Mutations Position Table

PSEN1 R278 Mutations

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Mutation Pathogenicity DNA Change Expected RNA | Protein Consequence Coding/Non-Coding Genomic Region Neuropathology Biological Effect Primary
Papers
R278S
AD : Not Classified Substitution Substitution | Missense Coding Exon 8

Unknown

Unknown, but multiple in silico algorithms predicted it is damaging.

Raman et al., 2007
R278K
AD : Not Classified, SP : Not Classified Substitution Substitution | Missense Coding Exon 8

Unknown; MRI and CT scans reported as normal in one individual

Increased Aβ42 production in patient fibroblasts; but reduced Aβ42 and Aβ40 production in assay with purified proteins. In both cases, increased Aβ42/Aβ40.

Assini et al., 2003
R278T
AD : Not Classified Substitution Substitution | Missense Coding Exon 8

Neuropathology consistent with AD was detected in one brain biopsy.

Increased Aβ42/Aβ40 ratio and decreased Aβ (37 + 38 + 40) / (42 + 43) and Aβ37/Aβ42 ratios in cells. Also, increased Aβ43 levels 10-fold.

Kwok et al., 1997
R278I
AD : Pathogenic, Progressive Nonfluent Aphasia : Not Classified Substitution Substitution | Missense Coding Exon 8

Neuropathology consistent with AD in two cases; with more Aβ deposition in the APOE3/4 carrier than the APOE2/3 carrier. Also, in the amygdala, α-synuclein pathology in both cases, and, in one case, TDP-43 pathology. 

Deficient maturation of mutant protein in iPSC-derived neurons. Selective increase in secreted Aβ43; impaired endoproteolysis of PSEN1. Increased Aβ42/Aβ40, Aβ42/Aβ38, and particularly Aβ43/Aβ40 ratios. Aβ38/Aβ40 ratio similar to wild-type.  Impaired processing of the ApoER2 LDL receptor. 

 

Godbolt et al., 2004

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