Novel mutations in TTC37 associated with Tricho-Hepato-Enteric syndrome
Résumé
The Tricho-Hepato-Enteric (THE) syndrome is an autosomal recessive condition marked by early and intractable diarrhea, hair abnormalities and immune defects. Mutations in TTC37 which encodes the putative protein Thespin, have recently been associated with THE syndrome. In this paper, we extend the pattern of TTC37 mutations by the description of 11 novel mutations in 9 patients with a typical THE syndrome. The mutations were spread along the gene sequence, none of them being recurrent. Different types of mutation were observed: frameshift mutations, splice site altering mutations or missense mutations, most of them leading to the creation of a premature stop codon. Concurrently, we investigated the pattern of TTC37 expression in a panel of normal human tissues and showed that this gene is widely expressed, with high levels in vascular tissues, lymph node, pituitary, lung and intestine. In contrast, TTC37 is not expressed in the liver, an organ which is not consistently affected in THE syndrome. Lastly, we suggested a model for the putative structure of the unknown Thespin protein.
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