Duplication of exons 13, 14 and 15 of the LDL-receptor gene in a patient with heterozygous familial hypercholesterolemia |
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Authors: | N. Lelli M. Ghisellini S. Calandra A. Gaddi A. Ciarrocchi D. A. Coviello S. Bertolini |
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Affiliation: | (1) Istituto di Patologia Generale, Università di Modena, Via Campi, 287, I-41100 Modena, Italy;(2) Cattedra di Geriatria, Università di Bologna, I-40100 Bologna, Italy;(3) Cattedra di Genetica Medica, Università di Genova, I-16100 Genova, Italy;(4) Centro Prevenzione Arteriosclerosi, Università di Genova, I-16100 Genova, Italy |
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Abstract: | Summary During a survey of Italian patients with familial hypercholesterolemia (FH), we identified an FH heterozygous patient with a gross rearrangement of the low density lipoprotein (LDL) receptor gene. Southern blot analysis of the proband's DNA digested with restriction enzymes PvuII, BamHI, BglII and XbaI and hybridization with cDNA probes complementary to the 3 end of the gene revealed the presence of abnormal fragments that were approximately 7 kb larger than their normal counterparts. DNA digestion with other enzymes (EcoRV, NcoI, KpnI and StuI) and hybridization with probes complementary to exons 13–17 generated normal fragments and an abnormal fragment of 6.3–6.8 kb. These results are consistent with the presence of an insertion of approximately 7 kb caused by a duplication of exons 13, 14 and 15. This is a novel mutation that is most probably the result of an unequal crossing-over between repetitive sequences located in intron 12 and intron 15. This novel mutation has been designated FHBologna 2. |
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