Skip to main content
Log in

Exon skipping caused by an intronic insertion of a young Alu Yb9 element leads to severe hemophilia A

  • Original Investigation
  • Published:
Human Genetics Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Short interspersed elements, such as Alu elements, have propagated to more than one million copies in the human genome. They affect the genome in several ways, caused by retrotransposition, recombination between elements, gene conversion, and alterations in gene expression. These events, including novel insertions into active genes, have been associated with a number of human disorders. Hemophilia A is an X-linked severe bleeding disorder and is caused by mutations in the Factor VIII gene. The spectrum of mutations includes point mutations, rearrangements, insertions, and deletions. Recently, an Alu retrotransposition event in a coding exon has been reported in a family with a severe form of hemophilia A. This was the first report of an Alu insertion in the Factor VIII gene. Here, we report a second Alu insertion event that lies in an intron of the same gene that causes exon skipping and the complete disruption of gene expression.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.

Similar content being viewed by others

References

  • Antonarakis SE (1998) Molecular genetics of coagulation factor VIII gene and haemophilia A. Haemophilia 4 (Suppl 2):1-11

    Article  Google Scholar 

  • Antonarakis SE, Kazazian HH, Gitschier J, Hutter P, Moerloose P de, Morris MA (1995a) Molecular etiology of factor VIII deficiency in hemophilia A. Adv Exp Med Biol 386:19–34

    CAS  PubMed  Google Scholar 

  • Antonarakis SE, Rossiter JP, Young M, Horst J, Moerloose P de, Sommer SS, Ketterling RP, Kazazian HH Jr, Negrier C, Vinciguerra C (1995b) Factor VIII gene inversions in severe hemophilia A: results of an international consortium study. Blood 86:2206–2212

    CAS  PubMed  Google Scholar 

  • Batzer MA, Deininger PL (2002) Alu repeats and human genomic diversity. Nat Rev Genet 3:370–379

    Article  CAS  PubMed  Google Scholar 

  • Citron M, Godmilow L, Ganguly T, Ganguly A (2002) High throughput mutation screening of the factor VIII gene (F8C) in hemophilia A: 37 novel mutations and genotype-phenotype correlation. Hum Mutat 20:267–274

    Article  CAS  PubMed  Google Scholar 

  • Cost GJ, Boeke JD (1998) Targeting of human retrotransposon integration is directed by the specificity of the L1 endonuclease for regions of unusual DNA structure. Biochemistry 37:18081–18093

    Article  CAS  PubMed  Google Scholar 

  • Ferlini A, Muntoni F (1998) The 5' region of intron 11 of the dystrophin gene contains target sequences for mobile elements and three overlapping ORFs. Biochem Biophys Res Commun 242:401–406

    Article  CAS  PubMed  Google Scholar 

  • Fujimaru M, Tanaka A, Choeh K, Wakamatsu N, Sakuraba H, Isshiki G (1998) Two mutations remote from an exon/intron junction in the beta-hexosaminidase beta-subunit gene affect 3'-splice site selection and cause Sandhoff disease. Hum Genet 103:462–469

    CAS  PubMed  Google Scholar 

  • Hagan CR, Rudin CM (2002) Mobile genetic element activation and genotoxic cancer therapy: potential clinical implications. Am J Pharmacogenomics 2:25–35

    Article  CAS  PubMed  Google Scholar 

  • Jurka J (1993) A new subfamily of recently retroposed human Alu repeats. Nucleic Acids Res 21:2252

    CAS  PubMed  Google Scholar 

  • Jurka J, Klonowski P (1996) Integration of retroposable elements in mammals: selection of target sites. J Mol Evol 43:685–689

    CAS  PubMed  Google Scholar 

  • Li X, Scaringe WA, Hill KA, Roberts S, Mengos A, Careri D, Pinto MT, Kasper CK, Sommer SS (2001) Frequency of recent retrotransposition events in the human factor IX gene. Hum Mutat 17:511–519

    Article  CAS  PubMed  Google Scholar 

  • Liu ML, Nakaya S, Thompson AR (2002) Non-inversion factor VIII mutations in 80 hemophilia A families including 24 with alloimmune responses. Thromb Haemost 87:273–276

    CAS  PubMed  Google Scholar 

  • Ricci V, Regis S, Di Duca M, Filocamo M (2003) An Alu-mediated rearrangement as cause of exon skipping in Hunter disease. Hum Genet 112:419–425

    CAS  PubMed  Google Scholar 

  • Roy-Engel AM, Carroll ML, Vogel E, Garber RK, Nguyen SV, Salem AH, Batzer MA, Deininger PL (2001) Alu insertion polymorphisms for the study of human genomic diversity. Genetics 159:279–290

    CAS  PubMed  Google Scholar 

  • Roy-Engel AM, Salem AH, Oyeniran OO, Deininger L, Hedges DJ, Kilroy GE, Batzer MA, Deininger PL (2002) Active Alu element "A-tails": size does matter. Genome Res 12:1333–1344

    Article  CAS  PubMed  Google Scholar 

  • Senapathy P, Shapiro MB, Harris NL (1990) Splice junctions, branch point sites, and exons: sequence statistics, identification, and applications to genome project. Methods Enzymol 183:252–278

    PubMed  Google Scholar 

  • Shapiro MB, Senapathy P (1987) RNA splice junctions of different classes of eukaryotes: sequence statistics and functional implications in gene expression. Nucleic Acids Res 15:7155–7174

    PubMed  Google Scholar 

  • Sukarova E, Dimovski AJ, Tchacarova P, Petkov GH, Efremov GD (2001) An Alu insert as the cause of a severe form of hemophilia A. Acta Haematol 106:126–129

    Article  CAS  PubMed  Google Scholar 

  • Szmulewicz MN, Novick GE, Herrera RJ (1998) Effects of Alu insertions on gene function. Electrophoresis 19:1260–1264

    Google Scholar 

  • Vidaud D, Vidaud M, Bahnak BR, Siguret V, Gispert Sanchez S, Laurian Y, Meyer D, Goossens M, Lavergne JM (1993) Haemophilia B due to a de novo insertion of a human-specific Alu subfamily member within the coding region of the factor IX gene. Eur J Hum Genet 1:30–36

    CAS  PubMed  Google Scholar 

  • Wallace MR, Andersen LB, Saulino AM, Gregory PE, Glover TW, Collins FS (1991) A de novo Alu insertion results in neurofibromatosis type 1. Nature 353:864–866

    Google Scholar 

  • Windsor S, Taylor SA, Lillicrap D (1994) Multiplex analysis of two intragenic microsatellite repeat polymorphisms in the genetic diagnosis of haemophilia A. Br J Haematol 86:810–815

    CAS  PubMed  Google Scholar 

  • Wulff K, Gazda H, Schroder W, Robicka-Milewska R, Herrmann FH (2000) Identification of a novel large F9 gene mutation—an insertion of an Alu repeated DNA element in exon e of the factor 9 gene. Hum Mutat 15:299

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The authors thank the family members of the affected individual for participation in this study. We also acknowledge the generous contribution from Dr. K. Shiomi, Osaka, Japan, which has made this study possible. A special note of thanks is extended to Dr. Tamim Shaikh, Department of Human Genetics, Children's Hospital of Philadelphia for careful reading of the manuscript and valuable suggestions.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arupa Ganguly.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ganguly, A., Dunbar, T., Chen, P. et al. Exon skipping caused by an intronic insertion of a young Alu Yb9 element leads to severe hemophilia A. Hum Genet 113, 348–352 (2003). https://doi.org/10.1007/s00439-003-0986-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00439-003-0986-5

Keywords

Navigation