Volume 84, Issue 6 pp. 814-828
Research Article

Homozygous splicing mutation in NUP133 causes Galloway–Mowat syndrome

Atsushi Fujita PhD

Atsushi Fujita PhD

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

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Hiroyasu Tsukaguchi MD, PhD

Corresponding Author

Hiroyasu Tsukaguchi MD, PhD

Second Department of Internal Medicine, Kansai Medical University, Osaka

Address correspondence to Dr Matsumoto, Department of Human Genetics, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan; E-mail: [email protected] and Dr Tsukaguchi, Second Department of Internal Medicine, Kansai Medical University, 2-3-1 Shin-machi, Hirakata-shi, Osaka, 573-1191 Japan; E-mail: [email protected]Search for more papers by this author
Eriko Koshimizu PhD

Eriko Koshimizu PhD

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

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Hitoshi Nakazato MD, PhD

Hitoshi Nakazato MD, PhD

Department of Pediatrics, Faculty of Life Sciences, Kumamoto University, Kumamoto

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Kyoko Itoh MD, PhD

Kyoko Itoh MD, PhD

Department of Pathology and Applied Neurobiology, Graduate School of Medical Sciences, Kyoto Prefectural University of Medicine, Kyoto

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Shohei Kuraoka MD

Shohei Kuraoka MD

Department of Pediatrics, Faculty of Life Sciences, Kumamoto University, Kumamoto

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Yoshihiro Komohara MD, PhD

Yoshihiro Komohara MD, PhD

Department of Cell Pathology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto

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Masaaki Shiina MD, PhD

Masaaki Shiina MD, PhD

Department of Biochemistry, Yokohama City University Graduate School of Medicine, Yokohama

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Shohei Nakamura BS

Shohei Nakamura BS

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

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Mika Kitajima MD, PhD

Mika Kitajima MD, PhD

Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, Kumamoto

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Yoshinori Tsurusaki PhD

Yoshinori Tsurusaki PhD

Clinical Research Institute, Kanagawa Children's Medical Center, Yokohama

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Satoko Miyatake MD, PhD

Satoko Miyatake MD, PhD

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

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Kazuhiro Ogata MD, PhD

Kazuhiro Ogata MD, PhD

Department of Biochemistry, Yokohama City University Graduate School of Medicine, Yokohama

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Kazumoto Iijima MD, PhD

Kazumoto Iijima MD, PhD

Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan

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Naomichi Matsumoto MD, PhD

Corresponding Author

Naomichi Matsumoto MD, PhD

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

Address correspondence to Dr Matsumoto, Department of Human Genetics, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama 236-0004, Japan; E-mail: [email protected] and Dr Tsukaguchi, Second Department of Internal Medicine, Kansai Medical University, 2-3-1 Shin-machi, Hirakata-shi, Osaka, 573-1191 Japan; E-mail: [email protected]Search for more papers by this author
Noriko Miyake MD, PhD

Noriko Miyake MD, PhD

Department of Human Genetics, Yokohama City University Graduate School of Medicine, Yokohama

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First published: 14 November 2018
Citations: 41

A.F., H.T., and E.K. contributed equally.

Abstract

Objective

Galloway–Mowat syndrome (GAMOS) is a neural and renal disorder, characterized by microcephaly, brain anomalies, and early onset nephrotic syndrome. Biallelic mutations in WDR73 and the 4 subunit genes of the KEOPS complex are reported to cause GAMOS. Furthermore, an identical homozygous NUP107 (nucleoporin 107kDa) mutation was identified in 4 GAMOS-like families, although biallelic NUP107 mutations were originally identified in steroid-resistant nephrotic syndrome. NUP107 and NUP133 (nucleoporin 133kDa) are interacting subunits of the nuclear pore complex in the nuclear envelope during interphase, and these proteins are also involved in centrosome positioning and spindle assembly during mitosis.

Methods

Linkage analysis and whole exome sequencing were performed in a previously reported GAMOS family with brain atrophy and steroid-resistant nephrotic syndrome.

Results

We identified a homozygous NUP133 mutation, c.3335-11T>A, which results in the insertion of 9bp of intronic sequence between exons 25 and 26 in the mutant transcript. NUP133 and NUP107 interaction was impaired by the NUP133 mutation based on an immunoprecipitation assay. Importantly, focal cortical dysplasia type IIa was recognized in the brain of an autopsied patient and focal segmental glomerulosclerosis was confirmed in the kidneys of the 3 examined patients. A nup133-knockdown zebrafish model exhibited microcephaly, fewer neuronal cells, underdeveloped glomeruli, and fusion of the foot processes of the podocytes, which mimicked human GAMOS features. nup133 morphants could be rescued by human wild-type NUP133 mRNA but not by mutant mRNA.

Interpretation

These data indicate that the biallelic NUP133 loss-of-function mutation causes GAMOS. Ann Neurol 2018;84:814–828

Potential Conflicts of Interest

Nothing to report.

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