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Free Content HMBS Mutations in Chinese Patients with Acute Intermittent Porphyria

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Summary

Acute intermittent porphyria (AIP), an autosomal dominant disorder, is caused by partial deficiency of hydroxymethylbilane synthase (HMBS) affecting heme biosynthesis. Patients with AIP are characterized by recurrent abdominal pain, port-wine urine, and motor paresis. The disease can be provoked by changes in hormone levels, drugs and fasting. Molecular analysis for twenty-four unrelated Chinese AIP patients from Taiwan identified twenty-five HMBS mutations. There were 10 missense (40%), four nonsense (16%), five frame-shift (20%) and six splice site (24%) mutations. More than a half (15/25, 60%) of these mutations are predicted to produce a truncated protein. Four (c.33 + 5C>A, Arg26Cys, Arg26His, Arg325X) occurred more than once among the 24 families and one individual carried two mutations in the same allele, a missense (Gly221Asp) and a splice site mutation (c.652-1G>A). Of the 25 mutations, eleven were novel (Arg149Pro, Gly218Arg, Asn322X, Gly221Asp, Pro313X, c.88-4_-16delAAGTCTCTACCCG, c.1008_1019delCAGCCTGGCCAA, c.113delT, c.88-4_-16delAAGTCTCTACCCGinsCA, c.160delA, c.902_909delTCCCTGCC). No correlation between genetic defect and phenotype (both clinical and biochemical) was observed in this study.
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Keywords: Chinese; HMBS; acute intermittent porphyria; mutations

Document Type: Short Communication

Affiliations: 1: Department of Medical Genetics, National Taiwan University Hospital, National Taiwan University School of Medicine, Taipei, Taiwan 2: Department of Neurology, Chang-Gung Memorial Hospital and University, Taipei, Taiwan 3: Department of Neurology, Taoyuan General Hospital, Department of Health, Taoyuan, Taiwan 4: Department of Neurology, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan 5: Department of Molecular Neuroscience, Institute of Neurology, University College London, Queen Square, London, UK

Publication date: September 1, 2008

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