Abstract | UNLABELLED: Inappropriate accumulation of the misfolded Z variant of alpha1-antitrypsin in the hepatocyte endoplasmic reticulum (ER) is a risk factor for the development of end-stage liver disease. However, the genetic and environmental factors that contribute to its etiology are poorly understood. ER mannosidase I (ERManI) is a quality control factor that plays a critical role in the sorting and targeting of misfolded glycoproteins for proteasome-mediated degradation. In this study, we tested whether genetic variations in the human ERManI gene influence the age at onset of end-stage liver disease in patients homozygous for the Z allele (ZZ). We sequenced all 13 exons in a group of unrelated Caucasian ZZ transplant recipients with different age at onset of the end-stage liver disease. Homozygosity for the minor A allele at 2484G/A (refSNP ID number rs4567) in the 3'-untranslated region was prevalent in the infant ZZ patients. Functional studies indicated that rs4567(A), but not rs4567(G), suppresses ERManI translation under ER stress conditions. CONCLUSION: These findings suggest that the identified single-nucleotide polymorphism can accelerate the onset of the end-stage liver disease associated with alpha1-antitrypsin deficiency and underscore the contribution of biosynthetic quality control as a modifier of genetic disease.
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Authors | Shujuan Pan, Lu Huang, John McPherson, Donna Muzny, Farshid Rouhani, Mark Brantly, Richard Gibbs, Richard N Sifers |
Journal | Hepatology (Baltimore, Md.)
(Hepatology)
Vol. 50
Issue 1
Pg. 275-81
(Jul 2009)
ISSN: 1527-3350 [Electronic] United States |
PMID | 19444872
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
- Mannosidases
- endoplasmic reticulum alpha-mannosidase I, human
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Topics |
- Adolescent
- Adult
- Age of Onset
- Cells, Cultured
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Liver Failure
(genetics)
- Male
- Mannosidases
(genetics)
- Middle Aged
- Polymorphism, Single Nucleotide
(genetics)
- Protein Biosynthesis
- alpha 1-Antitrypsin Deficiency
(genetics)
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