Abstract
Cataracts are a significant public health problem with no proven methods for prevention. Discovery of novel disease mechanisms to delineate new therapeutic targets is of importance in cataract prevention and therapy. Herein, we report that mutations in the RagA GTPase (RRAGA), a key regulator of the mechanistic rapamycin complex 1 (mTORC1), are associated with autosomal dominant cataracts. We performed whole exome sequencing in a family with autosomal dominant juvenile-onset cataracts, and identified a novel p.Leu60Arg mutation in RRAGA that co-segregated with the disease, after filtering against the dbSNP database, and at least 123,000 control chromosomes from public and in-house exome databases. In a follow-up direct screening of RRAGA in another 22 families and 142 unrelated patients with congenital or juvenile-onset cataracts, RRAGA was found to be mutated in two unrelated patients (p.Leu60Arg and c.-16G>A respectively). Functional studies in human lens epithelial cells revealed that the RRAGA mutations exerted deleterious effects on mTORC1 signaling, including increased relocation of RRAGA to the lysosomes, up-regulated mTORC1 phosphorylation, down-regulated autophagy, altered cell growth or compromised promoter activity. These data indicate that the RRAGA mutations, associated with autosomal dominant cataracts, play a role in the disease by acting through disruption of mTORC1 signaling.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adolescent
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Adult
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Autophagy / genetics
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Base Sequence
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Cataract / genetics*
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Cell Proliferation / genetics
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DNA Mutational Analysis
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Epithelial Cells / pathology*
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Exome / genetics
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Female
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Humans
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Lens, Crystalline / cytology
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Lens, Crystalline / pathology*
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Male
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Mechanistic Target of Rapamycin Complex 1
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Middle Aged
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Monomeric GTP-Binding Proteins / genetics*
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Multiprotein Complexes / genetics*
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Multiprotein Complexes / metabolism
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Sequence Analysis, DNA
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TOR Serine-Threonine Kinases / genetics*
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TOR Serine-Threonine Kinases / metabolism
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Young Adult
Substances
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Multiprotein Complexes
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Mechanistic Target of Rapamycin Complex 1
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TOR Serine-Threonine Kinases
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RRAGA protein, human
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Monomeric GTP-Binding Proteins
Supplementary concepts
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Cataract, Autosomal Dominant
Grants and funding
This study was supported in part by research grants from National Natural Science Foundation of China (No. 81000397 and 81170853 to JHC and 30901646 to HC), Science and Technology Planning Project of Guangdong Province, China (No. 2010B031600130 to JHC and 2011B031300013 to HC), Natural Science Foundation of Guangdong Province, China (No. 8151503102000019 to MZ and S2013010015618 to JHC), Outstanding Young Scholar in Talents Project of Guangdong province (to JHC), Guandong High-level Personnel of Special Support Program and Yangfan Plan of Talents Recruitment Grant (to JHC), and Joint Shantou International Eye Center of Shantou University and the Chinese University of Hong Kong (No. 10-019, 10-020, 10-021 and 10-022 to MZ). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.