Common single-base insertions in the VNTR of the carboxyl ester lipase (CEL) gene are benign and also likely to arise somatically in the exocrine pancreas

Brekke RS
March 14, 2024
Hum Mol Genet
https://pubmed.ncbi.nlm.nih.gov/38483348

This article is currently being updated. View its version on PubMed.

https://pubmed.ncbi.nlm.nih.gov/38483348

Research summary

This study investigates the prevalence and functional impact of single-base insertions (CEL-INS) in the variable number tandem repeat (VNTR) region of the carboxyl ester lipase (CEL) gene. The researchers found that these insertions are relatively common in the population and generally benign. Functional assays revealed that insertions in proximal VNTR repeats can lead to protein aggregation and endoplasmic reticulum stress. Notably, using a humanized CEL Knockin mouse model expressing the human CEL VNTR with 16 repeats, they observed somatic emergence of CEL-INS proteins in pancreatic tissue, suggesting that such insertions can arise spontaneously and may not be inherently pathogenic.

Key outcome of the study

Single-base insertions in the CEL VNTR are common and typically benign. However, insertions in proximal repeats may lead to protein misfolding and stress responses. The humanized mouse model demonstrated that such insertions can arise somatically in the pancreas, indicating a potential mechanism for sporadic pancreatic dysfunction.

Mouse model

Humanized CEL Knockin mouse model, engineered to express the human CEL VNTR with 16 repeats, replacing the native mouse Cel VNTR, to study the expression and potential somatic emergence of CEL-INS proteins in vivo.

TARGET:
CEL
Carboxyl ester lipase, Bile salt-stimulated lipase (BSSL), Bile salt-dependent lipase (BSDL)

Keywords

Pancreatic diseases, CEL gene, VNTR polymorphism, Protein misfolding, Somatic mutations

Technical specifications

Humanized Knockin model, VNTR replacement, Protein aggregation studies, In vivo expression analysis

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