Identification of three novel mutations in the PIG-A gene in paroxysmal nocturnal haemoglobinuria (PNH) patients |
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Authors: | Anna Savoia Leonarda Ianzano Claudio Lunardi Giorgio De Sandre Mario Carotenuto Pellegrino Musto Leopoldo Zelante |
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Affiliation: | (1) Servizio di Genetica Medica, I.R.C.C.S. Ospedale Casa Sollievo della Sofferenza, I-71013 San Giovanni Rotondo, Foggia, Italy;(2) Istituto di Clinica Medica, Università degli Studi di Verona, Verona, Italy;(3) Divisione di Ematologia, I.R.C.C.S. Ospedale Casa Sollievo della Sofferenza, I-71013 San Giovanni Rotondo, Foggia, Italy |
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Abstract: | Paroxysmal nocturnal haemoglobinuria (PNH) is an acquired haemolytic disorder caused by the absence of glycosyl phosphatidylinositol (GPI)-anchored surface proteins resulting from a defect in one step of GPI-anchor biosynthesis. Recent analysis has shown that mutations at the PIG-A (phosphatidylinositoglycan-class A) gene are responsible for GPI-anchor deficiency in all PNH patients. In the current study, we describe three new mutations of the PIG-A gene in Italian patients with PNH. The analysis has been performed by RNA/single-strand conformation polymorphism using genomic DNA purified from nucleated peripheral blood cells. An abnormal pattern of migration of polymerase chain reaction amplified fragments containing exons 2 and 5 was observed. Sequencing analysis led to the identification of three mutations: a transversion C-to-A creating a stop codon (Y98X), an A insertion at position 460 (460insA), and a C deletion (1114delC). All the mutations cause a premature termination of the translation of the PIG-A protein. |
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