GM26045
                                                
                                                Fibroblast from Skin, Thigh
                                                
                                                
                                             
                                            
                                                
                                                    
                                                         Description:
                                                    
                                                    
                                                         
                                                            
                                                            RIGIDITY AND MULTIFOCAL SEIZURE SYNDROME, LETHAL NEONATAL; RMFSL 
                                                            
                                                            BRCA1-ASSOCIATED ATM ACTIVATOR 1; BRAT1 
                                                            
                                                    
                                                 
                                                
                                                
                                                
                                                
                                             
                                         
                                     
                                    
                                        
                                            
                                            
                                            
                                            
                                                
                                                    
                                                        
                                                            
                                                            
                                                                
                                                                    
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                                                                            Repository
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                                                                            NIGMS Human Genetic Cell Repository
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	| Subcollection | 
	Heritable Diseases PIGI Consented Sample | 
 
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                    
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                                                                            Biopsy Source
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                                                                            Thigh
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                                                                            Cell Type
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                                                                            Fibroblast
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                                                                            Tissue Type
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                                                                            Skin
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                                                                            Transformant
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                                                                            Untransformed
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                                                                            Sample Source
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                                                                            Fibroblast from Skin, Thigh
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                                                                            Race
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                                                                            White
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                                                                            Ethnicity
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                                                                            Not Hispanic/Latino
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                                                                            Ethnicity
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                                                                            Amish
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                                                                            Country of Origin
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                                                                            USA
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                                                                            Family Member
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                                                                            1
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                                                                            Family History
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                                                                            Y
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                                                                            Relation to Proband
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                                                                            proband
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                                                                            Species
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                                                                            Homo sapiens
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                                                                            Common Name
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                                                                            Human
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                                                                            Remarks
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	| PDL at Freeze | 
	3.03 | 
 
	| Passage Frozen | 
	2 | 
 
	|   | 
 
                                                                
	| IDENTIFICATION OF SPECIES OF ORIGIN | 
	Species of Origin Confirmed by LINE assay | 
 
	|   | 
 
                                                                
	| Gene | 
	BRAT1 | 
 
	| Chromosomal Location | 
	7p22.3 | 
 
	| Allelic Variant 1 | 
	614506.0001; RIGIDITY AND MULTIFOCAL SEIZURE SYNDROME, LETHAL NEONATAL | 
 
	| Identified Mutation | 
	c.638_639insA; By homozygosity mapping followed by exome sequencing of 2 Amish patients from Pennsylvania with lethal neonatal rigidity and multifocal seizure syndrome (RMFSL; 614498), Puffenberger et al. (2012) identified a homozygous 1-bp insertion (638_639insA) in the BRAT1 gene, resulting in a frameshift and premature termination. Two unrelated Old Order Amish infants from different demes in Wisconsin and Kentucky with a similar phenotype were found to carry the same homozygous mutation. Two heterozygous carriers of this mutation were found among 201 Old Order Amish control samples, yielding a population-specific allele frequency of 0.50%. The mutation abolished the nuclear localization signal, and rendered the protein unstable when expressed in human cells as shown by Western blot analysis. | 
 
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	| Gene | 
	BRAT1 | 
 
	| Chromosomal Location | 
	7p22.3 | 
 
	| Allelic Variant 2 | 
	614506.0001; RIGIDITY AND MULTIFOCAL SEIZURE SYNDROME, LETHAL NEONATAL | 
 
	| Identified Mutation | 
	c.638_639insA; By homozygosity mapping followed by exome sequencing of 2 Amish patients from Pennsylvania with lethal neonatal rigidity and multifocal seizure syndrome (RMFSL; 614498), Puffenberger et al. (2012) identified a homozygous 1-bp insertion (638_639insA) in the BRAT1 gene, resulting in a frameshift and premature termination. Two unrelated Old Order Amish infants from different demes in Wisconsin and Kentucky with a similar phenotype were found to carry the same homozygous mutation. Two heterozygous carriers of this mutation were found among 201 Old Order Amish control samples, yielding a population-specific allele frequency of 0.50%. The mutation abolished the nuclear localization signal, and rendered the protein unstable when expressed in human cells as shown by Western blot analysis. | 
 
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                             
                                                         
                                                     
                                                 
                                                
                                                    
                                                        
                                                            
                                                            
                                                            
                                                                
	| Remarks | 
	Clinically affected; subject passed during same year of birth; born at 38 3/7 weeks; mother noticed unusual rhythmic, repetitive movements in utero; made first sound at 3.5 hours of life; unable to latch; bottle fed; small chest; seizures; rigidity; physical examination at 3 days of age revealed an alert, content WN/WD baby; head - microcephaly, AF nonpalpable, overriding sutures with frontal bones lower and bitemporal narrowing; eyes - RR B, upslanting palpebral fissures; ears - TM translucent B; nose - clear, flattened nasal bridge; normal mouth; high arched palate; thin lips; normal neck, respiratory, cardiovascular, abdominal, gastrourinary, extremities, hips, and back; neuro - increased tone on all extremities, tremors, cortical thumbs, scissoring; skin - erythematous macular rash, some with white papules; genetic testing by PCR using DNA isolated from peripheral blood revealed a homozygous recessive 1-bp insertion mutation in the BRAT1 gene: c.638_639insA resulting in a frameshift and premature termination (p.Val214Glyfs); medication: clonazepam; family history: older male sibling had seizures and was admitted to the hospital at 28 days of life with possible mitochondrial or liver dysfunction - based on labs with concern for fatty acid oxidation defect, but normal chromosomes; sibling died at 7 weeks of age. | 
 
                                                                
                                                             
                                                            
                                                            
                                                         
                                                     
                                                 
                                                
                                                
                                                
                                                
                                                    
                                                        
                                                            
                                                            
                                                                
	| Cumulative PDL at Freeze | 
	5.9 | 
 
	| Passage Frozen | 
	2 | 
 
	| Split Ratio | 
	1:4 | 
 
	| Temperature | 
	37 C | 
 
	| Percent CO2 | 
	5% | 
 
	| Percent O2 | 
	3% | 
 
	| Medium | 
	Eagles Minimum Essential Medium with Earle's salts:Dulbecco's modified MEM with 2mM L-glutamine or equivalent | 
 
	| Serum | 
	15% fetal bovine serum Not inactivated           | 
 
	| Supplement | 
	- | 
 
                                                                
                                                                
                                                             
                                                         
                                                     
                                                 
                                             
                                         
                                     
                                 
                                
                             
                         
                     
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