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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
"deficient cells"
symptom
child syndrome
esophageal adenocarcinoma
gm1 gangliosidosis
junctional epidermolysis bullosa
kindler syndrome
lymphangioleiomyomatosis
neonatal adrenoleukodystrophy
werner syndrome
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