Clinical and haematological consequences of recurrent G6PD mutations and a single new mutation causing chronic nonspherocytic haemolytic anaemia Journal Article


Authors: Vulliamy, T. J.; Kaeda, J. S.; Ait-Chafa, D.; Mangerini, R.; Roper, D.; Barbot, J.; Mehta, A. B.; Athanassiou-Metaxa, M.; Luzzatto, L.; Mason, P. J.
Article Title: Clinical and haematological consequences of recurrent G6PD mutations and a single new mutation causing chronic nonspherocytic haemolytic anaemia
Abstract: We have determined the causative mutation in 12 cases of glucose-6- phosphate dehydrogenase deficiency associated with chronic non-spherocytic haemolytic anaemia. In 11 of them the mutation we found had been previously reported in unrelated individuals. These mutations comprise seven different missense mutations and a 24 base pair deletion, G6PD Nara, previously found in a Japanese boy. Repeated findings of the same mutations suggests that a limited number of amino acid changes can produce the CNSHA phenotype and be compatible with normal development. The one new mutation we have found, G6PD Serres, is 1082 C→T causing a 361 Ala→Val substitution in the dimer interface where most other severe G6PD mutations are found. Now that several patients with the same mutation have been reported we can compare the resulting clinical phenotypes. For each mutation we find a reasonably consistent clinical picture, ranging from mild (G6PD Clinic) through moderate (G6PD Nashville) to severe (G6PD Beverly Hills and G6PD Nara).
Keywords: adolescent; adult; child; clinical article; child, preschool; middle aged; gene deletion; missense mutation; mutation; phenotype; amino acid substitution; chronic disease; infant, newborn; hemolytic anemia; recurrent disease; point mutation; glucose 6 phosphate dehydrogenase deficiency; glucose 6 phosphate dehydrogenase; glucosephosphate dehydrogenase; humans; human; male; priority journal; article; anemia, hemolytic; recurrent mutation; g6pd deficiency; glycogen storage disease type i; g6pd serres
Journal Title: British Journal of Haematology
Volume: 101
Issue: 4
ISSN: 0007-1048
Publisher: John Wiley & Sons  
Date Published: 1998-06-01
Start Page: 670
End Page: 675
Language: English
DOI: 10.1046/j.1365-2141.1998.00763.x
PUBMED: 9674740
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 12 December 2016 -- Source: Scopus
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  1. Lucio Luzzatto
    105 Luzzatto