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一个中国蚕豆病女孩的新型 G6PD 基因突变。

A novel G6PD gene variant in a Chinese girl with favism.

机构信息

Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan City, China.

出版信息

J Clin Lab Anal. 2020 Sep;34(9):e23402. doi: 10.1002/jcla.23402. Epub 2020 Jun 17.

Abstract

BACKGROUND

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common human enzymopathy. The human G6PD gene is highly polymorphic, and over 200 mutations have been identified, many of which are associated with hemolytic anemia. Here, we analyzed the clinical genetics data of a Chinese girl with favism who developed acute hemolytic anemia after fava bean ingestion.

METHODS

The clinical genetics data of the proband who developed acute hemolytic anemia were collected and analyzed, and G6PD gene exons were sequenced in the proband and her family.

RESULTS

We reported for the first time a novel G6PD gene variant in a Chinese girl, which we named "G6PD Wuhan." This variant is localized exon 3 of the G6PD gene at genomic position 141G > C, that is a change from p.Lys47 to Asn. The bioinformatics analysis and protein modeling study indicated this variant may have negative effects on the enzyme activity of G6PD.

CONCLUSIONS

Our results indicated that favism in the proband was caused by this novel heterozygous variant (c.141G > C) in G6PD. The variant in G6PD has implications for genetic counseling and could provide insights into the functional roles of G6PD mutations.

摘要

背景

葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症是最常见的人类酶病。人类 G6PD 基因高度多态性,已鉴定出 200 多种突变,其中许多与溶血性贫血有关。在这里,我们分析了一名食用蚕豆后发生急性溶血性贫血的蚕豆病中国女孩的临床遗传学数据。

方法

收集并分析先证者发生急性溶血性贫血的临床遗传学数据,并对先证者及其家系的 G6PD 基因外显子进行测序。

结果

我们首次报道了一名中国女孩的 G6PD 基因新变异,我们将其命名为“G6PD Wuhan”。该变异位于 G6PD 基因外显子 3 的基因组位置 141G>C,即从 p.Lys47 突变为 Asn。生物信息学分析和蛋白质建模研究表明,该变异可能对 G6PD 酶活性有负面影响。

结论

我们的结果表明,先证者的蚕豆病是由 G6PD 中这个新的杂合变异(c.141G>C)引起的。G6PD 中的变异对遗传咨询有影响,并为 G6PD 突变的功能作用提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e57/7521235/e2ab89d6caaa/JCLA-34-e23402-g001.jpg

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