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Mutation spectrum of primary hyperoxaluria type 1 in Tunisia: implication for diagnosis in North Africa.

Identifieur interne : 000617 ( PubMed/Corpus ); précédent : 000616; suivant : 000618

Mutation spectrum of primary hyperoxaluria type 1 in Tunisia: implication for diagnosis in North Africa.

Auteurs : Majdi Nagara ; Afaf Tiar ; Nizar Ben Halim ; Faten Ben Rhouma ; Olfa Messaoud ; Yosra Bouyacoub ; Rym Kefi ; Saida Hassayoun ; Noura Zouari ; Mohamed Slim Ben Ammar ; Sonia Abdelhak ; Jalel Chemli

Source :

RBID : pubmed:23810941

English descriptors

Abstract

BACKGROUND

Primary hyperoxaluria type 1 (PH1) is an autosomal recessive inherited metabolic disease, characterized by progressive kidney failure due to renal deposition of calcium oxalate. Mutations in the AGXT gene, encoding the liver-specific enzyme alanine glyoxylate aminotransferase, are responsible for the disease. We aimed to determine the mutational spectrum causing PH1 and to provide an accurate tool for diagnosis as well as for prenatal diagnosis in the affected families.

METHODS

Direct sequencing was used to detect mutations in the AGXT gene in DNA samples from 13 patients belonging to 12 Tunisian families.

RESULTS

Molecular analysis revealed five mutations causing PH1 in Tunisia. The mutations were identified along exons 1, 2, 4, 5 and 7. The most predominant mutations were the Maghrebian "p.I244T" and the Arabic "p.G190R". Furthermore, three other mutations characteristic of different ethnic groups were found in our study population. These results confirm the mutational heterogeneity related to PH1 in Tunisian population. All the mutations are in a homozygous state, reflecting the high impact of endogamy in our population.

CONCLUSION

Mutation analysis through DNA sequencing can provide a useful first line investigation for PH1. This identification could provide an accurate tool for prenatal diagnosis, genetic counseling and screen for potential presymptomatic individuals.


DOI: 10.1016/j.gene.2013.06.023
PubMed: 23810941

Links to Exploration step

pubmed:23810941

Le document en format XML

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<term>Child, Preschool (MeSH)</term>
<term>Consanguinity (MeSH)</term>
<term>DNA Mutational Analysis (MeSH)</term>
<term>Female (MeSH)</term>
<term>Genetic Association Studies (MeSH)</term>
<term>Haplotypes (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hyperoxaluria, Primary (diagnosis)</term>
<term>Hyperoxaluria, Primary (enzymology)</term>
<term>Hyperoxaluria, Primary (genetics)</term>
<term>Infant (MeSH)</term>
<term>Male (MeSH)</term>
<term>Molecular Diagnostic Techniques (MeSH)</term>
<term>Mutation, Missense (MeSH)</term>
<term>Polymorphism, Single Nucleotide (MeSH)</term>
<term>Transaminases (genetics)</term>
<term>Tunisia (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<term>Hyperoxaluria, Primary</term>
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<term>Hyperoxaluria, Primary</term>
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<term>Infant</term>
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<p>
<b>BACKGROUND</b>
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<p>Primary hyperoxaluria type 1 (PH1) is an autosomal recessive inherited metabolic disease, characterized by progressive kidney failure due to renal deposition of calcium oxalate. Mutations in the AGXT gene, encoding the liver-specific enzyme alanine glyoxylate aminotransferase, are responsible for the disease. We aimed to determine the mutational spectrum causing PH1 and to provide an accurate tool for diagnosis as well as for prenatal diagnosis in the affected families.</p>
</div>
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<p>
<b>METHODS</b>
</p>
<p>Direct sequencing was used to detect mutations in the AGXT gene in DNA samples from 13 patients belonging to 12 Tunisian families.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Molecular analysis revealed five mutations causing PH1 in Tunisia. The mutations were identified along exons 1, 2, 4, 5 and 7. The most predominant mutations were the Maghrebian "p.I244T" and the Arabic "p.G190R". Furthermore, three other mutations characteristic of different ethnic groups were found in our study population. These results confirm the mutational heterogeneity related to PH1 in Tunisian population. All the mutations are in a homozygous state, reflecting the high impact of endogamy in our population.</p>
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<p>
<b>CONCLUSION</b>
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<p>Mutation analysis through DNA sequencing can provide a useful first line investigation for PH1. This identification could provide an accurate tool for prenatal diagnosis, genetic counseling and screen for potential presymptomatic individuals.</p>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Primary hyperoxaluria type 1 (PH1) is an autosomal recessive inherited metabolic disease, characterized by progressive kidney failure due to renal deposition of calcium oxalate. Mutations in the AGXT gene, encoding the liver-specific enzyme alanine glyoxylate aminotransferase, are responsible for the disease. We aimed to determine the mutational spectrum causing PH1 and to provide an accurate tool for diagnosis as well as for prenatal diagnosis in the affected families.</AbstractText>
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