2012
DOI: 10.1016/j.ajhg.2012.02.010
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Mutations in the Glycosylphosphatidylinositol Gene PIGL Cause CHIME Syndrome

Abstract: CHIME syndrome is characterized by colobomas, heart defects, ichthyosiform dermatosis, mental retardation (intellectual disability), and ear anomalies, including conductive hearing loss. Whole-exome sequencing on five previously reported cases identified PIGL, the de-N-acetylase required for glycosylphosphatidylinositol (GPI) anchor formation, as a strong candidate. Furthermore, cell lines derived from these cases had significantly reduced levels of the two GPI anchor markers, CD59 and a GPI-binding toxin, aer… Show more

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Cited by 117 publications
(92 citation statements)
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“…In cells defective in early steps in the GPI biosynthetic pathway, GPI transamidase action to preproproteins is less effi cient and preproproteins are degraded by ER-associated degradation. Indeed, hyperphosphatasia does not occur, or occurs only mildly, in PIGA -, PIGQ -, and PIGL -defi ciencies (119)(120)(121). Balance between degradation and secretion due to cleavage by GPI transamidase seems to be affected by other unknown factors, such as genetic backgrounds, because highly elevated hyperphosphatasia associated with PIGL -defi ciency was recently reported ( 122 ).…”
Section: Defi Ciency In Pgap1mentioning
confidence: 99%
“…In cells defective in early steps in the GPI biosynthetic pathway, GPI transamidase action to preproproteins is less effi cient and preproproteins are degraded by ER-associated degradation. Indeed, hyperphosphatasia does not occur, or occurs only mildly, in PIGA -, PIGQ -, and PIGL -defi ciencies (119)(120)(121). Balance between degradation and secretion due to cleavage by GPI transamidase seems to be affected by other unknown factors, such as genetic backgrounds, because highly elevated hyperphosphatasia associated with PIGL -defi ciency was recently reported ( 122 ).…”
Section: Defi Ciency In Pgap1mentioning
confidence: 99%
“…Therefore, it is obvious that perturbations resulting in altered GPIanchored protein traffi cking, as well as plasma membrane organization, can lead to several diseases. Recent studies have shown that the genes involved in the biosynthesis of GPI-anchored proteins are linked with various diseases because the fully processed GPI anchor is essential for the proper functioning, as well as targeting, of the protein ( 9,(103)(104)(105)(106). Mutations in GPI remodeling enzymes, like PGAP3, are known to generate intellectual disorders, like hyperphosphatasia ( 9 ), and deletion of this gene results in impaired T cell receptor signaling ( 107 ).…”
Section: Physiological Relevance Of Gpi-anchored Protein Structure Anmentioning
confidence: 99%
“…15 Several genes known to be involved in the GPI anchor biosynthesis (PIGA, PIGL, PIGN, PIGT, PIGV, PIGO, PIGW and PIGQ) and modeling (PGAP2 and PGAP3) are implicated in X-linked and autosomal recessive intellectual disability disorders. [16][17][18][19][20][21][22][23][24][25][26] Additional features such as seizures, congenital abnormalities and facial dysmorphisms are commonly present. Moreover, CVI has been reported in individuals with PIGA, PIGN and PIGT variants, suggesting that the GPI anchor biosynthesis is important in the development of the visual areas of the brain.…”
Section: Introductionmentioning
confidence: 99%