Two novel mutations in a purine nucleoside phosphorylase (PNP)‐deficient patient

I Dalal, E Grunebaum, A Cohen… - Clinical genetics, 2001 - Wiley Online Library
I Dalal, E Grunebaum, A Cohen, CM Roifman
Clinical genetics, 2001Wiley Online Library
Purine nucleoside phosphorylase (PNP) deficiency is a rare autosomal recessive disease,
which presents clinically as severe combined immunodeficiency (SCID). We report here two
novel mutations in the PNP gene that result in SCID phenotype, in a single patient. The
maternal‐derived allele carries a C to T transition in exon 2 resulting in a premature stop
codon at amino acid 57. The paternal‐derived mutation is a G to A transition at position+ 1 in
intron 3, causing a complete skipping of exon 3 and a reading frameshift at the exon 2–exon …
Purine nucleoside phosphorylase (PNP) deficiency is a rare autosomal recessive disease, which presents clinically as severe combined immunodeficiency (SCID). We report here two novel mutations in the PNP gene that result in SCID phenotype, in a single patient. The maternal‐derived allele carries a C to T transition in exon 2 resulting in a premature stop codon at amino acid 57. The paternal‐derived mutation is a G to A transition at position +1 in intron 3, causing a complete skipping of exon 3 and a reading frameshift at the exon 2–exon 4 junction. The predicted polypeptide encoded by the aberrantly spliced mRNA terminates prematurely after only 89 amino acids. Both mutations predict severely truncated proteins resulting in a complete deficiency of PNP enzymatic activity, yet the development of profound immunodeficiency in this patient is greatly delayed.
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