Decreased serine levels were found in plasma and cerebrospinal fluid (
CSF) of a boy with pre- and postnatal growth retardation, moderate psy
chomotor retardation, and facial dysmorphism suggestive of Williams sy
ndrome. Fluorescence in situ hybridisation with an elastin gene probe
indicated the presence of a submicroscopic 7q11.23 deletion, confirmin
g this diagnosis. Further investigation showed that the phosphoserine
phosphatase (EC 3.1.3.3.) activity in lymphoblasts and fibroblasts amo
unted to about 25% of normal values. Oral serine normalised the plasma
and CSF levels of this amino acid and seemed to have some clinical ef
fect. These data suggest that the elastin gene and the phosphoserine p
hosphatase gene might be closely linked. This seems to be the first re
port of phosphoserine phosphatase deficiency.