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
"breast cancer"
symptom
acute rheumatic fever
aromatase deficiency
carcinoma of the gallbladder
child syndrome
cowden syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
esophageal squamous cell carcinoma
junctional epidermolysis bullosa
kindler syndrome
liposarcoma
lymphangioleiomyomatosis
oral submucous fibrosis
proteus syndrome
severe combined immunodeficiency
systemic capillary leak syndrome
von hippel-lindau disease
waldenström macroglobulinemia
werner syndrome
wiskott-aldrich syndrome
This symptom has already been validated