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Disruption of a PEX1-PEX6 interaction is the most common cause of the neurologic disorders Zellweger syndrome, neonatal adrenoleukodystrophy, and infantile Refsum disease.
[neonatal adrenoleukodystrophy]
Peroxisomal
matrix
protein
import
requires
the
action
of
two
AAA
ATPases
,
PEX
1
and
PEX
6
.
Mutations
in
either
the
PEX
1
or
PEX
6
gene
are
the
most
common
cause
of
the
lethal
neurologic
disorders
Zellweger
syndrome
,
neonatal
adrenoleukodystrophy
,
and
infantile
Refsum
disease
and
account
for
disease
in
80
%
of
all
such
patients
.
We
report
here
that
overexpression
of
PEX
6
can
suppress
the
phenotypes
of
certain
PEX
1
-
deficient
cells
,
that
overexpression
of
PEX
1
can
suppress
the
phenotypes
of
certain
PEX
6
-
deficient
cells
,
and
that
these
instances
of
suppression
are
allele-
specific
and
require
partial
activity
of
the
mutated
gene
.
In
addition
to
genetic
evidence
for
interaction
between
PEX
1
and
PEX
6
,
we
find
that
the
PEX
1
and
PEX
6
proteins
interact
in
the
yeast
two
-hybrid
assay
and
physically
associate
with
one
another
in
vitro
.
We
previously
identified
a
missense
mutation
in
PEX
1
,
G
8
43
D
,
which
attenuates
PEX
1
function
and
is
the
most
common
cause
of
these
diseases
,
present
in
one
-
third
of
all
such
patients
.
The
G
8
43
D
mutation
attenuates
the
interaction
between
PEX
1
and
PEX
6
in
both
the
two
-hybrid
system
and
in
vitro
and
appears
to
be
suppressed
by
overexpression
of
PEX
6
.
We
conclude
that
PEX
1
and
PEX
6
form
a
complex
of
central
importance
to
peroxisome
biogenesis
and
that
mutations
affecting
this
complex
constitute
the
most
common
cause
of
the
Zellweger
syndrome
spectrum
of
diseases
.
Diseases
Validation
Diseases presenting
"common cause"
symptom
achondroplasia
acute rheumatic fever
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
child syndrome
coats disease
congenital adrenal hyperplasia
congenital toxoplasmosis
cushing syndrome
erdheim-chester disease
esophageal adenocarcinoma
esophageal squamous cell carcinoma
fabry disease
familial hypocalciuric hypercalcemia
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
pendred syndrome
primary hyperoxaluria type 1
pyruvate dehydrogenase deficiency
scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
typhoid
von hippel-lindau disease
wiskott-aldrich syndrome
zellweger syndrome
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