METHODS: Whole exome sequencing was performed in a father and son who presented with a mild skeletal dysplasia, as well as the father\'s unaffected parents. Wild-type and mutant UXS1 were recombinantly expressed in Escherichia coli and purified. Enzyme activity was evaluated by LC-MS/MS. In vivo effects were studied using HeparinRed assay and metabolomics.
RESULTS: The son had short long bones, normal epiphysis, and subtle metaphyseal changes especially in his legs. The likely pathogenic heterozygous variant NM_001253875.1(UXS1):c.557T>A p.(Ile186Asn) detected in the son was de novo in the father. Purified Ile186Asn-UXS1, in contrast to the wild-type, was not able to convert UDP-glucuronic acid to UDP-xylose. Plasma glycosaminoglycan levels were decreased in both son and father.
CONCLUSIONS: This is the first report linking UXS1 to short-limbed short stature in humans.
方法:对一位轻度骨骼发育不良的父子进行全外显子组测序,以及父亲不受影响的父母。野生型和突变型UXS1在大肠杆菌中重组表达并纯化。通过LC-MS/MS评估酶活性。使用肝素Red测定和代谢组学研究体内作用。
结果:儿子长骨短,正常骨phy,和微妙的干phy端变化,尤其是在他的腿。在儿子中检测到的可能致病性杂合变体NM_001253875.1(UXS1):c.557T>Ap。(Ile186Asn)在父亲中是从头。纯化的Ile186Asn-UXS1,与野生型相反,不能将UDP-葡萄糖醛酸转化为UDP-木糖。儿子和父亲的血浆糖胺聚糖水平均降低。
结论:这是第一份将UXS1与人类短肢身材矮小联系起来的报告。