A functional alternative splicing mutation in AIRE gene causes autoimmune polyendocrine syndrome type 1

PLoS One. 2013;8(1):e53981. doi: 10.1371/journal.pone.0053981. Epub 2013 Jan 8.

Abstract

Autoimmune polyendocrine syndrome type 1 (APS-1) is a rare autosomal recessive disease defined by the presence of two of the three conditions: mucocutaneous candidiasis, hypoparathyroidism, and Addison's disease. Loss-of-function mutations of the autoimmune regulator (AIRE) gene have been linked to APS-1. Here we report mutational analysis and functional characterization of an AIRE mutation in a consanguineous Chinese family with APS-1. All exons of the AIRE gene and adjacent exon-intron sequences were amplified by PCR and subsequently sequenced. We identified a homozygous missense AIRE mutation c.463G>A (p.Gly155Ser) in two siblings with different clinical features of APS-1. In silico splice-site prediction and minigene analysis were carried out to study the potential pathological consequence. Minigene splicing analysis and subsequent cDNA sequencing revealed that the AIRE mutation potentially compromised the recognition of the splice donor of intron 3, causing alternative pre-mRNA splicing by intron 3 retention. Furthermore, the aberrant AIRE transcript was identified in a heterozygous carrier of the c.463G>A mutation. The aberrant intron 3-retaining transcript generated a truncated protein (p.G155fsX203) containing the first 154 AIRE amino acids and followed by 48 aberrant amino acids. Therefore, our study represents the first functional characterization of the alternatively spliced AIRE mutation that may explain the pathogenetic role in APS-1.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • AIRE Protein
  • Adult
  • Alternative Splicing / genetics*
  • Asian People / genetics
  • Base Sequence
  • Codon, Nonsense / genetics
  • Computational Biology
  • Exons / genetics
  • Female
  • Humans
  • Male
  • Mutation*
  • Pedigree
  • Polyendocrinopathies, Autoimmune / genetics*
  • Polyendocrinopathies, Autoimmune / pathology
  • Polyendocrinopathies, Autoimmune / physiopathology
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Siblings
  • Transcription Factors / genetics*
  • Young Adult

Substances

  • Codon, Nonsense
  • RNA, Messenger
  • Transcription Factors

Supplementary concepts

  • Autoimmune polyendocrinopathy syndrome, type 1

Grants and funding

This work was supported by grants from the 973 Program (2011CB504501), the National Natural Science Foundation of China (No. 30971582, No. 90919049), the Shanghai Municipal Commission of Science and Technology Program (09DJ1400601), the Block Funding from the Duke-NUS Graduate Medical School Singapore, and the third phase of 211 project from Ministry of Education of China. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.