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Comparison of the functional and structural characteristics of rare TSC2 variants with clinical and genetic findings

Dufner Almeida, LG; Nanhoe, S; Zonta, A; Hosseinzadeh, M; Kom-Gortat, R; Elfferich, P; Schaaf, G; ... Nellist, M; + view all (2020) Comparison of the functional and structural characteristics of rare TSC2 variants with clinical and genetic findings. Human Mutation , 41 (4) pp. 759-773. 10.1002/humu.23963. Green open access

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Abstract

The TSC1 and TSC2 gene products interact to form the TSC complex, an important negative regulator of the mechanistic target of rapamycin (mTOR) complex 1 (TORC1). Inactivating mutations in TSC1 or TSC2 cause tuberous sclerosis complex (TSC), and the identification of a pathogenic TSC1 or TSC2 variant helps establish a diagnosis of TSC. However, it is not always clear whether TSC1 and TSC2 variants are inactivating. To determine whether TSC1 and TSC2 variants of uncertain clinical significance (VUS) affect TSC complex function and cause TSC, in vitro assays of TORC1 activity can be employed. Here we combine genetic, functional and structural approaches to try and classify a series of 15 TSC2 VUS. We investigated the effects of the variants on the formation of the TSC complex, on TORC1 activity and on TSC2 pre‐mRNA splicing. In 13 cases (87%), the functional data supported the hypothesis that the identified TSC2 variant caused TSC. Our results illustrate the benefits and limitations of functional testing for TSC.

Type: Article
Title: Comparison of the functional and structural characteristics of rare TSC2 variants with clinical and genetic findings
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/humu.23963
Publisher version: https://doi.org/10.1002/humu.23963
Language: English
Additional information: © 2019 The Authors. Human Mutation Published by Wiley Periodicals, Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: TSC2, CRISPR/Cas9, TORC1, Tuberous sclerosis complex, VUS, functional assay
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > Div of Biosciences > Genetics, Evolution and Environment
URI: https://discovery.ucl.ac.uk/id/eprint/10087663
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