A novel deletion mutation within the carboxyl terminus of the copper-transporting ATPase gene causes Wilson disease

J Neurol Sci. 2000 Oct 1;179(S 1-2):140-3. doi: 10.1016/s0022-510x(00)00399-3.


In patients with Wilson disease (WD), an autosomal recessive disorder, toxic accumulation of copper results in fatal liver disease and irreversible neuronal degeneration. ATP7B, the gene mutated in WD, contains 21 exons and encodes a copper-transporting ATPase. In this study, all exons of the ATP7B gene of nine WD patients were screened for alterations by conventional mutation detection enhancement (MDE) heteroduplex analysis, followed by direct sequencing of the regions that showed heteroduplex formation. For the first time, a novel deletion mutation (4193delC) in exon 21, causing a frameshift leading to premature truncation of the protein was detected in four of nine patients. The 4193delC removes several signals within the carboxyl terminal domain that may disrupt trafficking of ATP7B protein through trans-Golgi network at the cellular level.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphatases / chemistry
  • Adenosine Triphosphatases / genetics*
  • Carrier Proteins / chemistry
  • Carrier Proteins / genetics*
  • Cation Transport Proteins*
  • Copper-Transporting ATPases
  • Gene Deletion*
  • Hepatolenticular Degeneration / genetics*
  • Heteroduplex Analysis / methods
  • Heteroduplex Analysis / statistics & numerical data
  • Humans
  • Mutation / physiology*
  • Polymorphism, Genetic / genetics
  • Protein Structure, Tertiary / genetics*


  • Carrier Proteins
  • Cation Transport Proteins
  • Adenosine Triphosphatases
  • ATP7B protein, human
  • Copper-Transporting ATPases