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The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency

Hypoxanthine-guanine phosphoribosyltransferase (HPRT) catalyses the first step in purine salvage. A complete deficiency of the enzyme results in the devastating neurological symptoms of the Lesch-Nyhan syndrome. The Lesch-Nyhan syndrome is characterised by purine overproduction leading to, hyperuric...

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Main Author: Marinaki, Anthony Marin
Other Authors: Harley, Eric H
Format: Thesis
Language:English
Published: Division of Chemical Pathology 2018
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access_status_str Open Access
author Marinaki, Anthony Marin
author2 Harley, Eric H
author_browse Harley, Eric H
Marinaki, Anthony Marin
author_facet Harley, Eric H
Marinaki, Anthony Marin
author_sort Marinaki, Anthony Marin
collection Thesis
description Hypoxanthine-guanine phosphoribosyltransferase (HPRT) catalyses the first step in purine salvage. A complete deficiency of the enzyme results in the devastating neurological symptoms of the Lesch-Nyhan syndrome. The Lesch-Nyhan syndrome is characterised by purine overproduction leading to, hyperuricemia and gout and a central nervous system disorder characterised by severe, spasticity, choreoathetosis, mental retardation and compulsive self-mutilatory behaviour, A partial deficiency of the enzyme results in purine overproduction, gout and occasionally, mild neurological symptoms. Patients are spared the compulsive self-mutilation of the Lesch-Nyhan syndrome. The major part of the thesis consists of the characterisation of the molecular defects in nine patients with the Lesch-Nyhan syndrome. The polymerase chain reaction was used to amplify reverse transcribed HPRT mRNA. The coding region of the amplified HPRT cDNA was either directly sequenced, or cloned and sequenced. All the mutations characterised were insertion or deletion events which resulted in premature termination of the predicted protein. Three patients were found to have a deletion of exon 7, two patients had single base insertions, while two patients appeared to have a complete deletion of the HPRT gene. An insertion in one patient was the result of a mutation within. intron 6 which created a new splice donor site. The new splice donor site in concert with a cryptic splice acceptor resulted in the creation of a new exon. A deletion of exons 2, 3 and 4 in another patient was found to lead to the alternative splicing of exon 5. These unusual splice junction mutations provided in viva support for the exon definition model of pre-mRNA splicing.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:17.409Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2018
publishDateRange 2018
publishDateSort 2018
publisher Division of Chemical Pathology
publisherStr Division of Chemical Pathology
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/26969 The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency Marinaki, Anthony Marin Harley, Eric H Hypoxanthine Phosphoribosyltransferase - deficiency Hypoxanthine Phosphoribosyltransferase - chemistry Hypoxanthine-guanine phosphoribosyltransferase (HPRT) catalyses the first step in purine salvage. A complete deficiency of the enzyme results in the devastating neurological symptoms of the Lesch-Nyhan syndrome. The Lesch-Nyhan syndrome is characterised by purine overproduction leading to, hyperuricemia and gout and a central nervous system disorder characterised by severe, spasticity, choreoathetosis, mental retardation and compulsive self-mutilatory behaviour, A partial deficiency of the enzyme results in purine overproduction, gout and occasionally, mild neurological symptoms. Patients are spared the compulsive self-mutilation of the Lesch-Nyhan syndrome. The major part of the thesis consists of the characterisation of the molecular defects in nine patients with the Lesch-Nyhan syndrome. The polymerase chain reaction was used to amplify reverse transcribed HPRT mRNA. The coding region of the amplified HPRT cDNA was either directly sequenced, or cloned and sequenced. All the mutations characterised were insertion or deletion events which resulted in premature termination of the predicted protein. Three patients were found to have a deletion of exon 7, two patients had single base insertions, while two patients appeared to have a complete deletion of the HPRT gene. An insertion in one patient was the result of a mutation within. intron 6 which created a new splice donor site. The new splice donor site in concert with a cryptic splice acceptor resulted in the creation of a new exon. A deletion of exons 2, 3 and 4 in another patient was found to lead to the alternative splicing of exon 5. These unusual splice junction mutations provided in viva support for the exon definition model of pre-mRNA splicing. 2018-01-25T13:54:01Z 2018-01-25T13:54:01Z 1996 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/26969 eng application/pdf Division of Chemical Pathology Faculty of Health Sciences University of Cape Town
spellingShingle Hypoxanthine Phosphoribosyltransferase - deficiency
Hypoxanthine Phosphoribosyltransferase - chemistry
Marinaki, Anthony Marin
The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
thesis_degree_str Doctoral
title The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
title_full The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
title_fullStr The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
title_full_unstemmed The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
title_short The biochemical and molecular basis of Hypoxanthine-guanine phosphoribosyltransferase deficiency
title_sort biochemical and molecular basis of hypoxanthine guanine phosphoribosyltransferase deficiency
topic Hypoxanthine Phosphoribosyltransferase - deficiency
Hypoxanthine Phosphoribosyltransferase - chemistry
url http://hdl.handle.net/11427/26969
work_keys_str_mv AT marinakianthonymarin thebiochemicalandmolecularbasisofhypoxanthineguaninephosphoribosyltransferasedeficiency
AT marinakianthonymarin biochemicalandmolecularbasisofhypoxanthineguaninephosphoribosyltransferasedeficiency