Researchers have found that Hutchinson-Gilford progeria is caused by a tiny mutation in a single gene called lamin A (LMNA). Parents and other siblings are usually never affected by the disease. They found that the mutation happens in the sperm prior to conception. In almost all cases this arises from the substation of one base pair among 25,000 DNA base pairs that make up the LMNA gene. The LMNA gene codes for lamin A and lamin C which are known to stabilize the inner membrane of the cell's nucleus. The progeria gene causes the LMNA to produce an abnormal form of the lamin A protein. This destabilizes the cell's nuclear membrane and is harmful to tissues that are usually subjected to instances physical force (cardiovascular and musculoskeletal). This is why they are so small and have heart issues. Also, the LMNA gene is also responsible for at least 6 other genetic disorders, including muscular dystrophy.
"Progeria" by See SourceMinor edit by Mikael Häggström - The Cell Nucleus and Aging: Tantalizing Clues and Hopeful Promises. Scaffidi P, Gordon L, Misteli T. PLoS Biology Vol. 3/11/2005, e395 http://dx.doi.org/10.1371/journal.pbio.0030395. Licensed under CC BY 2.5 via Wikimedia Commons - https://commons.wikimedia.org/wiki/File:Progeria.png#/media/File:Progeria.png
http://www.genome.gov/11007255
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