Detection of Mutation in Exons 3 and 8 of SLC3A1 and Exons 4 and 10 of SLC7A9 Genes in Patients with Cystinuria in Iran

Document Type : Original Article(s)

Authors

1 MSc Student, Pediatrics Inherited Diseases Research Center AND Department of Genetics and Molecular Biology, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

2 Assistant Professor, Department of Urology, School of Medicine AND Urology and Kidney Transplantation Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Pediatrics Inherited Diseases Research Center AND Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

4 PhD Student, Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran

5 Assistant Professor, Pediatrics Inherited Diseases Research Center AND Department of Genetics and Molecular Biology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Cystinuria, one of the first diagnosed inborn errors of metabolism, recognized by hyperexcretion of cystine, lysine, ornithine and arginine into the urine. So far, two genes associated with cystinuria have been identified: SLC3A1 (2p16.3) that encodes the heavy subunit rBAT of the renal b<sup>0,+ transporter and SLC7A9 (19q13.1), which encodes the light subunit b<sup>0,+AT. Patients with type A cystinuria have two SLC3A1 mutations, whereas patients with type B have two SLC7A9 mutations and finally patients with type AB have one mutation in each gene. Considering the population-specific distribution of mutations in disease, limited studies on the genetic bases of the cystinuria have been done in Middle East. This research presents the results of mutation analysis on patients with cystinuria in Iran.Methods: Thirty unrelated patients with cystinuria operated to remove kidney stones were screened by urologist .The patients were analyzed for mutation using amplification refractory mutation system (ARMS) and polymerase chain reaction-Restriction fragment length polymorphism-polymerase chain reaction (RFLP-PCR) methods.Findings: We found some variations including missense mutations, polymorphism and intron variant, but the most frequent mutations, M467T and also T216M and R333W, were not detected in our patients.Conclusion: Our research may confirm the ethnic distribution of mutations in cystinuria and this study can expand our concept of the genetic basis of cystinuria in Iranian patients. 

Keywords


  1. Garrod AE. Inborn errors of metabolism (lectures I–IV). Lancet 1908; 2: 214–20.
  2. Palacin M, Goodyear P, Nunes V, Gasparini P. Cystinuria. In: Scriver C, Baudet AL, Sly WS, Valle D, editors. The metabolic and molecular basis of inherited disease. 8th ed. New York, NY: McGraw-Hill; 2001.
  3. Palacin M, Borsani G, Sebastio G. The molecular bases of cystinuria and lysinuric protein intolerance. Curr Opin Genet Dev 2001; 11(3): 328-35.
  4. Tanzer F, Ozgur A, Bardakci F. Type I cystinuria and its genetic basis in a population of Turkish school children. Int J Urol 2007; 14(10): 914-7.
  5. Saravakos P, Kokkinou V, Giannatos E. Cystinuria: current diagnosis and management. Urology 2014; 83(4): 693-9.
  6. Knoll T, Zollner A, Wendt-Nordahl G, Michel MS, Alken P. Cystinuria in childhood and adolescence: recommendations for diagnosis, treatment, and follow-up. Pediatr Nephrol 2005; 20(1): 19-24.
  7. Akhavan sepahi M, Sharifian M, Shajari A, Heidary A. Clinical manifestations and etiology of renal and urethra stone in children less than 14 years old referring to Fatemi-e-Sahamieh pediatric hospital in Qom, 2007-2008. J Arak Univ Med Sci 2009; 12(3): 1-7. [In Persian].
  8. Feliubadalo L, Font M, Purroy J, Rousaud F, Estivill X, Nunes V, et al. Non-type I cystinuria caused by mutations in SLC7A9, encoding a subunit (bo,+AT) of rBAT. Nat Genet 1999; 23(1): 52-7.
  9. Skopkova Z, Hrabincova E, Stastna S, Kozak L, Adam T. Molecular genetic analysis of SLC3A1 and SLC7A9 genes in Czech and Slovak cystinuric patients. Ann Hum Genet 2005; 69(Pt 5): 501-7.
  10. Calonge MJ, Gasparini P, Chillaron J, Chillon M, Gallucci M, Rousaud F, et al. Cystinuria caused by mutations in rBAT, a gene involved in the transport of cystine. Nat Genet 1994; 6(4): 420-5.
  11. Pras E, Raben N, Golomb E, Arber N, Aksentijevich I, Schapiro JM, et al. Mutations in the SLC3A1 transporter gene in cystinuria. Am J Hum Genet 1995; 56(6): 1297-303.
  12. Eggermann T, Venghaus A, Zerres K. Cystinuria: an inborn cause of urolithiasis. Orphanet J Rare Dis 2012; 7: 19.
  13. Wartenfeld R, Golomb E, Katz G, Bale SJ, Goldman B, Pras M, et al. Molecular analysis of cystinuria in Libyan Jews: exclusion of the SLC3A1 gene and mapping of a new locus on 19q. Am J Hum Genet 1997; 60(3): 617-24.
  14. Barbosa M, Lopes A, Mota C, Martins E, Oliveira J, Alves S, et al. Clinical, biochemical and molecular characterization of cystinuria in a cohort of 12 patients. Clin Genet 2012; 81(1): 47-55.
  15. Dello SL, Pras E, Pontesilli C, Beccia E, Ricci-Barbini V, de SL, et al. Comparison between SLC3A1 and SLC7A9 cystinuria patients and carriers: a need for a new classification. J Am Soc Nephrol 2002; 13(10): 2547-53.
  16. Schmidt C, Vester U, Hesse A, Lahme S, Lang F, Zerres K, et al. The population-specific distribution and frequencies of genomic variants in the SLC3A1 and SLC7A9 genes and their application in molecular genetic testing of cystinuria. Urol Res 2004; 32(2): 75-8.
  17. Font MA, Feliubadalo L, Estivill X, Nunes V, Golomb E, Kreiss Y, et al. Functional analysis of mutations in SLC7A9, and genotype-phenotype correlation in non-Type I cystinuria. Hum Mol Genet 2001; 10(4): 305-16.
  18. Eggermann T, Spengler S, Wirth J, Lahme S. Molecular genetic testing in cystinuria. Int J Human Genet 2011; 11(1): 41-4.
  19. Di PM, Louizou E, Fischetti L, Dedoussis GV, Stanziale P, Michelakakis H, et al. Twenty-four novel mutations identified in a cohort of 85 patients by direct sequencing of the SLC3A1 and SLC7A9 cystinuria genes. Genet Test 2008; 12(3): 351-5.
  20. Shigeta Y, Kanai Y, Chairoungdua A, Ahmed N, Sakamoto S, Matsuo H, et al. A novel missense mutation of SLC7A9 frequent in Japanese cystinuria cases affecting the C-terminus of the transporter. Kidney Int 2006; 69(7): 1198-206.
  21. Botzenhart E, Vester U, Schmidt C, Hesse A, Halber M, Wagner C, et al. Cystinuria in children: distribution and frequencies of mutations in the SLC3A1 and SLC7A9 genes. Kidney Int 2002; 62(4): 1136-42.
  22. Chillaron J, Font-Llitjos M, Fort J, Zorzano A, Goldfarb DS, Nunes V, et al. Pathophysiology and treatment of cystinuria. Nat Rev Nephrol 2010; 6(7): 424-34.
  23. Schmidt C, Albers A, Tomiuk J, Eggermann K, Wagner C, Capasso G, et al. Analysis of the genes SLC7A9 and SLC3A1 in unclassified cystinurics: mutation detection rates and association between variants in SLC7A9 and the disease. Clin Nephrol 2002; 57(5): 342-8.
  24. Bisceglia L, Fischetti L, Bonis PD, Palumbo O, Augello B, Stanziale P, et al. Large rearrangements detected by MLPA, point mutations, and survey of the frequency of mutations within the SLC3A1 and SLC7A9 genes in a cohort of 172 cystinuric Italian patients. Mol Genet Metab 2010; 99(1): 42-52.
  25. Chatzikyriakidou A, Sofikitis N, Georgiou I. Identification of novel cystinuria mutations and polymorphisms in SLC3A1 and SLC7A9 genes: absence of SLC7A10 gene mutations in cystinuric patients. Genet Test 2005; 9(3): 175-84.
  26. Yuen YP, Lam CW, Lai CK, Tong SF, Li PS, Tam S, et al. Heterogeneous mutations in the SLC3A1 and SLC7A9 genes in Chinese patients with cystinuria. Kidney Int 2006; 69(1): 123-8.
  27. Harnevik L, Fjellstedt E, Molbaek A, Denneberg T, Soderkvist P. Mutation analysis of SLC7A9 in cystinuria patients in Sweden. Genet Test 2003; 7(1): 13-20.
  28. Chatzikyriakidou A, Sofikitis N, Giannakis D, Tsambalas S, Georgiou I. 466 Six novel polymorphic variants in SLC3A1 and SLC7A9 genes: New approaches to the study of cystinuria. European Urology Supplements 2004; 3(2): 119.
  29. Raponi M, Baralle D. Alternative splicing: good and bad effects of translationally silent substitutions. FEBS J 2010; 277(4): 836-40.
  30. Pagani F, Raponi M, Baralle FE. Synonymous mutations in CFTR exon 12 affect splicing and are not neutral in evolution. Proc Natl Acad Sci U S A 2005; 102(18): 6368-72.
  31. Font-Llitjos M, Jimenez-Vidal M, Bisceglia L, Di PM, de SL, Rousaud F, et al. New insights into cystinuria: 40 new mutations, genotype-phenotype correlation, and digenic inheritance causing partial phenotype. J Med Genet 2005; 42(1): 58-68.
  32. Schmidt C, Tomiuk J, Botzenhart E, Vester U, Halber M, Hesse A, et al. Genetic variations of the SLC7A9 gene: allele distribution of 13 polymorphic sites in German cystinuria patients and controls. Clin Nephrol 2003; 59(5): 353-9.
  33. Chatzikyriakidou A, Louizou E, Dedousis GV, Bisceglia L, Michelakakis H, Georgiou I. An overview of SLC3A1 and SLC7A9 mutations in Greek cystinuria patients. Mol Genet Metab 2008; 95(3): 192-3.
  34. Harnevik L, Fjellstedt E, Molbaek A, Tiselius HG, Denneberg T, Soderkvist P. Identification of 12 novel mutations in the SLC3A1 gene in Swedish cystinuria patients. Hum Mutat 2001; 18(6): 516-25.
  35. Guillen M, Corella D, Cabello ML, Gonzalez JI, Sabater A, Chaves JF, et al. Identification of novel SLC3A1 gene mutations in Spanish cystinuria families and association with clinical phenotypes. Clin Genet 2005; 67(3): 240-51.
  36. Gasparini P, Calonge MJ, Bisceglia L, Purroy J, Dianzani I, Notarangelo A, et al. Molecular genetics of cystinuria: identification of four new mutations and seven polymorphisms, and evidence for genetic heterogeneity. Am J Hum Genet 1995; 57(4): 781-8.
  37. Endsley JK, Phillips JA, III, Hruska KA, Denneberg T, Carlson J, George AL, Jr. Genomic organization of a human cystine transporter gene (SLC3A1) and identification of novel mutations causing cystinuria. Kidney Int 1997; 51(6): 1893-9.
  38. Egoshi KI, Akakura K, Kodama T, Ito H. Identification of five novel SLC3A1 (rBAT) gene mutations in Japanese cystinuria. Kidney Int 2000; 57(1): 25-32.
  39. Bisceglia L, Calonge MJ, Dello SL, Rizzoni G, de SL, Gallucci M, et al. Molecular analysis of the cystinuria disease gene: identification of four new mutations, one large deletion, and one polymorphism. Hum Genet 1996; 98(4): 447-51.
  40. Albers A, Lahme S, Wagner C, Kaiser P, Zerres K, Capasso G, et al. Mutations in the SLC3A1 gene in cystinuric patients: frequencies and identification of a novel mutation. Genet Test 1999; 3(2): 227-31.