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Exome sequencing confirms molecular diagnoses in 38 Chinese families with hereditary spherocytosis

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文摘 Hereditary spherocytosis (HS),the most common cause of congenital hemolytic anemia,is caused by deficiency of the erythrocyte membrane proteins.Five causative genes (ANK1,SPTB,SPTA1,SLC4A1,and EPB42) have been identified.To date,molecular genetic studies have been performed in different populations,including the American,European,Brazilian,Japanese and Korean populations,whereas only a few studies have been described in the Chinese population.Here,by reanalysis of the exome data,we revealed causative mutations and established a definitive diagnosis of HS in all 38 Chinese families.We found 34 novel mutations and four reported mutations in three known HS-causing genes—17 in ANK1,17 in SPTB and four in SLC4A1,suggesting that ANK1 and SPTB are the major genes in Chinese patients with HS.All of the ANK1 or SPTB mutations,scattered throughout the entire genes,are non-recurrent;and most of them are null mutations,which might cause HS via a haploinsufficiency mechanism.De novo mutations in ANK1 or SPTB often occur with an unexpected high frequency (87.5% and 64.2%,respectively).Our study updates our knowledge about the genetic profile of HS in Chinese and shows that family-based,especially parent-offspring trio,sequencing analysis can help to increase the diagnostic power and improve diagnostic efficiency.
来源 Science China. Life Sciences ,2018,61(8):947-953 【核心库】
DOI 10.1007/s11427-017-9232-6
关键词 hereditary spherocytosis ; mutation ; ANK1 ; SPTB ; SLC4A1 ; whole-exome sequencing
地址

1. McKusick-Zhang Center for Genetic Medicine,Institute of Basic Medical Sciences Chinese Academy of Medical Sciences,School of Basic Medicine Peking Union Medical College, State Key Laboratory of Medical Molecular Biology, Beijing, 100005  

2. Joy Orient Translational Medicine Research Center Co.,Ltd, Beijing, 100176  

3. The Research Center for Medical Genomics,China Medical University, Shenyang, 110001  

4. Medical Genetics Institute,Henan Provincial People's Hospital,People's Hospital of Zhengzhou University,People's Hospital of Henan University, Zhengzhou, 450000

语种 英文
文献类型 研究性论文
ISSN 1674-7305
学科 内科学
基金 supported by the National Key Research and Development Program of China ;  the CAMS Innovation Fund for Medical Sciences ;  国家自然科学基金 ;  the Beijing Municipal Science and Technology Commission ;  the Medical Science and Technology Research Projects of Henan Provincial Health Bureau ;  the Scientific and Technological Projects of the Technology Bureau of Henan Provincial Technology
文献收藏号 CSCD:6343154

参考文献 共 42 共3页

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