Molecular and cellular characteristics of ABCA3 mutations associated with diffuse parenchymal lung diseases in children

ABCA3 (ATP-binding cassette subfamily A, member 3) is expressed in the lamellar bodies of alveolar type II cells and is crucial to pulmonary surfactant storage and homeostasis. ABCA3 gene mutations have been associated with neonatal respiratory distress (NRD) and pediatric interstitial lung disease...

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Veröffentlicht in:Human molecular genetics 2012-02, Vol.21 (4), p.765-775
Hauptverfasser: Flamein, Florence, Riffault, Laure, Muselet-Charlier, Céline, Pernelle, Julie, Feldmann, Delphine, Jonard, Laurence, Durand-Schneider, Anne-Marie, Coulomb, Aurore, Maurice, Michèle, Nogee, Lawrence M., Inagaki, Nobuya, Amselem, Serge, Dubus, Jean Christophe, Rigourd, Virginie, Brémont, François, Marguet, Christophe, Brouard, Jacques, de Blic, Jacques, Clement, Annick, Epaud, Ralph, Guillot, Loïc
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container_issue 4
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container_title Human molecular genetics
container_volume 21
creator Flamein, Florence
Riffault, Laure
Muselet-Charlier, Céline
Pernelle, Julie
Feldmann, Delphine
Jonard, Laurence
Durand-Schneider, Anne-Marie
Coulomb, Aurore
Maurice, Michèle
Nogee, Lawrence M.
Inagaki, Nobuya
Amselem, Serge
Dubus, Jean Christophe
Rigourd, Virginie
Brémont, François
Marguet, Christophe
Brouard, Jacques
de Blic, Jacques
Clement, Annick
Epaud, Ralph
Guillot, Loïc
description ABCA3 (ATP-binding cassette subfamily A, member 3) is expressed in the lamellar bodies of alveolar type II cells and is crucial to pulmonary surfactant storage and homeostasis. ABCA3 gene mutations have been associated with neonatal respiratory distress (NRD) and pediatric interstitial lung disease (ILD). The objective of this study was to look for ABCA3 gene mutations in patients with severe NRD and/or ILD. The 30 ABCA3 coding exons were screened in 47 patients with severe NRD and/or ILD. ABCA3 mutations were identified in 10 out of 47 patients, including 2 homozygous, 5 compound heterozygous and 3 heterozygous patients. SP-B and SP-C expression patterns varied across patients. Among patients with ABCA3 mutations, five died shortly after birth and five developed ILD (including one without NRD). Functional studies of p.D253H and p.T1173R mutations revealed that p.D253H and p.T1173R induced abnormal lamellar bodies. Additionally, p.T1173R increased IL-8 secretion in vitro. In conclusion, we identified new ABCA3 mutations in patients with life-threatening NRD and/or ILD. Two mutations associated with ILD acted via different pathophysiological mechanisms despite similar clinical phenotypes.
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ABCA3 gene mutations have been associated with neonatal respiratory distress (NRD) and pediatric interstitial lung disease (ILD). The objective of this study was to look for ABCA3 gene mutations in patients with severe NRD and/or ILD. The 30 ABCA3 coding exons were screened in 47 patients with severe NRD and/or ILD. ABCA3 mutations were identified in 10 out of 47 patients, including 2 homozygous, 5 compound heterozygous and 3 heterozygous patients. SP-B and SP-C expression patterns varied across patients. Among patients with ABCA3 mutations, five died shortly after birth and five developed ILD (including one without NRD). Functional studies of p.D253H and p.T1173R mutations revealed that p.D253H and p.T1173R induced abnormal lamellar bodies. Additionally, p.T1173R increased IL-8 secretion in vitro. In conclusion, we identified new ABCA3 mutations in patients with life-threatening NRD and/or ILD. 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Biological and molecular evolution ; Human health and pathology ; Humans ; Life Sciences ; Lung Diseases, Interstitial - genetics ; Lung Diseases, Interstitial - metabolism ; Lung Diseases, Interstitial - pathology ; Lung Diseases, Interstitial - physiopathology ; Male ; Molecular and cellular biology ; Mutation - genetics ; Pedigree ; Pulmonology and respiratory tract</subject><ispartof>Human molecular genetics, 2012-02, Vol.21 (4), p.765-775</ispartof><rights>The Author 2011. Published by Oxford University Press. All rights reserved. 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subjects ATP-Binding Cassette Transporters - genetics
Biological and medical sciences
Bronchoalveolar Lavage Fluid - chemistry
Child
Cytokines - biosynthesis
Female
Fundamental and applied biological sciences. Psychology
Genetics of eukaryotes. Biological and molecular evolution
Human health and pathology
Humans
Life Sciences
Lung Diseases, Interstitial - genetics
Lung Diseases, Interstitial - metabolism
Lung Diseases, Interstitial - pathology
Lung Diseases, Interstitial - physiopathology
Male
Molecular and cellular biology
Mutation - genetics
Pedigree
Pulmonology and respiratory tract
title Molecular and cellular characteristics of ABCA3 mutations associated with diffuse parenchymal lung diseases in children
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