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Marieke Biegstraaten Ivo N van Schaik Wouter Wieling Frits A Wijburg Carla EM Hollak 《BMC neurology》2010,10(1):38
Background
Fabry patients have symptoms and signs compatible with autonomic dysfunction. These symptoms and signs are considered to be due to impairment of the peripheral nervous system, but findings indicative of autonomic neuropathy in other diseases, such as orthostatic intolerance and male sexual dysfunction, are infrequently reported in Fabry disease. The aim of our study was to investigate autonomic symptoms and cardiovascular autonomic function in a large cohort of male and female Fabry patients. 相似文献423.
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Antonio Rossi Hans J. van der Harten Frits A. Beemer Wim J. Kleijer Richard Gitzelmann Beat Steinmann A. Superti-Furga 《Human genetics》1996,98(6):657-661
Mutations in the diastrophic dysplasia sulfate transporter gene DTDST have been associated with a family of chondrodysplasias
that comprises, in order of increasing severity, diastrophic dysplasia (DTD), atelosteogenesis type 2 (AO2), and achondrogenesis
type 1B (ACG1B). To learn more about the molecular basis of DTDST chondrodysplasias and about genotype-phenotype correlations,
we studied fibroblast cultures of three new patients: one with AO-2, one with DTD, and one with an intermediate phenotype
(AO2/DTD). Reduced incorporation of inorganic sulfate into macromolecules was found in all three. Each of the three patients
was found to be heterozygous for a c862t transition predicting a R279W substitution in the third extracellular loop of DTDST.
In two patients (DTD and AO2/DTD), no other structural mutation was found, but polymerase chain reaction amplification and
single-strand conformation polymorphism analysis of fibroblast cDNA showed reduced mRNA levels of the wild-type DTDST allele:
these two patients may be compound heterozygotes for the “Finnish” mutation (as yet uncharacterized at the DNA level), which
causes reduced expression of DTDST. The third patient (with AO2) had the R279W mutation compounded with a novel mutation,
the deletion of cytosine 418 (Δc418), predicting a frameshift with premature termination. Also the Δc418 allele was underrepresented
in the cDNA, in accordance with previous observations that premature stop codons reduce mRNA levels. The presence of the DTDST
R279W mutation in a total of 11 patients with AO2 or DTD emphasizes the overlap between these conditions. This mutation has
not been found so far in 8 analyzed ACG1B patients, suggesting that it allows some residual activity of the sulfate transporter.
Received: 14 June 1996 / Revised: 8 August 1996 相似文献
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