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Hypomorphic GINS3 variants alter DNA replication and cause Meier-Gorlin syndrome
Mary E. McQuaid, Kashif Ahmed, Stephanie Tran, Justine Rousseau, Ranad Shaheen, Kristin D. Kernohan, Kyoko E. Yuki, Prerna Grover, Dominique Lévesque, Ema S. Dreseris, Sameen Ahmed, Lucie Dupuis, Jennifer Stimec, Mary Shago, Zuhair N. Al-Hassnan, Roch Tremblay, Philipp G. Maass, Michael D. Wilson, Eyal Grunebaum, Kym M. Boycott, François-Michel Boisvert, Sateesh Maddirevula, Eissa A. Faqeih, Fahad Almanjomi, Zaheer Ullah Khan, Fowzan S. Alkuraya, Philippe M. Campeau, Peter Kannu, Eric I. Campos, Hugo Wurtele
Mary E. McQuaid, Kashif Ahmed, Stephanie Tran, Justine Rousseau, Ranad Shaheen, Kristin D. Kernohan, Kyoko E. Yuki, Prerna Grover, Dominique Lévesque, Ema S. Dreseris, Sameen Ahmed, Lucie Dupuis, Jennifer Stimec, Mary Shago, Zuhair N. Al-Hassnan, Roch Tremblay, Philipp G. Maass, Michael D. Wilson, Eyal Grunebaum, Kym M. Boycott, François-Michel Boisvert, Sateesh Maddirevula, Eissa A. Faqeih, Fahad Almanjomi, Zaheer Ullah Khan, Fowzan S. Alkuraya, Philippe M. Campeau, Peter Kannu, Eric I. Campos, Hugo Wurtele
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Research Article Cell biology

Hypomorphic GINS3 variants alter DNA replication and cause Meier-Gorlin syndrome

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Abstract

The eukaryotic CDC45/MCM2-7/GINS (CMG) helicase unwinds the DNA double helix during DNA replication. The GINS subcomplex is required for helicase activity and is, therefore, essential for DNA replication and cell viability. Here, we report the identification of 7 individuals from 5 unrelated families presenting with a Meier-Gorlin syndrome–like (MGS-like) phenotype associated with hypomorphic variants of GINS3, a gene not previously associated with this syndrome. We found that MGS-associated GINS3 variants affecting aspartic acid 24 (D24) compromised cell proliferation and caused accumulation of cells in S phase. These variants shortened the protein half-life, altered key protein interactions at the replisome, and negatively influenced DNA replication fork progression. Yeast expressing MGS-associated variants of PSF3 (the yeast GINS3 ortholog) also displayed impaired growth, S phase progression defects, and decreased Psf3 protein stability. We further showed that mouse embryos homozygous for a D24 variant presented intrauterine growth retardation and did not survive to birth, and that fibroblasts derived from these embryos displayed accelerated cellular senescence. Taken together, our findings implicate GINS3 in the pathogenesis of MGS and support the notion that hypomorphic variants identified in this gene impaired cell and organismal growth by compromising DNA replication.

Authors

Mary E. McQuaid, Kashif Ahmed, Stephanie Tran, Justine Rousseau, Ranad Shaheen, Kristin D. Kernohan, Kyoko E. Yuki, Prerna Grover, Dominique Lévesque, Ema S. Dreseris, Sameen Ahmed, Lucie Dupuis, Jennifer Stimec, Mary Shago, Zuhair N. Al-Hassnan, Roch Tremblay, Philipp G. Maass, Michael D. Wilson, Eyal Grunebaum, Kym M. Boycott, François-Michel Boisvert, Sateesh Maddirevula, Eissa A. Faqeih, Fahad Almanjomi, Zaheer Ullah Khan, Fowzan S. Alkuraya, Philippe M. Campeau, Peter Kannu, Eric I. Campos, Hugo Wurtele

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Figure 3

Patient-derived fibroblasts expressing GINS3 variants present cell cycle and proliferation defects.

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Patient-derived fibroblasts expressing GINS3 variants present cell cycle...
(A) GINS3 variants affect conserved regions of the encoded protein. Representation of the 3 isoforms encoded by the GINS3 gene and multispecies sequence alignment of regions containing pathogenic GINS3 variants are shown. (B) Digital droplet PCR (ddPCR) analysis comparing the relative expression of the c.71A>G (p.D24G) and c.245G>A (p.R82Q) alleles in P1 primary fibroblasts. The position of the TaqMan probes is shown in purple and light blue. (C) Proliferation of P1 fibroblasts ± lentiviral delivery of WT GINS3 compared with age-matched control (AMC) fibroblasts. Data were collected from 3 independent experiments and analyzed by 2-way ANOVA. (D) Cell cycle distribution of P1 fibroblasts ± lentiviral delivery of WT GINS3 and AMC cells. Values were obtained by flow cytometry analysis of DNA content from 5 independent experiments and analyzed using a 2-way ANOVA. (E) One representative flow cytometry experiment is presented. For details on experimental procedures, see Methods. P values were adjusted for multiple comparisons where appropriate (see Methods). *P < 0.05, **P < 0.01, ****P < 0.0001.

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