Cell
Volume 79, Issue 7, 30 December 1994, Pages 1257-1266
Journal home page for Cell

Article
A missense mutation of the endothelin-B receptor gene in multigenic hirschsprung's disease

https://doi.org/10.1016/0092-8674(94)90016-7Get rights and content

Abstract

Hirschsprung's disease (HSCR) is characterized by an absence of enteric ganglia in the distal colon and a failure of innervation in the gastrointestinal tract. We recently mapped a recessive susceptibility locus (HSCR2) to human chromosome 13q22, which we now demonstrate to be the endothelin-B receptor gene (EDNRB). We identified in HSCR patients a G→T missense mutation in EDNRB exon 4 that substitutes the highly conserved Trp-276 residue in the fifth transmembrane helix of the G protein-coupled receptor with a Cys residue (W276C). The mutant W276C receptor exhibited a partial impairment of ligand-induced Ca2+ transient levels in transfected cells. The mutation is dosage sensitive, in that W276C homozygotes and heterozygotes have a 74% and a 21% risk, respectively, of developing HSCR. Genotype analysis of patients in a Mennonite pedigree shows HSCR to be a multigenic disorder.

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      Mutations in EDNRB were shown to be associated with human Hirschsprung disease, and have been demonstrated in approximately 5% of this disease.27,88–91 W276C ETBR variant was first identified from Mennonite kindred with a high incidence of Hirschsprung disease.27 Since then, 46 additional EDNRB mutations have been reported, including M1V, L17P, K15X, P48L, K56T, G57S, C90R, N104I, C109R, V111Q, G115R, M132I, R133X, N137Y, P156S, P156R, I157V, M173T, C174Y, A183G, V185M, G186R, S196N, R201X, W226C, W226X, T244N, D246F, R253X, V260F, W275X, W276C, Y293fs, Y293L, S305N, A310T, R319W, C335S, L361S, M374I, N378fs, N378S, N378I, P383L, S390R, and R434C8,89–108 (Fig. 4).

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    The first two authors contributed equally to this study.

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