CCFC 513 Lecture Notes - Lecture 6: Friability, Alanine, Hydroxylation

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Genetic diseases caused by mutations in collagen genes
COL15,16,20 and 21,23,24 and 28 do not cause any disorders in human beings
Each COL gene is related to a different disorder
There is no need to need to memorize all the genes
Mutations in collagen genes coding for collagenopathies affect many organ systems with
overlapping clinical features
If you mutate a single gene in collagen, multiple tissues can get affected
Gene disorder
There are two types of inheritance:
Dominant- even one mutant allele is enough to develop a gene
Dominant negative effect- production of abnormal protein that can impair function of normal
protein-Very common for structural proteins like collagen
Recessive Only if both your parents contribute a mutant allele to a gene, you will develop the
disease-Very common for enzymes
You need to be either homozygous for the mutant allele or compound heterozygous to develop
recessive disorder (because of lack of normal protein)
De novo mutations- completely new mutation in individual which is not present in the parental
units- if it occurs at the conception stage, all the cells will be affected, if it occurs after the 8 celled
stage, only some cells will affected and some cells wont.
Variable mutations (mosaicism)- if you do not inherit mutation from the gene cells, it may be
present only in a fraction of cells and not all your cells-this results in mosaicism
Mutant Collagen trimers
Collagen alpha chains associate as trimers
Mutations are usually due to glycine residues-only amino acid small enough to come to the centre
of the triple helix- mutations in glycine disrupt the triple helix and is detrimental to function
If you have a mutation in the alpha 2 chains, 50 % will be normal and 50% of the collagen will be
mutated
If one of the chains is mutant , again 50% wild protein and 50% mutant
Collagen-gene disorders
All autosomal dominant
EDS Type VII- Ligament laxity (extreme flexibility of ligaments)
Chondrodysplasia- abnormal cartilage
Type IV- Alport syndrome- affects the basement membrane of kidney- basement membrane
needed for glomeruli
Type V- Associating with Type I triple helix-
Bethlem myotraphy-muscle dystrophy syndrome- begins progressively after birth-they will rarely
live beyond 30-40 years of age
Type VII- Epidermolysis bullosa- Skin blisters over entire body- responsible for anchoring fibrils
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Ehlers-Danlos Syndrome
It is usually not very easy to diagnose without sequencing for the mutation
Ehlers and Danlos recognized this disorder
Physical symptoms- joint dislocation, skin extensibility and tissue friability
There are other disorders that cause the symptoms but are a result of different other mutations
Polymorphisms-Mutations or not?
The difference between the two is very subtle
Mutations CAN HAPPEN in the binding sites of the DNA Polymerase in the promoter and CAN
promote gene expression
Intron mutations may/may not influence splicing
Exon mutations-most damaging
Variations in intergenic regions that can cause lower expression of the gene
Enhancer regions can get mutation (sequences present at a distance from the gene which bind to
transcription factors and regulate activity of the promoter)
Consequences of Exon Mutations
Most damaging type of mutation
Can be a substitution (Missense, Nonsense, Polymorphic), Insertion (In-frame or frameshift),
deletion (In-frame and frameshift)
Glycine and Nonsense Mutations
GGU, GGC, GGA, GGG- code for glycine
Mutations in any of these codons can result in mutated glycine and mutated collagen triple helix
Can result in substitution mutations and nonsense mutations
Intron Mutations
Mutations in the splice donor or splice acceptor site
Splice donor site mutation-retention of intron, exclusion of exon, can result in cryptic splice sites (where
the wrong gt sites are included resulting in extra intron and result in stop codons down the line)
Splice donor acceptor sites- splice machinery will try to look for another splice acceptor site if the original
one is mutated (for e.g if AG is the splice acceptor site and it is mutated to TG, the splice machinery will
look for another AG, the AG might be between another exon and might splice the intron +some part of
the exon resulting in truncation or it might be after the next exon and cleave off the next exon, it varies)
Osteogenesis Imperfecta- Clinical manifestations
Association with dentinogenesis imperfecta
Dentine is heavily loaded with collagen Type I
Vertebral compression fractures (very painful)
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Document Summary

If you mutate a single gene in collagen, multiple tissues can get affected. If you have a mutation in the alpha 2 chains, 50 % will be normal and 50% of the collagen will be mutated. If one of the chains is mutant , again 50% wild protein and 50% mutant. Polymorphisms-mutations or not: the difference between the two is very subtle, mutations can happen in the binding sites of the dna polymerase in the promoter and can promote gene expression. Consequences of exon mutations: most damaging type of mutation, can be a substitution (missense, nonsense, polymorphic), insertion (in-frame or frameshift), deletion (in-frame and frameshift) Glycine and nonsense mutations: ggu, ggc, gga, ggg- code for glycine, mutations in any of these codons can result in mutated glycine and mutated collagen triple helix, can result in substitution mutations and nonsense mutations. Mutations in the splice donor or splice acceptor site.

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