Table 8.

Notable IDUA Variants

Reference SequencesDNA Nucleotide Change (Alias 1)Predicted Protein ChangeComment [Reference] 2
NM_000203​.3
NP_000194​.2
c.235G>Ap.Ala79ThrPseudodeficiency variants
c.246C>Gp.His82Gln
c.667G>Ap.Asp223Asn
c.787A>Tp.Arg263Trp
c.965T>Ap.Val322Glu
c.1081G>Ap.Ala361Thr
c.1757C>Tp.Ser586Phe
c.152G>Ap.Gly51AspCommon pathogenic variant in Italy
c.208C>Tp.Gln70TerCommon variant in Europe & Russia; assoc w/severe MPS I
c.266G>Ap.Arg89Gln
  • Common pathogenic variant in Japan; causes attenuated MPS I
  • May change ability of α-L-iduronidase to affect catalysis
  • Deleterious effect appears to be potentiated by a polymorphism, p.Ala361Thr [Leroy 2003].
c.613_617dupTGCTC
(704ins5)
p.Glu207AlafsTer29Common pathogenic variant in Japan
c.590-7G>A--Variant causes attenuated MPS I; creates alternate splice site, but (as old splice site is not obliterated) some normal enzyme is produced.
c.979G>Cp.Ala327ProCommon pathogenic variant in Europe
c.1029C>Ap.Tyr343TerVariant causes attenuated MPS I; premature stop codon used as an acceptor splice site, generating an in-frame deletion [Lee-Chen & Wang 1997].
c.1205G>Ap.Trp402TerCommon pathogenic variant in persons of European ancestry & Australasia
c.1598C>Gp.Pro533ArgCommon pathogenic variant in Italy
c.1960T>Gp.Ter654GlyVariants cause attenuated MPS I; predict extension of α-L-iduronidase at the carboxyl end that may change conformation &/or stability of enzyme.
c.1960T>Cp.Ter654Arg

Variants listed in the table have been provided by the author. GeneReviews staff have not independently verified the classification of variants.

GeneReviews follows the standard naming conventions of the Human Genome Variation Society (varnomen​.hgvs.org). See Quick Reference for an explanation of nomenclature.

1.

Variant designation that does not conform to current naming conventions

2.

See Table 9 for common pathogenic variants by ethnic background and/or geographic location.

From: Mucopolysaccharidosis Type I

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