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- Title
A novel G6PD deleterious variant identified in three families with severe glucose-6-phosphate dehydrogenase deficiency.
- Authors
Tong, Yongqing; Liu, Bei; Zheng, Hongyun; Bao, Anyu; Wu, Zegang; Gu, Jian; Tan, Bi-Hua; McGrath, Mary; Kane, Shriya; Song, Chunhua; Li, Yan
- Abstract
Background: Glucose-6-phosphate dehydrogenase deficiency (D-G6PD) is an X-linked recessive disorder resulted from deleterious variants in the housekeeping gene Glucose-6-phosphate 1-dehydrogenase (G6PD), causing impaired response to oxidizing agents. Screening for new variations of the gene helps with early diagnosis of D-G6PD resulting in a reduction of disease related complications and ultimately increased life expectancy of the patients. Methods: One thousand five hundred sixty-five infants with pathological jaundice were screened for G6PD variants by Sanger sequencing all of the 13 exons, and the junctions of exons and introns of the G6PD gene. Results: We detected G6PD variants in 439 (28.1%) of the 1565 infants with pathological jaundice. In total, 9 types of G6PD variants were identified in our cohort; and a novel G6PD missense variant c.1118 T > C, p.Phe373Ser in exon 9 of the G6PD gene was detected in three families. Infants with this novel variant showed decreased activity of G6PD, severe anemia, and pathological jaundice, consistent with Class I G6PD deleterious variants. Analysis of the resulting protein's structure revealed this novel variant affects G6PD protein stability, which could be responsible for the pathogenesis of D-G6PD in these patients. Conclusions: High rates of G6PD variants were detected in infants with pathological jaundice, and a novel Class I G6PD deleterious variants was identified in our cohort. Our data reveal that variant analysis is helpful for the diagnosis of D-G6PD in patients, and also for the expansion of the spectrum of known G6PD variants used for carrier detection and prenatal diagnosis.
- Subjects
GLUCOSE-6-phosphate dehydrogenase; GLUCOSE-6-phosphate dehydrogenase deficiency; RECESSIVE genes; PATHOLOGY; PROTEIN stability; OXIDIZING agents; PROTEIN structure
- Publication
BMC Medical Genetics, 2020, Vol 21, Issue 1, p1
- ISSN
1471-2350
- Publication type
Article
- DOI
10.1186/s12881-020-01090-2