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Title: DNAI2 mutations can cause primary ciliary dyskinesia with outer dynein arm defects.
Authors: Loges, Niki Tomas
Olbrich, Heike
Fenske, Lale
Horvath, Judit
Fliegauf, Manfred
Kuhl, Heiner
Baktai, Gyorgy
Peterffy, Erzsebet
Chodhari, Rahul
Chung, Eddie M. K.
Rutman, Andrew
O'Callaghan, Christopher L.
Mussaffi-Georgy, Huda
Blau, Hannah
Tiszlavicz, Laszlo
Voelkel, Katarzyna
Witt, Michal
Ziętkiewicz, Ewa
Neesen, Juergen
Reinhardt, Richard
Mitchison, Hannah M.
Omran, Heymut
First Published: 23-Oct-2008
Publisher: Elsevier.
Citation: The American Journal of Human Genetics, 2008, 83 (5), pp. 547-558.
Abstract: Primary ciliary dyskinesia (PCD) is a genetically heterogeneous disorder characterized by recurrent infections of the airways and randomization of left/right body asymmetry. The phenotype results from dysfunction of motile cilia of the respiratory epithelium and the embryonic node. Dysmotile sperm tails often cause infertility in male PCD patients. Underlying ultrastructural defects frequently involve outer dynein arms (ODA), which are responsible for generation of cilia movement. We recently showed that recessive mutations of DNAH5 encoding a heavy dynein chain are frequently found in PCD with ODA defects. Genes (DNAI1, TXNDC3, DNAH11) encoding for other ODA components can also account for PCD. Here, we analyzed the protein expression of the ODA intermediate chain DNAI2 and found sub-localization throughout respiratory cilia and sperm tails. Mutational screening of 105 PCD families revealed in one affected a homozygous mutation within the facultative splice acceptor site of exon 4. RNA studies confirmed absence of exon 4 in all transcripts predicting a premature stop codon. Consistently mutant respiratory cells lacked DNAI2 expression and exhibited ODA defects by electron microscopy. High-resolution immunofluorescence imaging demonstrated mis-localization of DNAH5 indicating that DNAI2 is essential for assembly of these ODA components. In addition we report homozygous loss-of-function DNAI2 mutations located within the obligatory splice donor site of exon 11 in four affected individuals with ODA defects originating from a consanguineous PCD family that showed significant linkage to the DNAI2 locus in a total genome scan. In summary, we provide the first evidence that DNAI2 can account for PCD with ODA defects.
DOI Link: 10.1016/j.ajhg.2008.10.001
ISSN: 0002-9297
Type: Article
Rights: This is the author’s final draft of the paper published as The American Journal of Human Genetics, 2008, 83 (5), pp. 547-558. The final published version is available at, Doi: 10.1016/j.ajhg.2008.10.001.
Appears in Collections:Published Articles, Dept. of Infection, Immunity and Inflammation

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