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The clinical relevance and prognostic significance of microsomal epoxide hydrolase gene polymorphisms and their susceptibility to acquired aplastic anemia: an Egyptian study
Authors:Manal Mohamed Makhlouf  Rania Ismail Magdy
Institution:1. Department of Clinical and Chemical Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt and manalmakhlouf2@yahoo.com;3. Department of Pediatric, Faculty of Medicine, Cairo University, Cairo, Egypt
Abstract:Background: Microsomal epoxide hydrolase enzyme (mEPHX) is involved in xenobiotics detoxification. Two variants of mEPHX, Tyr113His and His139Arg, have been described. Both may lead to acquired aplastic anemia (AA).

Objectives: Assessing mEPHX genetic polymorphisms and detecting their impact on susceptibility and prognosis in Egyptian AA patients.

Participants and methods: mEPHX 113 and 139 genotypes were determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) in 100 patients with AA and 100 control subjects.

Results: Both mEPHX Tyr113His and His139Arg gene polymorphisms were associated with increased risk of developing AA, and have a significant impact of bad prognosis (p value?<?0.01).

Conclusions: These mEPHX gene polymorphisms can be considered as risk factors and predictive molecular markers for prognosis in AA patients.
Keywords:Acquired aplastic anemia  genetic polymorphisms  mEPHX His139Arg  mEPHX Tyr113His  PCR-RFLP
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