A virtually complete deficiency of hypoxanthine guanine phosphoribosyl
transferase (HPRT) causes Lesch-Nyhan syndrome. A novel mutation of HP
RT gene in a Japanese Lesch-Nyhan family has been identified using mRN
A and genomic DNA from peripheral blood cells. A single nucleotide sub
stitution of T to C in exon 3 resulted in a mis-sense mutation, CTC (L
eu) to CCC (Pro), at codon 65. Utilizing an Mn/I restriction site whic
h was lost in the mutation as an indicator, a family study showed that
the mother was normal not having the mutant gene. The mutation was a
de novo event that had occurred in the germ cells of the mother or in
the proband during the early phase of fetal development.