Rare Diseases Symptoms Automatic Extraction
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Disease-causing missense mutations in human DNA helicase disorders.
[werner syndrome]
Helicases
have
important
roles
in
nucleic
acid
metabolism
,
and
their
prominence
is
marked
by
the
discovery
of
genetic
disorders
arising
from
disease-causing
mutations
.
Missense
mutations
can
yield
unique
insight
to
molecular
functions
and
basis
for
disease
pathology
.
XPB
or
XPD
missense
mutations
lead
to
Xeroderma
pigmentosum
,
Cockayne
's
syndrome
,
Trichothiodystrophy
,
or
COFS
syndrome
,
suggesting
that
DNA
repair
and
transcription
defects
are
responsible
for
clinical
heterogeneity
.
Complex
phenotypes
are
also
observed
for
RECQL
4
helicase
mutations
responsible
for
Rothmund-
Thomson
syndrome
,
Baller-
Gerold
syndrome
,
or
RAPADILINO
.
Bloom
's
syndrome
causing
missense
mutations
are
found
in
the
conserved
helicase
and
RecQ
C-
terminal
domain
of
BLM
that
interfere
with
helicase
function
.
Although
rare
,
patient-derived
missense
mutations
in
the
exonuclease
or
helicase
domain
of
Werner
syndrome
protein
exist
.
Characterization
of
WRN
separation-of-function
mutants
may
provide
insight
to
catalytic
requirements
for
suppression
of
phenotypes
associated
with
the
premature
aging
disorder
.
Characterized
FANCJ
missense
mutations
associated
with
breast
cancer
or
Fanconi
anemia
interfere
with
FANCJ
helicase
activity
required
for
DNA
repair
and
the
replication
stress
response
.
For
example
,
a
FA
patient-derived
mutation
in
the
FANCJ
Iron
-
Sulfur
domain
was
shown
to
uncouple
its
ATPase
and
translocase
activity
from
DNA
unwinding
.
Mutations
in
DDX
11
(
ChlR
1
)
are
responsible
for
Warsaw
Breakage
syndrome
,
a
recently
discovered
autosomal
recessive
cohesinopathy
.
Ongoing
and
future
studies
will
address
clinically
relevant
helicase
mutations
and
polymorphisms
,
including
those
that
interfere
with
key
protein
interactions
or
exert
dominant
negative
phenotypes
(
e
.
g
.
,
certain
mutant
alleles
of
Twinkle
mitochondrial
DNA
helicase
)
.
Chemical
rescue
may
be
an
approach
to
restore
helicase
activity
in
loss
-of-function
helicase
disorders
.
Genetic
and
biochemical
analyses
of
disease-causing
missense
mutations
in
human
helicase
disorders
have
led
to
new
insights
to
the
molecular
defects
underlying
aberrant
cellular
and
clinical
phenotypes
.
Diseases
Validation
Diseases presenting
"anemia"
symptom
22q11.2 deletion syndrome
alpha-thalassemia
canavan disease
child syndrome
coats disease
congenital toxoplasmosis
cowden syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dracunculiasis
erythropoietic protoporphyria
esophageal adenocarcinoma
hirschsprung disease
holt-oram syndrome
homocystinuria without methylmalonic aciduria
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
omenn syndrome
scrub typhus
sneddon syndrome
typhoid
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
This symptom has already been validated