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Meta Gene. 2015 Dec 22;7:90-4. doi: 10.1016/j.mgene.2015.12.003. eCollection 2016 Feb.

Molecular analysis of LPIN1 in Jordanian patients with rhabdomyolysis.

Meta gene

Saied A Jaradat, Wajdi Amayreh, Kefah Al-Qa'qa', Jan Krayyem

Affiliations

  1. Princess Haya Biotechnology Center, Jordan University of Science and Technology, Irbid 22110, Jordan.
  2. Department of Pediatrics, Metabolic Genetics Clinic, Queen Rania Al-Abdullah Children's Hospital, King Hussein Medical Centre, Amman 11855, Jordan.

PMID: 26909335 PMCID: PMC4733219 DOI: 10.1016/j.mgene.2015.12.003

Abstract

Recessive mutations in LPIN1, which encodes a phosphatidate phosphatase enzyme, are a frequent cause of severe rhabdomyolysis in childhood. Hence, we sequenced the 19 coding exons of the gene in eight patients with recurrent hereditary myoglobinuria from four unrelated families in Jordan. The long-term goal is to facilitate molecular genetic diagnosis without the need for invasive procedures such as muscle biopsies. Three different mutations were detected, including the novel missense mutation c.2395G>C (Gly799Arg), which was found in two families. The two other mutations, c.2174G>A (Arg725His) and c.1162C>T (Arg388X), have been previously identified, and were found to cosegregate with the disease phenotype in the other two families. Intriguingly, patients homozygous for Arg725His were also homozygous for the c.1828C>T (Pro610Ser) polymorphism, and were exercise-intolerant between myoglobinuria episodes. Notably, patients homozygous for Arg388X were also homozygous for the c.2250G>C silent variant (Gly750Gly). Taken together, the data provide family-based evidence linking hereditary myoglobinuria to pathogenic variations in the C-terminal lipin domain of the enzyme. This finding highlights the functional significance of this domain in the absence of structural information. This is the first analysis of LPIN1 in myoglobinuria patients of Jordanian origin, and the fourth such analysis worldwide.

Keywords: C-LIP domain; Lipin-1; myoglobinuria

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