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Cystinuria caused by mutations in rBAT, a gene involved in the transport of cystine

Abstract

Cystinuria is a classic heritable aminoaciduria that involves the defective transepithelial transport of cystine and dibasic amino acids in the kidney and intestine. Six missense mutations in the human rBAT gene, which is involved in high–affinity transport of cystine and dibasic amino acids in kidney and intestine, segregate with cystinuria. These mutations account for 30% of the cystinuria chromosomes studied. Homozygosity for the most common mutation (M467T) was detected in three cystinuric siblings. Mutation M467T nearly abolished the amino acid transport activity induced by rBAT in Xenopus oocytes. These results establish rBAT as a cystinuria gene.

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References

  1. Garrod, A.E. Inborn errors of metabolism. Lancet 2 Lecture I, p. 1; Lecture II, p. 73; Lecture III, p. 142; Lecture IV, p. 214 (1908).

  2. McKusick, V.A. Cystinuria, in Mendelian Inheritance in Man 9th edn 1128–1129 (The Johns Hopkins University Press, Baltimore, 1990).

    Google Scholar 

  3. Segal, S. & Thier, S.O. Cystinuria, in The Metabolic Basis of Inherited Diseases (eds C.H. Scriver, A.L Beaudet, W.S. Sly & D. Valle) 2479–2496 (McGraw-Hill, New York, 1989).

    Google Scholar 

  4. Levy, H.L. Genetic screening,in Advances in Human Genetics (eds Harris, H. & Hirschhom, K) vol. 4, 1 (Plenum, New York, 1973).

  5. Rosenberg, L.E., Durant, J.L. & Holland, I.M. Intestinal absorption and renal extraction of cystine and cysteine in cystinuria. New Engl. J. Med. 273, 1239–1345 (1965).

    Article  CAS  PubMed  Google Scholar 

  6. Singer, A. & Das, S. Cystinuria: A review of the pathophysiology and management. J. Urology 142, 669–673 (1989).

    Article  CAS  Google Scholar 

  7. Rosenberg, L.E., Downing, S., Durant, J.L. and Segal, S. Cystinuria: biochemical evidence of three genetically distinct diseases. J. clin. Invest. 45, 365–371 (1966).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Rosenberg, L.E., Durant, J.L. & Albrecht, I. Genetic heterogeneity in cystinuria: Evidence for allelism. Trans. Assoc. Am. Physicians 79, 284–296 (1966).

    CAS  PubMed  Google Scholar 

  9. Segal, S., McNamara, P.D. & Pepe, L.M. Transport interaction of cystine and dibasic amino acids in renal brush border vesicles. Science 197, 169–171 (1977).

    Article  CAS  PubMed  Google Scholar 

  10. McNamara, P.D., Pepe, L.M. & Segal, S. Cystine uptake by renal brush, border vesicles. Biochem. J. 194, 443–449 (1981).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Biber, J., Stange, G., Stieger, B. & Murer, H. Transport of L-cystine by rat renal brush border membrane vesicles. Pfluegers Arch. 396, 335–341 (1983).

    Article  CAS  Google Scholar 

  12. McNamara, P.D., Rea, C.T. & Segal, S. Ion dependence of cystine and lysine uptake by rat renal brush-border membrane vesicles. Biochem. Biophys. Acta 1103, 101–108 (1992).

    Article  CAS  PubMed  Google Scholar 

  13. Foreman, J.W., Hwang, S.M. & Segal, S. Transport interactions of cystine and dibasic amino acids in isolated rat renal tubules. Metabolism 29, 53–61 (1980).

    Article  CAS  PubMed  Google Scholar 

  14. Furlong, T.J. & Posen, S. D-penicillamine and the transport of L-cystine by rat and human renal cortical brush-border membrane vesicles. Am. J. Physiol. 258, F321–F327 (1990).

    Article  CAS  PubMed  Google Scholar 

  15. Silbemagl, S. The renal handling of amino acids and oligopeptides. Physiol. Rev. 68, 911–1007 (1988).

    Article  Google Scholar 

  16. Ozegovic, B., McNamara, P.D. & Segal, S. Cystine uptake by rat jejunal brush border membrane vesicles. Biosci. Rep. 2, 913–920 (1982).

    Article  CAS  PubMed  Google Scholar 

  17. Thier, S., Fox, M., Segal, S. & Rosenberg, L.E. Cystinuria: in vitro demonstration of a intestinal transport defect. Science 143, 482–484 (1964).

    Article  CAS  PubMed  Google Scholar 

  18. Coicadan, L., Heyman, M., Grasset, E. & Desjeux, J.F. Cystinuria: reduced lysine permeability at the brush border of intestinal membrane cells. Pediatr. Res. 14, 109–112 (1980).

    Article  CAS  PubMed  Google Scholar 

  19. Volkl, H. & Silbernagl, S. Mutual inhibition of L-cystine/L-cysteine and other neutral amino acids during tubular reabsorption. Pfluegers Arch. 395, 190–195 (1982).

    Article  CAS  Google Scholar 

  20. Schafer, J.A. & Watkins, M.L. Transport of L-cystine in Isolated perfused proximal straight tubules. Pfluegers Arch. 401, 143–151 (1984).

    Article  CAS  Google Scholar 

  21. Bertran, J. et al. Expression cloning of a human renal cDNA that induces high affinity transport of L-cystine shared with dibasic amino acids in Xenopus oocytes. J. biol. Chem. 268, 14842–14849 (1993).

    CAS  PubMed  Google Scholar 

  22. Lee, W.-S., Wells, R.G., Sabbag, R.V., Mohandas, T.K. & Hediger, M.A. Cloning and chromosomal localization of a human kidney cDNA involved in cystine, dibasic, and neutral amino acid transport. J. clin. Invest. 91, 1959–1963 (1993).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Tate, S.S., Yan, N. & Udenfriend, S. Expression cloning of a Na+-independent neutral amino acid transporter from rat kidney. Proc. natn. Acad. Sci. U.S.A. 89, 1–5 (1992).

    Article  CAS  Google Scholar 

  24. Wells, R.G. & Hediger, M.A. Cloning of a rat kidney cDNA that stimulates dibasic and neutral amino acid transport and has sequence similarity to glucosidases. Proc. natn. Acad. Sci. U.S.A. 89, 5596–5600 (1992).

    Article  CAS  Google Scholar 

  25. Bertran, J. et al. Expresion cloning of a cDNA from rabbit kidney cortex that induces a single transport system for cystine and dibasic and neutral amino acids. Proc. natn. Acad. Sci. U.S.A. 89, 5601–5605 (1992).

    Article  CAS  Google Scholar 

  26. Furriols, M. et al. rBAT, related to L-cystine transport is localized to the microvilli of proximal straight tubules and its expression is regulated in kidney by development. J. biol. Chem. 268, 26068–27060 (1993).

    Google Scholar 

  27. Kanai, Y., Steizner, M.G., Lee, W.-S., Wells, R.G., Brown, D. & Hediger, M.A. Expression of mRNA (D2) encoding a protein involved in amino acid transport in S3 proximal tubule. Am. J. Physiol. 263, F1087–F1093 (1992).

    CAS  PubMed  Google Scholar 

  28. Pickel, V.M., Nirenberg, M.J., Chan, J., Mosckovitz, R., Udenfriend, S. & Tate, S.S. Ultrastructural localization of a neutral and basic amino acid transporter in rat kidney and intestine. Proc. natn. Acad. Sci. U.S.A. 90, 7779–7783 (1993).

    Article  CAS  Google Scholar 

  29. Chelly, J., Concordet, J.P., Kaplan, J.C. & Khan, A. Illegitimate transcription: transcription of any gene in any cell type. Proc. natn. Acad. Sci. U.S.A. 86, 2617–2621 (1989).

    Article  CAS  Google Scholar 

  30. Smith, A. Evaluation of nitroprosside test for the diagnosis of cystinuria. Med. J. Aust. 2, 153–155 (1977).

    CAS  PubMed  Google Scholar 

  31. Markovich, D. et al. Two mRNA transcripts (rBAT-1 and rBAT-2) are involved in system bo,+ -related amino acid transport. J. biol. Chem. 268, 1362–1367 (1993).

    CAS  PubMed  Google Scholar 

  32. Van Winkle, L.J., Campione, A.L. & Gorman, M.J. Na+-independent transport of basic and zwitterionic amino acids in mouse biastocysts by a shared system and by processes which distinguish between these substrates. J. biol. Chem. 263, 3150–3163 (1988).

    CAS  PubMed  Google Scholar 

  33. Bertran, J. et al. Stimulation of system y+-like amino acid transport by the heavy chain of human 4F2 surface antigen in Xenopus laevis oocytes. Proc. natn. Acad. Sci. U.S.A. 89, 5606–5610 (1992).

    Article  CAS  Google Scholar 

  34. Wells, R.G. & Hediger, M.A. Cloning of a rat kidney cDNA that stimulates dibasic and neutral amino acid transport and has sequence similarity to glucosidases. Proc. natn. Acad. Sci. U.S.A 89, 5596–5600 (1992).

    Article  CAS  Google Scholar 

  35. Brown, R.R. Aminoaciduria resulting from cycloleucine administration in man. Science 157, 432–434 (1967).

    Article  CAS  PubMed  Google Scholar 

  36. Sharland, M., Jones, M., Bain, M., Chalmers, R., Hammond, J. & Patton, M.A.J. Balanced translocation (14;20) in a mentally handicapped child with cystinuria. Med. Genet. 29, 507–508 (1992).

    CAS  Google Scholar 

  37. Turk, E., Zabel, B., Mundios, S., Dyer, J. & Wright, E.M. Glucose/galactose malabsorption caused by a defect in the Na+/glucose cotransporter. Nature 350, 354–356 (1991).

    Article  CAS  PubMed  Google Scholar 

  38. Orita, M., Suzuki, Y.,H., Sakiya, T. & Hayaski, K. Rapid and sensitive detection of point mutations and DNA polymorphisms using the polymerase chain reaction. Genomics 5, 874–879 (1989).

    Article  CAS  PubMed  Google Scholar 

  39. Sanger, F., Nicklen, S. & Coulson, A.R. DNA sequencing with chain-terminating inhibitors. Proc. natn. Acad. Sci. U.S.A. 74, 5463–5467 (1977).

    Article  CAS  Google Scholar 

  40. Kunkel, T.A., Roberts, J.D. & Zakour, R.A. Rapid and efficient site-specific mutagenesis without phenotypic selection. Methods Enzymol. 154, 367–382 (1987).

    Article  CAS  PubMed  Google Scholar 

  41. Hurwitz, R., Hozier, J., LeBien, T., Minewada, J., Gajl-Peczalska, K., Kubonishi, I. & Kersey, J. Characterization of a leukemic cell line of the pre-B phenotype. Int. J. Cancer 23, 174–180 (1979).

    Article  CAS  PubMed  Google Scholar 

  42. Turnell, D.C. & Cooper, J.D.H. Rapid assay for amino acids in serum or urine by pre-column derivatization and reverse-phase liquid chromatography. Clin. Chem. 28, 527–531 (1982).

    CAS  PubMed  Google Scholar 

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Calonge, M., Gasparini, P., Chillarón, J. et al. Cystinuria caused by mutations in rBAT, a gene involved in the transport of cystine. Nat Genet 6, 420–425 (1994). https://doi.org/10.1038/ng0494-420

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