Exonic Mutations in the SLC12A3 gene cause exon skipping and premature termination in Gitelman syndrome

Yoichi Takeuchi, Eikan Mishima, Hisato Shima, Yasutoshi Akiyama, Chitose Suzuki, Takehiro Suzuki, Takayasu Kobayashi, Yoichi Suzuki, Tomohiro Nakayama, Yasuhiro Takeshima, Norma Vazquez, Sadayoshi Ito, Gerardo Gamba, Takaaki Abe

Research output: Contribution to journalArticlepeer-review

29 Citations (Scopus)


A variety of genetic backgrounds cause the loss of function of thiazide-sensitive sodium chloride cotransporter, encoded by SLC12A3, responsible for the phenotypes in Gitelman syndrome. Recently, the phenomenon of exon skipping, in which exonic mutations result in abnormal splicing, has been associated with various diseases. Specifically, mutations in exonic splicing enhancer (ESE) sequences can promote exon skipping. Here, we used a bioinformatics program to analyze 88 missense mutations in the SLC12A3 gene and identify candidate mutations that may induce exon skipping. The three candidate mutations that reduced ESE scores the most were further investigated by minigene assay, and two (p.A356V and p.M672I) caused abnormal splicing in vitro. Furthermore, we identified the p.M672I (c.2016G>A) mutation in a patient with Gitelman syndrome and found that this single nucleotide mutation causes exclusion of exon 16 in the SLC12A3 mRNA transcript. Functional analyses revealed that the protein encoded by the aberrant SLC12A3 transcript does not transport sodium. These results suggest that aberrant exon skipping is one previously unrecognized mechanism by which missense mutations in SLC12A3 can lead to Gitelman syndrome.

Original languageEnglish
Pages (from-to)271-279
Number of pages9
JournalJournal of the American Society of Nephrology : JASN
Issue number2
Publication statusPublished - 2015 Feb 1


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