LIG4 syndrome

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LIG4 syndrome
Other namesLigase IV syndrome
LIG4.jpg
Person at age 12 showing dysmorphic features

LIG4 syndrome (also known as Ligase IV syndrome) is an extremely rare condition caused by mutations in the DNA Ligase IV (LIG4) gene. Some mutations in this gene are associated with a resistance against multiple myeloma and Severe Combined Immunodeficiency. [1] Severity of symptoms depends on the degree of reduced enzymatic activity of Ligase IV or gene expression. Ligase IV is a critical component of the non-homologous end joining (NHEJ) mechanism that repairs DNA double-strand breaks. [2] It is employed in repairing DNA double-strand breaks caused by reactive oxygen species produced by normal metabolism, or by DNA damaging agents such as ionizing radiation. NHEJ is also used to repair the DNA double-strand break intermediates that occur in the production of T and B lymphocyte receptors.[ citation needed ]

Contents

As DNA ligase IV is essential in V(D)J recombination, the mechanism by which immunoglobulins, B cell and T cell receptors are formed, patients with LIG4 syndrome may have less effective or defective V(D)J recombination. Some patients have a severe immunodeficiency characterized by pancytopenia, causing chronic respiratory infections and sinusitis. [3] Clinical features also include Seckel syndrome-like facial abnormalities and microcephaly. Patients also have growth retardation and skin conditions, including photosensitivity, psoriasis and telangiectasia. Although not present in all, patients may also present with hypothyroidism and type II diabetes and possibly malignancies such as acute T-cell leukemia. [3] [4] The clinical phenotype of LIG4 syndrome closely resembles that of Nijmegen breakage syndrome (NBS).[ citation needed ]

See also

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<span class="mw-page-title-main">DNA repair</span> Cellular mechanism

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<span class="mw-page-title-main">Non-homologous end joining</span> Pathway that repairs double-strand breaks in DNA

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<span class="mw-page-title-main">MRE11A</span> Protein-coding gene in the species Homo sapiens

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<span class="mw-page-title-main">LIG4</span> Protein-coding gene in the species Homo sapiens

DNA ligase 4 is an enzyme that in humans is encoded by the LIG4 gene.

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<span class="mw-page-title-main">Double-strand break repair model</span>

A double-strand break repair model refers to the various models of pathways that cells undertake to repair double strand-breaks (DSB). DSB repair is an important cellular process, as the accumulation of unrepaired DSB could lead to chromosomal rearrangements, tumorigenesis or even cell death. In human cells, there are two main DSB repair mechanisms: Homologous recombination (HR) and non-homologous end joining (NHEJ). HR relies on undamaged template DNA as reference to repair the DSB, resulting in the restoration of the original sequence. NHEJ modifies and ligates the damaged ends regardless of homology. In terms of DSB repair pathway choice, most mammalian cells appear to favor NHEJ rather than HR. This is because the employment of HR may lead to gene deletion or amplification in cells which contains repetitive sequences. In terms of repair models in the cell cycle, HR is only possible during the S and G2 phases, while NHEJ can occur throughout whole process. These repair pathways are all regulated by the overarching DNA damage response mechanism. Besides HR and NHEJ, there are also other repair models which exists in cells. Some are categorized under HR, such as synthesis-dependent strain annealing, break-induced replication, and single-strand annealing; while others are an entirely alternate repair model, namely, the pathway microhomology-mediated end joining (MMEJ).

References

  1. "LIGASE IV, DNA, ATP-DEPENDENT; LIG4". OMIM. Retrieved 2 January 2012.
  2. Altmann T, Gennery AR (October 2016). "DNA ligase IV syndrome; a review". Orphanet J Rare Dis. 11 (1): 137. doi:10.1186/s13023-016-0520-1. PMC   5055698 . PMID   27717373.
  3. 1 2 O'Driscoll M, Cerosaletti KM, Girard PM, Dai Y, Stumm M, Kysela B, Hirsch B, Gennery A, Palmer SE, Seidel J, Gatti RA, Varon R, Oettinger MA, Neitzel H, Jeggo PA, Concannon P (2001). "DNA ligase IV mutations identified in patients exhibiting developmental delay and immunodeficiency". Mol Cell. 8 (6): 1175–85. doi: 10.1016/S1097-2765(01)00408-7 . PMID   11779494.
  4. Ben-Omran TI, Cerosaletti K, Concannon P, Weitzman S, Nezarati MM (2005). "A patient with mutations in DNA Ligase IV: clinical features and overlap with Nijmegen breakage syndrome". Am J Med Genet A. 137A (3): 283–7. doi:10.1002/ajmg.a.30869. PMID   16088910. S2CID   12823417.