1. Academic Validation
  2. Mutations in STAMBP, encoding a deubiquitinating enzyme, cause microcephaly-capillary malformation syndrome

Mutations in STAMBP, encoding a deubiquitinating enzyme, cause microcephaly-capillary malformation syndrome

  • Nat Genet. 2013 May;45(5):556-62. doi: 10.1038/ng.2602.
Laura M McDonell 1 Ghayda M Mirzaa Diana Alcantara Jeremy Schwartzentruber Melissa T Carter Leo J Lee Carol L Clericuzio John M Graham Jr Deborah J Morris-Rosendahl Tilman Polster Gyula Acsadi Sharron Townshend Simon Williams Anne Halbert Bertrand Isidor Albert David Christopher D Smyser Alex R Paciorkowski Marcia Willing John Woulfe Soma Das Chandree L Beaulieu Janet Marcadier FORGE Canada Consortium Michael T Geraghty Brendan J Frey Jacek Majewski Dennis E Bulman William B Dobyns Mark O'Driscoll Kym M Boycott
Affiliations

Affiliation

  • 1 Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, Ontario, Canada.
Abstract

Microcephaly-capillary malformation (MIC-CAP) syndrome is characterized by severe microcephaly with progressive cortical atrophy, intractable epilepsy, profound developmental delay and multiple small capillary malformations on the skin. We used whole-exome Sequencing of five patients with MIC-CAP syndrome and identified recessive mutations in STAMBP, a gene encoding the deubiquitinating (DUB) isopeptidase STAMBP (STAM-binding protein, also known as AMSH, associated molecule with the SH3 domain of STAM) that has a key role in cell surface receptor-mediated endocytosis and sorting. Patient cell lines showed reduced STAMBP expression associated with accumulation of ubiquitin-conjugated protein aggregates, elevated Apoptosis and insensitive activation of the RAS-MAPK and PI3K-AKT-mTOR pathways. The latter cellular phenotype is notable considering the established connection between these pathways and their association with vascular and capillary malformations. Furthermore, our findings of a congenital human disorder caused by a defective DUB protein that functions in endocytosis implicates ubiquitin-conjugate aggregation and elevated Apoptosis as factors potentially influencing the progressive neuronal loss underlying MIC-CAP syndrome.

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