encoding the α4 chain of basement membrane collagen type IV and assignment of the gene to the distal long arm of human chromosome 2. J. biol. Chem. 267, 23753–23758 (1992).

    CAS  PubMed  Google Scholar 

  36. Sugimoto, M., Oohashi, T., Yoshioka, H., Matsuo, N. & Ninomiya, Y. cDNA isolation and partial gene structure of the human α4(IV) collagen chain. FEBS Lett. 330, 122–128 (1993).

    Article  CAS  Google Scholar 

  37. Johansson, C., Butkowski, R. & Wieslander, J. The structural organization of type IV collagen. Identification of three NC1 populations in the glomerular basement membrane. J. biol. Chem. 267, 24533–24537 (1992).

    CAS  PubMed  Google Scholar 

  38. Renieri, A. et al. Abstract. Am. J. hum. Genet. 53, Suppl. 1219A (1993).

    Google Scholar 

  39. Chirgwin, J.M., Przybyla, A.E., MacDonald, R.J. & Rulter, W.J. Isolation of biologically active ribonucleic acids from sources enriched in ribonuclease. Biochemistry 18, 5294–5299 (1979).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mochizuki, T., Lemmink, H., Mariyama, M. et al. Identification of mutations in the α3(IV) and α4(IV) collagen genes in autosomal recessive Alport syndrome. Nat Genet 8, 77–82 (1994). https://doi.org/10.1038/ng0994-77

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ng0994-77

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing