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Identification of a novel nonsense mutation in the rod domain of GFAP that is associated with Alexander disease.
[alexander disease]
Alexander
disease
(
AxD
)
is
an
astrogliopathy
that
primarily
affects
the
white
matter
of
the
central
nervous
system
(
CNS
)
.
AxD
is
caused
by
mutations
in
a
gene
encoding
GFAP
(
glial
fibrillary
acidic
protein
)
.
The
GFAP
mutations
in
AxD
have
been
reported
to
act
in
a
gain-of-function
manner
partly
because
the
identified
mutations
generate
practically
full-length
GFAP
.
We
found
a
novel
nonsense
mutation
(
c
.
1000
 
G
>
T
,
p
.
(
Glu
312
T
er
)
;
also
termed
p
.
(
E
312
*
)
)
within
a
rod
domain
of
GFAP
in
a
67
-
year
-old
Korean
man
with
a
history
of
memory
impairment
and
leukoencephalopathy
.
This
mutation
,
GFAP
p
.
(
E
312
*
)
,
removes
part
of
the
2
B
rod
domain
and
the
whole
tail
domain
from
the
GFAP
.
We
characterized
GFAP
p
.
(
E
312
*
)
using
western
blotting
,
in
vitro
assembly
and
sedimentation
assay
,
and
transient
transfection
of
human
adrenal
cortex
carcinoma
SW
13
(
Vim
(
+
)
)
cells
with
plasmids
encoding
GFAP
p
.
(
E
312
*
)
.
The
GFAP
p
.
(
E
312
*
)
protein
,
either
alone
or
in
combination
with
wild-
type
GFAP
,
elicited
self-aggregation
.
In
addition
,
the
assembled
GFAP
p
.
(
E
312
*
)
aggregated
into
paracrystal-like
structures
,
and
GFAP
p
.
(
E
312
*
)
elicited
more
GFAP
aggregation
than
wild-
type
GFAP
in
the
human
adrenal
cortex
carcinoma
SW
13
(
Vim
(
+
)
)
cells
.
Our
findings
are
the
first
report
,
to
the
best
of
our
knowledge
,
on
this
novel
nonsense
mutation
of
GFAP
that
is
associated
with
AxD
and
paracrystal
formation
.
European
Journal
of
Human
Genetics
advance
online
publication
,
23
April
2014
;
doi
:
10
.
1038
/
ejhg
.
2014
.
68
.
Diseases
Validation
Diseases presenting
"mutations in axd"
symptom
alexander disease
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