Escher Pascal, Gouras Peter, Roduit Raphaël, Tiab Leila, Bolay Sylvain, Delarive Tania, Chen Shiming, Tsai Chih-Cheng, Hayashi Masanori, Zernant Jana, Merriam Joanna E, Mermod Nicolas, Allikmets Rando, Munier Francis L, Schorderet Daniel F
Institut de Recherche en Ophtalmologie, Sion, Switzerland.
Hum Mutat. 2009 Mar;30(3):342-51. doi: 10.1002/humu.20858.
NR2E3, a photoreceptor-specific nuclear receptor (PNR), represses cone-specific genes and activates several rod-specific genes. In humans, mutations in NR2E3 have been associated with the recessively-inherited enhanced short-wavelength sensitive S-cone syndrome (ESCS) and, recently, with autosomal dominant (ad) retinitis pigmentosa (RP) (adRP). In the present work, we describe two additional families affected by adRP that carry a heterozygous c.166G>A (p.G56R) mutation in the NR2E3 gene. Functional analysis determined the dominant negative activity of the p.G56R mutant protein as the molecular mechanism of adRP. Interestingly, in one pedigree, the most common causal variant for ESCS (p.R311Q) cosegregated with the adRP-linked p.G56R mutation, and the compound heterozygotes exhibited an ESCS-like phenotype, which in 1 of the 2 cases was strikingly "milder" than the patients carrying the p.G56R mutation alone. Impaired repression of cone-specific genes by the corepressors atrophin-1 (dentatorubral-pallidoluysian atrophy [DRPLA] gene product) and atrophin-2 (arginine-glutamic acid dipeptide repeat [RERE] protein) appeared to be a molecular mechanism mediating the beneficial effect of the p.R311Q mutation. Finally, the functional dominance of the p.R311Q variant to the p.G56R mutation is discussed.
NR2E3是一种光感受器特异性核受体(PNR),它可抑制视锥细胞特异性基因,并激活多种视杆细胞特异性基因。在人类中,NR2E3的突变与隐性遗传的增强型短波长敏感S视锥综合征(ESCS)相关,最近还与常染色体显性(ad)视网膜色素变性(RP)(adRP)有关。在本研究中,我们描述了另外两个受adRP影响的家系,其NR2E3基因携带杂合的c.166G>A(p.G56R)突变。功能分析确定p.G56R突变蛋白的显性负性活性为adRP的分子机制。有趣的是,在一个家系中,ESCS最常见的致病变体(p.R311Q)与adRP相关的p.G56R突变共分离,复合杂合子表现出类似ESCS的表型,在2例中的1例中,该表型明显比仅携带p.G56R突变的患者“症状较轻”。共抑制因子萎缩素-1(齿状核红核苍白球路易体萎缩症[DRPLA]基因产物)和萎缩素-2(精氨酸-谷氨酸二肽重复[RERE]蛋白)对视锥细胞特异性基因的抑制受损似乎是介导p.R311Q突变有益作用的分子机制。最后,讨论了p.R311Q变体对p.G56R突变的功能显性。