RT Journal Article T1 Characterization of Novel Missense Variants of SERPINA1 Gene Causing Alpha-1 Antitrypsin Deficiency. A1 Matamala, Nerea A1 Lara, Beatriz A1 Gomez-Mariano, Gema A1 Martinez, Selene A1 Retana, Diana A1 Fernandez, Taiomara A1 Silvestre, Ramona Angeles A1 Belmonte, Irene A1 Rodriguez-Frias, Francisco A1 Vilar, Marçal A1 Saez, Raquel A1 Iturbe, Igor A1 Castillo, Silvia A1 Molina-Molina, Maria A1 Texido, Anna A1 Tirado-Conde, Gema A1 Lopez-Campos, Jose Luis A1 Posada, Manuel A1 Blanco, Ignacio A1 Janciauskiene, Sabina A1 Martinez-Delgado, Beatriz K1 SERPINA1 novel variants K1 alpha-1 antitrypsin deficiency K1 alpha-1 antitrypsin polymers K1 elastase AB The SERPINA1 gene is highly polymorphic, with more than 100 variants described in databases. SERPINA1 encodes the alpha-1 antitrypsin (AAT) protein, and severe deficiency of AAT is a major contributor to pulmonary emphysema and liver diseases. In Spanish patients with AAT deficiency, we identified seven new variants of the SERPINA1 gene involving amino acid substitutions in different exons: PiSDonosti (S+Ser14Phe), PiTijarafe (Ile50Asn), PiSevilla (Ala58Asp), PiCadiz (Glu151Lys), PiTarragona (Phe227Cys), PiPuerto Real (Thr249Ala), and PiValencia (Lys328Glu). We examined the characteristics of these variants and the putative association with the disease. Mutant proteins were overexpressed in HEK293T cells, and AAT expression, polymerization, degradation, and secretion, as well as antielastase activity, were analyzed by periodic acid-Schiff staining, Western blotting, pulse-chase, and elastase inhibition assays. When overexpressed, S+S14F, I50N, A58D, F227C, and T249A variants formed intracellular polymers and did not secrete AAT protein. Both the E151K and K328E variants secreted AAT protein and did not form polymers, although K328E showed intracellular retention and reduced antielastase activity. We conclude that deficient variants may be more frequent than previously thought and that their discovery is possible only by the complete sequencing of the gene and subsequent functional characterization. Better knowledge of SERPINA1 variants would improve diagnosis and management of individuals with AAT deficiency. PB American Thoracic Society YR 2018 FD 2018 LK http://hdl.handle.net/10668/11897 UL http://hdl.handle.net/10668/11897 LA en NO Matamala N, Lara B, Gomez-Mariano G, Martínez S, Retana D, Fernandez T, et al. Characterization of Novel Missense Variants of SERPINA1 Gene Causing Alpha-1 Antitrypsin Deficiency. Am J Respir Cell Mol Biol. 2018 Jun;58(6):706-716. DS RISalud RD Apr 9, 2025