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GATA3 haplo-insufficiency causes human HDR syndrome


Terminal deletions of chromosome 10p result in a DiGeorge-like phenotype that includes hypoparathyroidism, heart defects, immune deficiency, deafness and renal malformations1. Studies in patients with 10p deletions have defined two non-overlapping regions that contribute to this complex phenotype. These are the DiGeorge critical region II (refs 1, 2), which is located on 10p13-14, and the region for the hypoparathyroidism, sensorineural deafness, renal anomaly (HDR) syndrome3 (Mendelian Inheritance in Man number 146255)4, which is located more telomeric (10p14–10pter)5,6. We have performed deletion-mapping studies in two HDR patients, and here we define a critical 200-kilobase region which contains the GATA3 gene7. This gene belongs to a family of zinc-finger transcription factors that are involved in vertebrate embryonic development8,9,10. Investigation for GATA3 mutations in three other HDR probands identified one nonsense mutation and two intragenic deletions that predicted a loss of function, as confirmed by absence of DNA binding by the mutant GATA3 protein. These results show that GATA3 is essential in the embryonic development of the parathyroids, auditory system and kidneys, and indicate that other GATA family members may be involved in the aetiology of human malformations.

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Figure 1: Physical and genetic map of the HDR region on 10p15.
Figure 2: Detection of GATA3 mutations in HDR patients.
Figure 3: Locations of the GATA3 mutations and effects on DNA binding.


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We are grateful to R. Thoelen for the FISH analysis; A. Poffyn for clinical data; P. Romeo for the gift of cosmid clone 1.2; T. Meitinger for his support; the Fonds voor Wetenschappelijk Onderzoek Vlaanderen (FWO), the “Geconcerteerde Onderzoeksactie 1997–2001” and the Interuniversitaire Attractie Polen (IUAP) for support; the Medical Research Council, UK, for support (M.A.N., B.H., R.V.T.). H.V.E. is an Aspirant and K.D. is a Senior Clinical Investigator of the Fund for Scientific Research–Flanders, Belgium (FWO–Vlaanderen).

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Correspondence to Rajesh V. Thakker or Koenraad Devriendt.

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Van Esch, H., Groenen, P., Nesbit, M. et al. GATA3 haplo-insufficiency causes human HDR syndrome. Nature 406, 419–422 (2000).

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