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分子建模分析为先天性动-静脉瘘伴外胚层发育不良-腭裂综合征患者提供基因型-表型相关性见解。

Molecular Modeling Analysis Provides Genotype-Phenotype Correlation Insights in a Patient with Ankyloblepharon-Ectodermal Dysplasia-Clefting Syndrome.

机构信息

Unit of Orofacial Genetics, 1st Department of Pediatrics, School of Medicine, National Kapodistrian University of Athens, "Aghia Sophia" Children's Hospital, 11527 Athens, Greece.

Laboratory of Molecular Genetics, Cephalogenetics Center, 17675 Athens, Greece.

出版信息

Genes (Basel). 2023 Jun 10;14(6):1246. doi: 10.3390/genes14061246.

Abstract

Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome is a rare autosomal dominant disorder. AEC is caused by mutations in the gene that encodes the tumor suppressor p63 protein, itself involved in the regulation of epidermal proliferation, development, and differentiation. We present here a typical AEC case of a four-year-old girl with extensive skin erosions and erythroderma of the scalp and the trunk, and to a lesser extent of the limbs, nail dystrophy on the fingers and toes, xerophthalmia, a high-arched palate, oligodontia, and hypohidrosis. Mutation analysis of the gene detected a de novo missense mutation in exon 14 (c.1799G>T; p.Gly600Val). We discuss the phenotype-genotype correlation by presenting the clinical features of AEC in the patient, and the effect of the detected mutation in p63 structure and function using protein structural modeling, in view of similar cases in the literature. We performed a molecular modeling study in order to link the effect on the protein structure level of the missense mutation G600V. We noted that the introduction of the bulkier Valine residue in place of the slim Glycine residue caused a significantly altered 3D conformational arrangement of that protein region, pushing away the adjacent antiparallel α helix. We propose that the introduced locally altered structure of the G600V mutant p63 has a significant functional effect on specific protein-protein interactions, thus affecting the clinical phenotype.

摘要

睑-外胚层缺陷-唇腭裂(AEC)综合征是一种罕见的常染色体显性遗传疾病。AEC 是由编码肿瘤抑制蛋白 p63 的基因突变引起的,p63 蛋白本身参与表皮增殖、发育和分化的调节。我们在此介绍了一个典型的 AEC 病例,患者为一名 4 岁女孩,头皮和躯干广泛出现皮肤糜烂和红皮病,四肢程度较轻,手指和脚趾的指甲营养不良,干眼症,高拱形腭,牙齿缺失和少汗。通过对 基因的突变分析,在第 14 外显子(c.1799G>T;p.Gly600Val)检测到一个新生错义突变。我们通过展示患者的 AEC 临床特征,以及通过蛋白质结构建模来研究检测到的 p63 结构和功能突变的影响,讨论表型-基因型相关性,鉴于文献中类似的病例。我们进行了分子建模研究,以确定错义突变 G600V 对蛋白质结构水平的影响。我们注意到,在该蛋白区域中引入体积较大的缬氨酸取代较小的甘氨酸残基,导致其 3D 构象排列发生明显改变,使相邻的反平行α螺旋被推开。我们提出,G600V 突变型 p63 局部改变的结构对特定的蛋白质-蛋白质相互作用有显著的功能影响,从而影响临床表型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ba2/10298433/600beb0bbc69/genes-14-01246-g001.jpg

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