Abstract
Mucolipidosis type IV (MLIV) is an autosomal recessive, neurodegenerative, lysosomal storage disorder1 characterized by psychomotor retardation and ophthalmological abnormalities including corneal opacities, retinal degeneration and strabismus. Most patients reach a maximal developmental level of 12–15 months2. The disease was classified as a mucolipidosis following observations by electron microscopy indicating the lysosomal storage of lipids together with water-soluble, granulated substances1,3,4,5,6. Over 80% of the MLIV patients diagnosed are Ashkenazi Jews, including severely affected and mildly affected patients3,4. The gene causing MLIV was previously mapped to human chromosome 19p13.2–13.3 in a region of approximately 1 cM (ref. 7). Haplotype analysis in the MLIV gene region of over 70 MLIV Ashkenazi chromosomes indicated the existence of two founder chromosomes among 95% of the Ashkenazi MLIV families: a major haplotype in 72% and a minor haplotype in 23% of the MLIV chromosomes (ref. 7, and G.B., unpublished data). The remaining 5% are distinct haplotypes found only in single patients. The basic metabolic defect causing the lysosomal storage in MLIV has not yet been identified. Thus, positional cloning was an alternative to identify the MLIV gene. We report here the identification of a new gene in this human chromosomal region in which MLIV-specific mutations were identified.
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Acknowledgements
We thank the MLIV families for cooperation; the referring clinicians; L. Ashworth for the sequence of chromosome 19; and D. Abeliovich and I. Lerer for help. Part of this work was funded by the generous donation of P. Altura for the R. Altura Fund and by a grant from the Mucolipidosis type IV Foundation. Part of this work was funded by an Infrastructure grant of the Israeli Ministry of Science, the Crown Human Genome Center at The Weizmann Institute of Science and the Krupp Foundation.
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Bargal, R., Avidan, N., Ben-Asher, E. et al. Identification of the gene causing mucolipidosis type IV. Nat Genet 26, 118–122 (2000). https://doi.org/10.1038/79095
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DOI: https://doi.org/10.1038/79095
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