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Hum Genet. 2022 Jan 17; doi: 10.1007/s00439-021-02427-4. Epub 2022 Jan 17.

Biochemical analysis of novel NAA10 variants suggests distinct pathogenic mechanisms involving impaired protein N-terminal acetylation.

Human genetics

Nina McTiernan, Lisbeth Tranebjærg, Anna S Bjørheim, Jacob S Hogue, William G Wilson, Berkley Schmidt, Melissa M Boerrigter, Maja L Nybo, Marie F Smeland, Zeynep Tümer, Thomas Arnesen

Affiliations

  1. Department of Biomedicine, University of Bergen, Jonas Lies vei 91, 5020, Bergen, Norway.
  2. Department of Clinical Genetics, Kennedy Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
  3. Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
  4. Department of Biological Sciences, University of Bergen, 5020, Bergen, Norway.
  5. Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA, USA.
  6. Division of Genetics, University of Virginia Health System, Charlottesville, VA, USA.
  7. Department of Gastroenterology and Hepatology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
  8. Laboratory of Molecular Pharmacology, Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
  9. Department of Medical Genetics, University Hospital of North Norway, 9038, Tromso, Norway.
  10. Department of Biomedicine, University of Bergen, Jonas Lies vei 91, 5020, Bergen, Norway. [email protected].
  11. Department of Biological Sciences, University of Bergen, 5020, Bergen, Norway. [email protected].
  12. Department of Surgery, Haukeland University Hospital, 5021, Bergen, Norway. [email protected].

PMID: 35039925 DOI: 10.1007/s00439-021-02427-4

Abstract

NAA10 is the catalytic subunit of the N-terminal acetyltransferase complex, NatA, which is responsible for N-terminal acetylation of nearly half the human proteome. Since 2011, at least 21 different NAA10 missense variants have been reported as pathogenic in humans. The clinical features associated with this X-linked condition vary, but commonly described features include developmental delay, intellectual disability, cardiac anomalies, brain abnormalities, facial dysmorphism and/or visual impairment. Here, we present eight individuals from five families with five different de novo or inherited NAA10 variants. In order to determine their pathogenicity, we have performed biochemical characterisation of the four novel variants c.16G>C p.(A6P), c.235C>T p.(R79C), c.386A>C p.(Q129P) and c.469G>A p.(E157K). Additionally, we clinically describe one new case with a previously identified pathogenic variant, c.384T>G p.(F128L). Our study provides important insight into how different NAA10 missense variants impact distinct biochemical functions of NAA10 involving the ability of NAA10 to perform N-terminal acetylation. These investigations may partially explain the phenotypic variability in affected individuals and emphasise the complexity of the cellular pathways downstream of NAA10.

© 2022. The Author(s).

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