ABCA1 p.Arg1068His

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PMID: 21763656 [PubMed] Suetani RJ et al: "Homology modeling and functional testing of an ABCA1 mutation causing Tangier disease."
No. Sentence Comment
0 Atherosclerosis 218 (2011) 404-410 Contents lists available at ScienceDirect Atherosclerosis journal homepage: www.elsevier.com/locate/atherosclerosis Homology modeling and functional testing of an ABCA1 mutation causing Tangier disease Rachel J. Suetania , Brie Sorrensona , Joel D.A. Tyndallb , Michael J.A. Williamsc , Sally P.A. McCormicka,* a Department of Biochemistry, University of Otago, Dunedin, New Zealand b School of Pharmacy, University of Otago, Dunedin, New Zealand c Department of Medical and Surgical Sciences, University of Otago, Dunedin, New Zealand a r t i c l e i n f o Article history: Received 27 January 2011 Received in revised form 8 June 2011 Accepted 8 June 2011 Available online 29 June 2011 Keywords: ABCA1 HDL Cholesterol efflux Homology modeling Tangier disease a b s t r a c t Objective: To investigate the impact of the p.R1068H mutation on the structure and function of the ATP-binding cassette A1 (ABCA1) protein.
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2 Cholesterol efflux assays were performed on fibroblasts obtained from members of a Tangier disease (TD) family carrying the p.R1068H mutation and in HEK293 cells transfected with a p.R1068H mutant cDNA vector.
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ABCA1 p.Arg1068His 21763656:2:126
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3 Confocal microscopy was used to investigate the localisation of the wildtype and mutant p.R1068H protein in HEK293 cells.
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5 Cholesterol efflux studies showed the efflux from TD fibroblasts and HEK293 cells expressing the mutant p.R1068H protein to be markedly reduced compared to wildtype.
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ABCA1 p.Arg1068His 21763656:5:106
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6 Localisation of the mutant p.R1068H protein in HEK293 cells showed intracellular retention of the protein indicating a defect in trafficking to the plasma membrane.
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7 Conclusion: Homology modeling of the ABCA1 protein showed that the p.R1068H mutation would likely disrupt the conformation of NBD-1.
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8 Functional studies of p.R1068H showed a lack of cholesterol efflux function due to defective trafficking to the plasma membrane, most likely caused by impaired oligomerisation.
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26 We previously reported a missense mutation (c.3516G>A) in exon 22 of the ABCA1 gene, causing a p.R1068H amino acid substitution in a highly conserved region of the ABCA1 protein [11].
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28 Heterozygotes with the p.R1068H mutation displayed a wide range of HDL levels (0.48-1.22 mmol L-1) [11].
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31 doi:10.1016/j.atherosclerosis.2011.06.019 model for the human ABCA1 protein in order to better predict the effect of the p.R1068H mutation.
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32 This was followed with direct testing of the functional impact of the p.R1068H mutation on the ABCA1 protein via cholesterol efflux assays and analysis of sub-cellular localisation.
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34 Materials and methods 2.1. Computational modeling The functional impact of the p.R1068H substitution was predicted with the PANTHER [12] and SIFT [13] programmes, using the NCBI reference sequence NP005493.2.
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38 Study subjects We have previously described the p.R1068H proband and her extended pedigree [11].
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50 Mutagenic primers were used to introduce the c.3516G>A nucleotide change in exon 22 of the ABCA1 sequence causing the p.R1068H mutation.
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78 Results 3.1. Computational analysis of p.R1068H Previous computational analysis of the p.R1068H mutation using PolyPhen suggested that the mutation was 'probably damaging` [11], however, further analysis of the mutation here using PANTHER and SIFT predicted the mutation to be 'damaging` and 'tolerated`, respectively.
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ABCA1 p.Arg1068His 21763656:78:41
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109 Functional activity of the p.R1068H protein Cholesterol efflux assays in primary fibroblast cultures established from the TD subject showed a markedly reduced efflux compared to wildtype family members (0.9% versus 7.3%; Fig. 2A).
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ABCA1 p.Arg1068His 21763656:109:29
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110 Heterozygous carriers of the p.R1068H mutation displayed an intermediate level of cholesterol efflux (2.9%) which was significantly lower than wildtype.
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ABCA1 p.Arg1068His 21763656:110:29
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113 ABCA1 protein levels in both unstimulated and stimulated cells appeared unaffected by the presence of the p.R1068H mutation (Fig. 2C and D).
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114 This was confirmed by quantification of triplicate Western blots that showed no significant difference in ABCA1 protein levels in p.R1068H heterozygotes versus wildtype fibroblasts under unstimulated (Fig. 2E) or stimulated (Fig. 2F) conditions.
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ABCA1 p.Arg1068His 21763656:114:108
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116 The presence of the p.R1068H mutation did not affect ABCA1 expression, as the levels of wildtype R1068 and the mutant H1068 protein were comparable (Fig. 3A).
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ABCA1 p.Arg1068His 21763656:116:22
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117 Cholesterol efflux assays showed that HEK293 cells expressing the p.R1068H vector had markedly reduced cholesterol efflux compared to cells Fig. 3.
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ABCA1 p.Arg1068His 21763656:117:22
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119 Cultured HEK293 cells were transiently transfected with a GFP-tagged ABCA1 cDNA expression vector for either wildtype or p.R1068H.
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127 Indeed, there was no statistical difference in cholesterol efflux between nontransfected HEK293 cells and cells expressing the mutant p.R1068H protein (p = 0.163), again confirming that the p.R1068H mutation renders the ABCA1 protein completely dysfunctional.
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ABCA1 p.Arg1068His 21763656:127:136
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128 3.3. Sub-cellular localisation of the ABCA1 protein in vitro Confocal microscopy was used to investigate the effect of the p.R1068H mutation on localisation of the GFP-tagged ABCA1 protein.
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ABCA1 p.Arg1068His 21763656:128:125
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130 Wildtype ABCA1 protein primarily localised to the extracellular membrane as expected while the p.R1068H ABCA1 protein localised to intracellular regions of the cells indicative of a defect in trafficking of the mutant protein (Fig. 4).
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136 The p.R1068H mutation studied here was deemed to be damaging by PolyPhen and PANTHER, yet tolerated by SIFT.
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ABCA1 p.Arg1068His 21763656:136:6
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137 Indeed, SIFT predicts any residue substitution at position 1068 to be tolerated except R1068W which does not align with the observation that p.R1068H and the p.R1068C mutation are associated with extremely reduced HDL levels [11,23].
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ABCA1 p.Arg1068His 21763656:137:143
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139 For these reasons, we constructed a model of the dimeric NBDs of ABCA1 based on the crystal structure of the E. coli HlyB ABC transporter in order to visualise the p.R1068H mutation in a three-dimensional context.
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ABCA1 p.Arg1068His 21763656:139:166
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141 The three dimensional model indicates potential ionic interactions between R1068 and two adjacent carboxylic acid containing residues, D1092 and E1093, which would be disrupted by the p.R1068H mutation.
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ABCA1 p.Arg1068His 21763656:141:186
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143 The p.R1068H mutation does not appear to affect expression or stability of the ABCA1 protein as shown by Western blot analysis of both primary human fibroblasts and transfected HEK293 cells.
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ABCA1 p.Arg1068His 21763656:143:6
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148 Preliminary studies investigating the oligomerisation state of the p.R1068H mutant showed only limited formation of a tetramer band (>800 kDa) and no dimer (Supplementary Fig. 1).
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ABCA1 p.Arg1068His 21763656:148:69
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150 Furthermore, higher molecular weight species were apparent with p.R1068H suggesting a tendency to aggregate.
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ABCA1 p.Arg1068His 21763656:150:66
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151 This could potentially explain why a much lower amount of the p.R1068H protein was detected on native gels compared to wildtype, despite similar amounts of ABCA1 being detected under denaturing conditions (Supplementary Fig. 1).
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ABCA1 p.Arg1068His 21763656:151:64
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152 Based on our model (Fig. 1B), we propose that the R1068H mutation disrupts the structure of the ABCA1 monomer around the ATP-binding site altering the conformation of NBD-1 to disrupt dimerisation and subsequent tetramer formation.
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ABCA1 p.Arg1068His 21763656:152:50
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155 The virtual absence of HDL in the TD proband would indicate that the p.R1068H mutation was highly detrimental to ABCA1 function.
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ABCA1 p.Arg1068His 21763656:155:71
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156 Functional testing of the p.R1068H mutation in primary fibroblast cell lines established from p.R1068H family members confirmed this, with the mutant protein failing to mediate efflux to apoA-I even after stimulation.
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ABCA1 p.Arg1068His 21763656:156:28
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ABCA1 p.Arg1068His 21763656:156:96
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157 Cholesterol efflux assays were also performed in HEK293 cells with cDNA expression vectors for either wildtype or p.R1068H ABCA1.
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ABCA1 p.Arg1068His 21763656:157:116
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158 These assays also confirmed that the p.R1068H protein was completely dysfunctional.
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160 HEK293 cells were transiently transfected with GFP-tagged ABCA1 cDNA expression vectors for either wildtype or p.R1068H.
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ABCA1 p.Arg1068His 21763656:160:113
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163 To conclude, functional studies confirm that the p.R1068H mutation produces a dysfunctional ABCA1 protein due to defective trafficking.
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ABCA1 p.Arg1068His 21763656:163:51
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166 Acknowledgements We wish to thank the p.R1068H family members for their participation in this study.
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ABCA1 p.Arg1068His 21763656:166:40
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51 Mutagenic primers were used to introduce the c.3516G>A nucleotide change in exon 22 of the ABCA1 sequence causing the p.R1068H mutation.
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ABCA1 p.Arg1068His 21763656:51:120
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79 Results 3.1. Computational analysis of p.R1068H Previous computational analysis of the p.R1068H mutation using PolyPhen suggested that the mutation was 'probably damaging` [11], however, further analysis of the mutation here using PANTHER and SIFT predicted the mutation to be 'damaging` and 'tolerated`, respectively.
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ABCA1 p.Arg1068His 21763656:79:41
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ABCA1 p.Arg1068His 21763656:79:89
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111 Heterozygous carriers of the p.R1068H mutation displayed an intermediate level of cholesterol efflux (2.9%) which was significantly lower than wildtype.
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ABCA1 p.Arg1068His 21763656:111:31
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115 This was confirmed by quantification of triplicate Western blots that showed no significant difference in ABCA1 protein levels in p.R1068H heterozygotes versus wildtype fibroblasts under unstimulated (Fig. 2E) or stimulated (Fig. 2F) conditions.
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ABCA1 p.Arg1068His 21763656:115:132
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118 Cholesterol efflux assays showed that HEK293 cells expressing the p.R1068H vector had markedly reduced cholesterol efflux compared to cells Fig. 3.
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ABCA1 p.Arg1068His 21763656:118:68
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120 Cultured HEK293 cells were transiently transfected with a GFP-tagged ABCA1 cDNA expression vector for either wildtype or p.R1068H.
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PMID: 18617650 [PubMed] Murphy AJ et al: "High-density lipoprotein reduces the human monocyte inflammatory response."
No. Sentence Comment
26 Study Subjects: Healthy and R1068H Tangier Family The study was approved by the Human Ethics committees of the Alfred Hospital and the University of Otago; informed consent was obtained from all donors.
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ABCA1 p.Arg1068His 18617650:26:28
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104 Tangier Patient Derived Monocytes For simplification of comparison between members of the R1068H Tangier family, results are expressed as percentage of CD11b expression after activation with PMA.
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ABCA1 p.Arg1068His 18617650:104:90
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138 Finally, we explored the antiinflammatory role of HDL and apoA-I in a Tangier disease subject along with a heterozygote subject and an unaffected member from the R1068H family.48 Tangier disease patients have a dysfunctional ABCA1 unable to support cholesterol efflux to apoA-I.49 The response of monocytes from the unaffected family member was similar to that of healthy subjects, monocytes from the heterozygote subject responded to both HDL and apoA-I albeit less than compared to monocytes of unaffected family member.
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ABCA1 p.Arg1068His 18617650:138:132
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ABCA1 p.Arg1068His 18617650:138:162
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145 Acknowledgments We acknowledge Rachel Brace for her efforts in helping with the blood collection and providing medical care for the R1068H family.
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19 Study Subjects: Healthy and R1068H Tangier Family The study was approved by the Human Ethics committees of the Alfred Hospital and the University of Otago; informed consent was obtained from all donors.
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ABCA1 p.Arg1068His 18617650:19:28
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97 Tangier Patient Derived Monocytes For simplification of comparison between members of the R1068H Tangier family, results are expressed as percentage of CD11b expression after activation with PMA.
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ABCA1 p.Arg1068His 18617650:97:90
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131 Finally, we explored the antiinflammatory role of HDL and apoA-I in a Tangier disease subject along with a heterozygote subject and an unaffected member from the R1068H family.48 Tangier disease patients have a dysfunctional ABCA1 unable to support cholesterol efflux to apoA-I.49 The response of monocytes from the unaffected family member was similar to that of healthy subjects, monocytes from the heterozygote subject responded to both HDL and apoA-I albeit less than compared to monocytes of unaffected family member.
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ABCA1 p.Arg1068His 18617650:131:162
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PMID: 18199144 [PubMed] Slatter TL et al: "Novel rare mutations and promoter haplotypes in ABCA1 contribute to low-HDL-C levels."
No. Sentence Comment
7 Mutations were identified in five of the low-HDL subjects, three having novel variants (I659V, R2004K, and A2028V) and two with a previously identified variant (R1068H).
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ABCA1 p.Arg1068His 18199144:7:161
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57 One mutation (R1068H), detected in two low-HDL subjects, had previously been identified in an Otago family with Tangier disease (25).
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ABCA1 p.Arg1068His 18199144:57:14
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59 The R1068H mutation was predicted to be Ôprobably damaging`, the R2004K mutation Ôpossibly damaging` and the I659V and A2028V mutations Ôbenign`.
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ABCA1 p.Arg1068His 18199144:59:4
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88 Of those subjects carrying ABCA1 mutations, two were heterozygous for the R1068H mutation that was previously identified in an Otago family with Tangier disease (25).
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ABCA1 p.Arg1068His 18199144:88:74
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PMID: 16225879 [PubMed] Slatter TL et al: "Promoter haplotype of a new ABCA1 mutant influences expression of familial hypoalphalipoproteinemia."
No. Sentence Comment
3 A new mutation (R1068H) within the first ATP-binding domain was identified in homozygous form in the Tangier disease individual and was present in several family members.
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ABCA1 p.Arg1068His 16225879:3:16
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35 (A) Pedigree and genotype of the R1068H family.
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36 The proband with Tangier disease (represented by an arrow and filled circle) is homozygous for the R1068H mutation.
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ABCA1 p.Arg1068His 16225879:36:99
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40 (B) Detection of the R1068H mutation by dHPLC.
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ABCA1 p.Arg1068His 16225879:40:21
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41 The dHPLC profiles of the exon 22 amplicon of three members of the R1068H family are shown.
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ABCA1 p.Arg1068His 16225879:41:67
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44 (C) Detection of the R1068H mutation by DNA sequencing.
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ABCA1 p.Arg1068His 16225879:44:21
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47 The mutation predicts an arginine to histidine substitution at amino acid 1068 in the ABCA1 protein.
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83 Statistical analysis The Mann-Whitney test was used to compare the mean differences in lipid levels in the presence and absence of the R1068H mutation and in the presence of the maternal versus paternal 1068H allele in heterozygotes.
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ABCA1 p.Arg1068His 16225879:83:135
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89 An HDL-C measurement was not available Table 1 Plasma lipid levels and genotypes in the R1068H family Subject Sex Age TC TG LDL-C HDL-C R1068H II:2 M 76 5.40 1.20 3.50 1.37 -/- II:3 M 66 5.70 1.60 3.30 1.63 -/- II:4 F 67 6.07 2.62 3.75 1.12 +/- II:5a M 58 3.90 0.63 NT II:7 F 60 7.10 2.10 4.60 1.53 -/- II:8 M 66 5.10 2.60 3.30 0.60 +/- III:1 F 46 5.40 1.00 3.60 1.39 -/- III:3 F 42 3.50 1.50 2.80 0.04 +/+ III:4 M 38 4.00 0.60 2.50 1.22 +/- III:5 F 49 5.40 0.90 2.70 2.26 -/- III:6 M 48 6.50 2.02 4.60 1.00 -/- III:7 F 44 3.98 1.31 2.90 0.48 +/- III:8 F 40 7.50 1.42 5.85 1.08 -/- III:9 F 41 2.60 0.70 1.70 0.60 +/- III:10 F 37 4.50 1.10 3.10 0.90 +/- III:11 M 35 5.53 1.20 4.02 1.10 -/- IV:1 F 23 3.60 0.40 2.40 1.03 +/- IV:2 F 21 4.00 0.80 2.30 1.35 +/- IV:3 F 24 3.50 0.50 2.50 0.76 +/- TC indicates total cholesterol; TG, triglycerides; HDL-C, high-density cholesterol; LDL-C low-density cholesterol. All measurements are expressed in mmol/L.
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ABCA1 p.Arg1068His 16225879:89:90
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ABCA1 p.Arg1068His 16225879:89:138
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90 (-/-) wildtype; (+/-) heterozygous for the R1068H mutation; (+/+) homozygote for the R1068H mutation.
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ABCA1 p.Arg1068His 16225879:90:43
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104 (A) Schematic diagram showing the position of the R1068H mutation within the ATP-binding region of ABCA1.
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ABCA1 p.Arg1068His 16225879:104:50
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106 (B) Alignment of the ABCA protein sequences from different species around the R1068H region.
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ABCA1 p.Arg1068His 16225879:106:78
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111 A computer analysis of the effect of the R1068H mutation on ABCA1 function using PolyPhen (www.bork.embl-heidelberg.de/PolyPhen) predicts that the mutation is "possibly damaging".
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ABCA1 p.Arg1068His 16225879:111:41
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114 Sequencing of exon 22 from the nine family members containing the exon 22 heteroduplex revealed them all to be heterozygous for the R1068H mutation (Fig. 1A).
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ABCA1 p.Arg1068His 16225879:114:132
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115 The R1068H mutation was absent in all other family members.
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ABCA1 p.Arg1068His 16225879:115:4
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136 Table 2 Mean plasma lipid and lipoprotein levels in the R1068H family based on genotype R1068H Genotype Sex Age TC TG LDL-C HDL-C M F -/- (n = 8) 4 4 53 ± 14 6.07 ± 0.85 1.43 ± 0.45 4.02 ± 0.98 1.42 ± 0.40 -/+ (n = 9) 7 2 40 ± 17 4.15 ± 0.99* 1.18 ± 0.86 2.72 ± 0.61** 0.90 ± 0.31*** -/+m (n = 4) 1 4 37 ± 21 4.42 ± 1.12 1.10 ± 1.02 2.74 ± 0.68 1.18 ± 0.14 -/+p (n = 5) 1 3 42 ± 15 3.94 ± 0.96**** 1.24 ± 0.82 2.70 ± 0.63***** 0.67 ± 0.16******,******* TC indicates total cholesterol; TG, triglycerides; HDL-C, high-density cholesterol; LDL-C low-density cholesterol. All measurements are expressed in mmol/L.
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ABCA1 p.Arg1068His 16225879:136:56
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137 (-/-), wildtype; (+/-), heterozygous for the R1068H mutation; (-/+m), heterozygous for the maternal R1068H allele; (-/+p), heterozygous for the paternal R1068H allele.
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ABCA1 p.Arg1068His 16225879:137:45
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ABCA1 p.Arg1068His 16225879:137:100
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ABCA1 p.Arg1068His 16225879:137:153
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151 A further analysis of lipid levels based on genotype (Table 2) revealed a significantly lower mean total cholesterol, LDL-C and HDL-C in R1068H heterozygotes compared to unaffected family members (4.15 ± 0.99 mmol/L versus 6.07 ± 0.85 mmol/L, p = 0.003; 2.72 ± 0.61 mmol/L versus 4.02 ± 0.98 mmol/L, p = 0.006 and 0.90 ± 0.31 mmol/L versus 1.42 ± 0.40 mmol/L, p = 0.012, respectively).
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ABCA1 p.Arg1068His 16225879:151:137
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159 In the current study, we report a new mutation (R1068H) within the first ATP-binding cassette of ABCA1.
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ABCA1 p.Arg1068His 16225879:159:48
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165 Since the R1068H mutation is likely to produce a dysfunctional protein, one would expect it to be associated with FHA in the heterozygous state.
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ABCA1 p.Arg1068His 16225879:165:10
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187 Furthermore, a recent sequence analysis of the 3 untranslated region of both R1068H alleles has revealed a SNP(NCBISNPIDNumberrs4149341)inthepaternalallele (T Slatter, unpublished data), which strengthens the case for non-consanguinity.
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ABCA1 p.Arg1068His 16225879:187:77
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PMID: 16704350 [PubMed] Brunham LR et al: "Variations on a gene: rare and common variants in ABCA1 and their impact on HDL cholesterol levels and atherosclerosis."
No. Sentence Comment
555 Since a complete loss of function allele would be expected to result in a 50% reduction in HDL levels, a greater than 50% reduction in HDL is most likely explained by a dominant negative allele, in which TABLE 3 Patient phenotypes associated with heterozygous ABCA1 mutations Mutation HDL (mmol/L) HDL (% of control) Number of patients M1091T 0.48 ± 0.5 30 ± 30 4 G1216V 0.50 40 1 R2144X 0.56 ± 0.2 41 ± 18 12 R282X 0.52 41 1 R909X 0.59 ± 0.3 42 ± 19 5 K776N 0.55 ± 0.1 47 ± 5 2 R587W 0.61 ± 0.1 47 ± 8 7 S364C 0.60 48 1 P1065S 0.80 51 1 c-ter deletion 0.75 53 1 N1800H - 56.5 33 P85L 0.72 ± 0.4 57 ± 33 5 Del693L 0.79 ± 0.2 57 ± 15 8 D1289N 0.80 ± 0.1 59 ± 12 4 R2081W 0.80 ± 0.1 59 ± 12 4 2203X 0.80 ± 0.2 59 ± 20 4 DelED1893,4 0.77 ± 0.2 59 ± 18 8 2145X 0.82 ± 0.1 59 ± 9 4 A1046D 0.70 ± 0.1 60 ± 8 2 Q597R 0.82 ± 0.1 60 ± 5 5 C1477R 0.82 ± 0.2 61 ± 15 9 IVS25 + 1G > C 0.78 ± 0.1 62 ± 12 4 D1099Y 0.83 ± 0.3 63 ± 21 5 1552X 1.00 64 1 F2009S 0.82 ± 0.2 64 ± 19 6 R587W 0.86 ± 0.1 65 ± 17 2 R1068H 0.90 ± 0.3 67 ± 26 9 N935S 1.00 ± 0.3 74 ± 16 7 T929I 1.01 ± 0.2 76 ± 7 8 1284X 1.11 ± 0.2 83 ± 14 5 A937V 1.15 ± 0.6 85 ± 28 2 R1680W 1.22 ± 0.2 87 ± 17 3 635X 1.24 ± 0.5 90 ± 32 7 W590S 1.32 ± 0.6 103 ± 46 15 the mutant protein actually interferes with the activity of the remaining wild-type protein.
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ABCA1 p.Arg1068His 16704350:555:1186
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562 Support for this concept comes from a recent study showing that HDL cholesterol levels in carriers of the R1068H mutation are significantly influenced by the ABCA1 promoter haplotype associated with the mutation (100).
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ABCA1 p.Arg1068His 16704350:562:106
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PMID: 23087442 [PubMed] Sorrenson B et al: "Functional rescue of mutant ABCA1 proteins by sodium 4-phenylbutyrate."
No. Sentence Comment
16 Nine different ABCA1 mutants (p.A594T, p.I659V, p.R1068H, p.T1512M, p.Y1767D, p.N1800H, p.R2004K, p.A2028V, p.Q2239N) expressed in HEK293 cells, displaying different degrees of mislocalization to the plasma membrane and discrete impacts on cholesterol efflux, were subject to treatment with 4-PBA.
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ABCA1 p.Arg1068His 23087442:16:50
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18 In fibroblast cells obtained from low HDL-C subjects expressing two of the ABCA1 mutants (p.R1068H and p.N1800H), 4-PBA increased cholesterol efflux without any increase in ABCA1 expression.
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ABCA1 p.Arg1068His 23087442:18:92
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53 The Pearson`s correlation coefficient between the GFP and AlexaFluor594 of the ABCA1 mutations were previously identified in low HDL-C subjects and included three uncharacterized mutations, p.I659V, p.R2004K, and p.A2028V (18) and three variants, p.R1068H, p.T1512M, and p.N1800H, known to have reduced localization and cholesterol efflux (19, 20).
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ABCA1 p.Arg1068His 23087442:53:249
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85 4-PBA rescues mutant ABCA1 localization and improves cholesterol efflux function in transfected HEK293 cells 4-PBA treatment was applied to the six uncharacterized ABCA1 mutants as well as to three mutants that we have previously shown to have reduced cholesterol efflux function, p.R1068H (19), p.T1512M (20), and p.N1800H (20, Fig. 1).
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ABCA1 p.Arg1068His 23087442:85:283
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109 Upon 4-PBA treatment, efflux function was significantly increased relative to the untreated level for the p.R1068H, p.T1512M, p.Y1767D, p.N1800H, p.R2004K, and p.A2028V mutants (Fig. 3B).
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ABCA1 p.Arg1068His 23087442:109:108
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112 Treatment with 4-PBA induced a significant increase in colocalization for the p.A594T, p.R1068H, p.T1512M, p.Y1767D, p.N1800H, and p.R2004K mutants. Treatment with 4-PBA did not affect the colocalization of the wild-type ABCA1-GFP protein (supplementary Fig. II).
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ABCA1 p.Arg1068His 23087442:112:89
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122 Fibroblasts were obtained from two p.R1068H heterozygote carriers (RH1 and RH2), two p.N1800H heterozygote carriers (NH1 and NH2), and two ABCA1 wild-type subjects (WT1 and WT2).
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ABCA1 p.Arg1068His 23087442:122:37
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126 However, the cholesterol efflux of the p.R1068H mutant was unable to be restored to wild-type levels.
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ABCA1 p.Arg1068His 23087442:126:41
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141 In contrast, there was a clear trend for increased efflux in the mutants fibroblast cells with statistically significant increases for the p.R1068H heterozygote RH1 (p < 0.05) and the p.N1800H heterozygote NH2 (p < 0.001).
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ABCA1 p.Arg1068His 23087442:141:141
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156 Fibroblast cultures established from wild-type (WT1, WT2), p.R1068H carriers (RH1, RH2) and p.N1800H carriers (NH1, NH2) were treated with 10 mM 4-PBA for 24 h.
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ABCA1 p.Arg1068His 23087442:156:61
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164 For example, the p.Y1767D mutant showed a much enhanced localization and dramatic increase in cholesterol efflux after 4-PBA treatment whereas the efflux function for the p.R1068H mutant remained low despite showing a similar enhancement in localization.
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ABCA1 p.Arg1068His 23087442:164:173
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165 The p.R1068H mutant, located in the first ATP binding domain, has been shown to be defective in oligomerisation (19) and it is likely that although localization was improved for this mutant with 4-PBA treatment, the oligomerisation and therefore efflux function remained defective.
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ABCA1 p.Arg1068His 23087442:165:6
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185 The magnitude by which 4-PBA rescued function was mutant-dependent as restored localization did not always result in a restoration of function, as was the case for the p.R1068H mutant.
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ABCA1 p.Arg1068His 23087442:185:170
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188 For two of the most dramatically affected mutants, p.R1068H and p.N1800H, a functional improvement with 4-PBA treatment was also confirmed ex vivo using primary fibroblast cells.
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ABCA1 p.Arg1068His 23087442:188:53
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201 The authors thank the p.R1068H and p.N1800H family members for their participation in this study. We are grateful to Professor Christiane Albrecht for kindly providing the pCIneo-ABCA1-GFP expression vector.
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ABCA1 p.Arg1068His 23087442:201:24
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PMID: 26616730 [PubMed] Murano T et al: "Subfraction analysis of circulating lipoproteins in a patient with Tangier disease due to a novel ABCA1 mutation."
No. Sentence Comment
123 Arg1068His has been identified to cause Tangier disease [24, 25].
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ABCA1 p.Arg1068His 26616730:123:0
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