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PIGG variant pathogenicity assessment reveals characteristic features within 19 families.


ABSTRACT:

Purpose

Phosphatidylinositol Glycan Anchor Biosynthesis, class G (PIGG) is an ethanolamine phosphate transferase catalyzing the modification of glycosylphosphatidylinositol (GPI). GPI serves as an anchor on the cell membrane for surface proteins called GPI-anchored proteins (GPI-APs). Pathogenic variants in genes involved in the biosynthesis of GPI cause inherited GPI deficiency (IGD), which still needs to be further characterized.

Methods

We describe 22 individuals from 19 unrelated families with biallelic variants in PIGG. We analyzed GPI-AP surface levels on granulocytes and fibroblasts for three and two individuals, respectively. We demonstrated enzymatic activity defects for PIGG variants in vitro in a PIGG/PIGO double knockout system.

Results

Phenotypic analysis of reported individuals reveals shared PIGG deficiency-associated features. All tested GPI-APs were unchanged on granulocytes whereas CD73 level in fibroblasts was decreased. In addition to classic IGD symptoms such as hypotonia, intellectual disability/developmental delay (ID/DD), and seizures, individuals with PIGG variants of null or severely decreased activity showed cerebellar atrophy, various neurological manifestations, and mitochondrial dysfunction, a feature increasingly recognized in IGDs. Individuals with mildly decreased activity showed autism spectrum disorder.

Conclusion

This in vitro system is a useful method to validate the pathogenicity of variants in PIGG and to study PIGG physiological functions.

SUBMITTER: Tremblay-Laganiere C 

PROVIDER: S-EPMC9900493 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature

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Publications

PIGG variant pathogenicity assessment reveals characteristic features within 19 families.

Tremblay-Laganière Camille C   Maroofian Reza R   Nguyen Thi Tuyet Mai TTM   Karimiani Ehsan Ghayoor EG   Kirmani Salman S   Akbar Fizza F   Ibrahim Shahnaz S   Afroze Bushra B   Doosti Mohammad M   Ashrafzadeh Farah F   Babaei Meisam M   Efthymiou Stephanie S   Christoforou Marilena M   Sultan Tipu T   Ladda Roger L RL   McLaughlin Heather M HM   Truty Rebecca R   Mahida Sonal S   Cohen Julie S JS   Baranano Kristin K   Ismail Fatima Y FY   Patel Millan S MS   Lehman Anna A   Edmondson Andrew C AC   Nagy Amanda A   Walker Melissa A MA   Mercimek-Andrews Saadet S   Maki Yuta Y   Sachdev Rani R   Macintosh Rebecca R   Palmer Elizabeth E EE   Mancini Grazia M S GMS   Barakat Tahsin Stefan TS   Steinfeld Robert R   Rüsch Christina T CT   Stettner Georg M GM   Wagner Matias M   Wortmann Saskia B SB   Kini Usha U   Brady Angela F AF   Stals Karen L KL   Ismayilova Naila N   Ellard Sian S   Bernardo Danilo D   Nugent Kimberly K   McLean Scott D SD   Antonarakis Stylianos E SE   Houlden Henry H   Kinoshita Taroh T   Campeau Philippe M PM   Murakami Yoshiko Y  

Genetics in medicine : official journal of the American College of Medical Genetics 20210610 10


<h4>Purpose</h4>Phosphatidylinositol Glycan Anchor Biosynthesis, class G (PIGG) is an ethanolamine phosphate transferase catalyzing the modification of glycosylphosphatidylinositol (GPI). GPI serves as an anchor on the cell membrane for surface proteins called GPI-anchored proteins (GPI-APs). Pathogenic variants in genes involved in the biosynthesis of GPI cause inherited GPI deficiency (IGD), which still needs to be further characterized.<h4>Methods</h4>We describe 22 individuals from 19 unrela  ...[more]

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