Skip to main content
Log in

Study of cerebral cavernous malformation in Spain and Portugal

High prevalence of a 14 bp deletion in exon 5 of MGC4607 (CCM2 gene)

  • ORIGINAL COMMUNICATION
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

Objective

We aimed to study clinical, radiological and molecular genetic features of patients with cerebral cavernous malformations (CCMs) from the Iberian Peninsula.

Methods

We screened Krit1(CCM1), MGC4607(CCM2), and PDCD10(CCM3) by systematic SSCP and direct sequencing of coding exons in 48 nuclear families and 30 sporadic cases of CCM from Spain and Portugal.

Results

Screening of CCM patients detected nine different mutations in 19 families. We found four new mutations in Krit1. Three of them were caused by either a small insertion or deletion, which lead to frameshift and premature termination codons. We also found a missense L308H mutation located in a highly conserved sequence within the ankyrin domain of Krit1. In CCM2, we found a redundant 14 bp deletion in exon 5 of MGC4607 which predicts a truncated protein at residue 230. We did not find mutations in CCM3.

Conclusions

Finding that the 14 bp deletion was present in eleven families from the Iberian Peninsula indicates a high prevalence of this mutation. This redundant CCM2 mutation is worth considering in molecular diagnosis and genetic counselling of cerebral cavernous malformations.

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

Similar content being viewed by others

References

  1. Bergametti F, Denier C, Labauge P, Arnoult M, Boetto S, Clanet M, Coubes P, Echenne B, Ibrahim R, Irthum B, Jacquet G, Lonjon M, Moreau JJ, Neau JP, Parker F, Tremoulet M, Tournier-Lasserve E (2005) Mutations within the programmed cell death 10 gene cause cerebral cavernous malformations. Am J Hum Genet 76:42–51

    Article  PubMed  CAS  Google Scholar 

  2. Cavé-Riant F, Denier C, Labauge P, Cécillon M, Maciazek J, Joutel A, Laberge-le Couteulx S, Tournier-Lasserve E (2002) Spectrum and expression analysis of KRIT1 mutations in 121 consecutive and unrelated patients with Cerebral Cavernous Malformations. Eur J Hum Genet 10:733–740

    Article  PubMed  CAS  Google Scholar 

  3. Verlaan DJ, Siegel AM, Rouleau GA (2002) Krit1 missense mutations lead to splicing errors in cerebral cavernous malformation. Am J Hum Genet 70:1564–7

    Article  PubMed  CAS  Google Scholar 

  4. Craig HD, Gunel M, Cepeda O, Johnson EW, Ptacek L, Steinberg GK, Ogilvy CS, Berg MJ, Crawford SC, Scott RM, Sabroe R, Kennedy CT, Mettler G, Beis MJ, Fryer A, Awad IA, Lifton RP (1998) Multilocus linkage identifies two new loci for a Mendelian form of stroke, cerebral cavernous malformation, at 7p15–13 and 3q25.2–27. Hum Mol Genet 7:1851–1858

    Article  PubMed  CAS  Google Scholar 

  5. Denier C, Goutagny S, Labauge P, Krivosic V, Arnoult M, Cousin A, Benabid AL, Comoy J, Frerebeau P, Gilbert B, Houtteville JP, Jan M, Lapierre F, Loiseau H, Menei P, Mercier P, Moreau JJ, Nivelon-Chevallier A, Parker F, Redondo AM, Scarabin JM, Tremoulet M, Zerah M, Maciazek J, Tournier-Lasserve E (2004) Mutations within the MGC4607 gene cause cerebral cavernous malformations. Am J Hum Genet 74:326–37

    Article  PubMed  CAS  Google Scholar 

  6. Jung HH, Labauge P, Laberge S, Marechal E, Tournier-Lasserve E, Lucas M, Garcia-Moreno JM, Gamero MA, Izquierdo G, Tournier-Lasserve E (1999) Spanish families with cerebral cavernous angioma do not share the Hispano-American CCM1 haplotype. J Neurol Neurosurg Psychiatry 67:551–552

    Article  PubMed  CAS  Google Scholar 

  7. Laberge-le Couteulx S, Jung HH, Labauge P, Houtteville JP, Lescoat C, Cecillon M, Marechal E, Joutel A, Bach JF, Tournier-Lasserve E (1999) Truncating mutations in CCM1, encoding KRIT1, cause hereditary cavernous angiomas. Nat Genet 23:189–193

    Article  PubMed  CAS  Google Scholar 

  8. Liquori CL, Berg MJ, Siegel AM, Huang E, Zawistowski JS, Stoffer T, Verlaan D, Balogun F, Hughes L, Leedom TP, Plummer NW, Cannella M, Maglione V, Squitieri F, Johnson EW, Rouleau GA, Ptacek L, Marchuk DA (2003) Mutations in a gene encoding a novel protein containing a phosphotyrosine-binding domain cause type 2 cerebral cavernous malformations. Am J Hum Genet 73:1459–64

    Article  PubMed  CAS  Google Scholar 

  9. Liquori CL, Berg MJ, Squitieri F, Ottenbacher M, Sorlie M, Leedom TP, Cannella M, Maglione V, Ptacek L, Johnson EW, Marchuk DA (2006) Low frequency of PDCD10 mutations in a panel of CCM3 probands: potential for a fourth CCM locus. Hum Mutat 27:118–123

    Article  PubMed  Google Scholar 

  10. Lucas M, Costa AF, Montori M, Solano F, Zayas MD, Izquierdo G (2001) Germline mutations in the CCM1 gene, encoding KRIT1, cause cerebral cavernous malformations. Ann Neurol 49:529–532

    Article  PubMed  CAS  Google Scholar 

  11. Lucas M, Solano F, Zayas MD, Garcia-Moreno JM, Gamero MA, Costa AF, Izquierdo G (2000) Spanish families with cerebral cavernous angioma do not bear 742C→T Hispanic American mutation of the KRIT1 gene. Ann Neurol 47:836

    Article  PubMed  CAS  Google Scholar 

  12. Sahoo T, Johnson EW, Thomas JW, Kuehl PM, Jones TL, Dokken CG, Touchman JW, Gallione CJ, Lee-Lin SQ, Kosofsky B, Kurth JH, Louis DN, Mettler G, Morrison L, Gil-Nagel A, Rich SS, Zabramski JM, Boguski MS, Green ED, Marchuk DA (1999) Mutations in the gene encoding KRIT1, a Krev-1/rap1a binding protein, cause cerebral cavernous malformations (CCM1). Hum Mol Genet 8:2325–2333

    Article  PubMed  CAS  Google Scholar 

  13. Verlaan DJ, Roussel J, Laurent SB, Elger CE, Siegel AM, Rouleau GA (2005) CCM3 mutations are uncommon in cerebral cavernous malformation. Neurology 65:1982–83

    Article  PubMed  CAS  Google Scholar 

  14. Zawistowski JS, Stalheim L, Uhlik MT, Abell AN, Ancrile BB, Johnson GL, Marchuk DA (2005) CCM1 and CCM2 protein interactions in cell signaling: implications for cerebral cavernous malformations pathogenesis. Hum Mol Genet 14:2521–31

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

L. Ortiz is recipient of fellowship from the red CIEN. This work was supported by grant PI041492 from the Fondo de Investigaciones Sanitarias, Ministerio de Sanidad y Consumo, 56/04 and 80/04 from Servicio Andaluz de Salud. We thank Michelle Sigrid Kremser for revising the English text.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Miguel Lucas.

Additional information

Received in revised form: 7 July 2006

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ortiz, L., Costa, A.F., Bellido, M.L. et al. Study of cerebral cavernous malformation in Spain and Portugal. J Neurol 254, 322–326 (2007). https://doi.org/10.1007/s00415-006-0359-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-006-0359-9

Keywords

Navigation