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Mutations in ZDHHC9, which encodes a palmitoyltransferase of NRAS and HRAS, cause X-linked mental retardation associated with a Marfanoid habitus
Authors:Raymond F Lucy  Tarpey Patrick S  Edkins Sarah  Tofts Calli  O'Meara Sarah  Teague Jon  Butler Adam  Stevens Claire  Barthorpe Syd  Buck Gemma  Cole Jennifer  Dicks Ed  Gray Kristian  Halliday Kelly  Hills Katy  Hinton Jonathon  Jones David  Menzies Andrew  Perry Janet  Raine Keiran  Shepherd Rebecca  Small Alexandra  Varian Jennifer  Widaa Sara  Mallya Uma  Moon Jenny  Luo Ying  Shaw Marie  Boyle Jackie  Kerr Bronwyn  Turner Gillian  Quarrell Oliver  Cole Trevor  Easton Douglas F  Wooster Richard  Bobrow Martin  Schwartz Charles E  Gecz Jozef  Stratton Michael R  Futreal P Andrew
Affiliation:a Cambridge Institute of Medical Research, University of Cambridge
b Genetic Epidemiology Unit, Cancer Research UK Cambridge, United Kingdom
c Cancer Genome Project, Wellcome Trust Sanger Institute, Hinxton, United Kingdom
d Regional Genetics Service, St Mary’s Hospital, Manchester, United Kingdom
e Genetics of Learning Disability (GOLD)
f Service, University of Newcastle, Newcastle, Australia
g Clinical Genetics, Sheffield Children’s Hospital, Sheffield, United Kingdom
h Clinical Genetics, Birmingham Women’s Hospital, Birmingham, United Kingdom
i JC Self Research Institute of Human Genetics, Greenwood Genetic Center, Greenwood, SC
j and Department of Genetic Medicine, Women’s and Children’s Hospital, and Departments of Paediatrics and Molecular Biosciences, University of Adelaide Adelaide, Australia
Abstract:We have identified one frameshift mutation, one splice-site mutation, and two missense mutations in highly conserved residues in ZDHHC9 at Xq26.1 in 4 of 250 families with X-linked mental retardation (XLMR). In three of the families, the mental retardation phenotype is associated with a Marfanoid habitus, although none of the affected individuals meets the Ghent criteria for Marfan syndrome. ZDHHC9 is a palmitoyltransferase that catalyzes the posttranslational modification of NRAS and HRAS. The degree of palmitoylation determines the temporal and spatial location of these proteins in the plasma membrane and Golgi complex. The finding of mutations in ZDHHC9 suggests that alterations in the concentrations and cellular distribution of target proteins are sufficient to cause disease. This is the first XLMR gene to be reported that encodes a posttranslational modification enzyme, palmitoyltransferase. Furthermore, now that the first palmitoyltransferase that causes mental retardation has been identified, defects in other palmitoylation transferases become good candidates for causing other mental retardation syndromes.
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