1.) In a small number of patients whose families appear to have all the classical characteristics of FAP, a mutation cannot be found in the APC cDNA. What are two possible reasons for why mutations may not be found in some patients whose families appear to have FAP?
2.) Using the diagrams of APC domains and interactions provided in the case study, hypothesize the most likely effect of this mutation on APC ability to perform its function within the protein complex. Would you expect Sam’s APC mutation to change the ability of the APC protein to bind to β-catenin for example?
Answer:
(1) The two possible reasons are:
a. APC cDNA only includes exons by definition since it was reverse transcribed from mRNA. The causative mutation may be in an intron, affecting a splice site or an enhancer site. The mutation could also be in the promoter and affect APC expression. Intron and promoter mutations would not be found in the cDNA.
b. Mutations outside of the APC gene could cause FAP mutations (meaning the mutations of other genes), but all lead up to the same outcome.
(2) A non sense mutation has resulted in a truncated non-functional protein. So, Sam's APC mutation would decrease the APC protein's ability to bind to -catenin.
1.) In a small number of patients whose families appear to have all the classical characteristics...
Part IV—The APC Protein “Sam, I’m really worried about seeing my test results today,” Jane said as they headed in for another visit with their genetic counselor. “After Ms. Meeker explained your results to us, I’ve been dreading hearing whether or not I have the mutation too.” Sam nodded, saying, “I can understand how you feel. I’m glad I can be here at the appointment to support you. Whatever happens, you know your family is here for you.” Ms. Meeker...