A hypomorphic allele of SLC35D1 results in Schneckenbecken-like dysplasia.

Abstract:

:We report the case of a consanguineous couple who lost four pregnancies associated with skeletal dysplasia. Radiological examination of one fetus was inconclusive. Parental exome sequencing showed that both parents were heterozygous for a novel missense variant, p.(Pro133Leu), in the SLC35D1 gene encoding a nucleotide sugar transporter. The affected fetus was homozygous for the variant. The radiological features were reviewed, and being similar, but atypical, the phenotype was classified as a 'Schneckenbecken-like dysplasia.' The effect of the missense change was assessed using protein modelling techniques and indicated alterations in the mouth of the solute channel. A detailed biochemical investigation of SLC35D1 transport function and that of the missense variant p.(Pro133Leu) revealed that SLC35D1 acts as a general UDP-sugar transporter and that the p.(Pro133Leu) mutation resulted in a significant decrease in transport activity. The reduced transport activity observed for p.(Pro133Leu) was contrasted with in vitro activity for SLC35D1 p.(Thr65Pro), the loss-of-function mutation was associated with Schneckenbecken dysplasia. The functional classification of SLC35D1 as a general nucleotide sugar transporter of the endoplasmic reticulum suggests an expanded role for this transporter beyond chondroitin sulfate biosynthesis to a variety of important glycosylation reactions occurring in the endoplasmic reticulum.

journal_name

Hum Mol Genet

journal_title

Human molecular genetics

authors

Rautengarten C,Quarrell OW,Stals K,Caswell RC,De Franco E,Baple E,Burgess N,Jokhi R,Heazlewood JL,Offiah AC,Ebert B,Ellard S

doi

10.1093/hmg/ddz200

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

3543-3551

issue

21

eissn

0964-6906

issn

1460-2083

pii

5551101

journal_volume

28

pub_type

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