Wilson's disease is a genetic disorder of copper metabolism characteri
zed by the excessive accumulation of this metal in the liver. The gene
for Wilson's disease, designated ATP7B, encodes a copper transporting
P-type ATPase expressed predominantly in the liver. Over 60 disease s
pecific mutations of ATP7B have now been reported in patients with Wil
son's disease. The gene for ATP7B is similar to 80 kb and contains 21
exons that encode an similar to 7.5 kb transcript. Recent studies that
focus on the structure and expression of the ATP7B protein support it
s role as a copper transporter involved in the intracellular trafficki
ng of copper in hepatocytes. The introduction of functional ATP7B prot
ein by recombinant adenovirus mediated gene delivery will be a potenti
al approach for correcting Wilson's disease. (C) 1998 Elsevier Science
Ltd. All rights reserved.